Advanced Maternal Age

Rebecca A. Lauters, MD and Alexis C Aust, MD Reviewed 06/2021

BASICS

DESCRIPTION

According to the Society for Maternal Fetal Medicine, advanced maternal age (AMA) is defined as age ≥35 years at delivery.
Maternal age at childbearing has shifted secondary to a var...

DIAGNOSIS

HISTORY

A careful history should be obtained at initial visit that pays special attention to factors that can affect fertility and pregnancy.

The prevalence of medical and surgical illness, s...

TREATMENT

GENERAL MEASURES

A fertility evaluation should be initiated after 6 months of unprotected intercourse without conception in women 35 to 37 years of age, earlier in women >37 years of age, ...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Patient Monitoring

Closer monitoring or referral to maternal–fetal medicine may be warranted should complications arise.

PATIENT EDUCATION

The experience of pregnan...

REFERENCES

American College of Obstetricians and Gynecologists Committee on Gynecologic Practice, Practice Committee of the American Society for Reproductive Medicine. Female ...

ADDITIONAL READING

Johnson JA, Tough S. No-271-delayed child-bearing. J Obstet Gynaecol Can. 2017;39(11):e500–e515.

CODES

ICD10

O09.519 Supervision of elderly primigravida, unspecified trimester
O09.529 Supervision of elderly multigravida, unspecified trimester
009.511 Supervision of elderly primigravida, first trimes...

CLINICAL PEARLS

Obstetric and perinatal risks increase with AMA.
Although majority of patients of AMA will have normal pregnancy and delivery, older women are more likely to have developed chronic medi...

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