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Advanced Maternal Age

Alexis C. Aust, MD Reviewed 05/2023
 


BASICS

DESCRIPTION

  • Advanced maternal age has historically been defined as women who are ≥35 years at estimated date of delivery (1).

  • Maternal age at childbearing has shifted secondary to a variety of s...

DIAGNOSIS

HISTORY

A careful history should be obtained at the initial visit that pays special attention to factors that can affect fertility and pregnancy. 
  • The prevalence of medical and surgical illnes...

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

1
American College of Obstetricians and Gynecologists Committee on Clinical Consensus-Obstetrics, Society for Maternal-Fetal Medicine. Pregnancy at 35 years or older. ACOG Obstetric Care Con...

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. Age-related risk increases with increasing age.

  • Although the majority of patients of AMA will have a normal pregnancy and delivery, olde...

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