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Advanced Maternal Age

Nicole E. Tafuri, DO and Rebecca Lauters, MD Reviewed 06/2019
 


BASICS

DESCRIPTION

  • The cutoff age for advanced maternal age (AMA) is not uniformly defined.

  • Delayed childbearing is traditionally defined as pregnancy occurring in women aged ≥35 years.

  • AMA is a growing ...

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

1
American College of Obstetricians and Gynecologists Committee on Gynecologic Practice, Practice Committee of the American Society for Reproductive Medicine. Female age-related fertility de...

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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