GESTATIONAL COMPLICATIONS IN ADVANCED AGE: A REVIEW OF THE MAIN CLINICAL AND OBSTETRIC OUTCOMES"

• DOI: https://doi.org/10.22533/at.ed.15946324280610

• Palavras-chave: Advanced maternal age, Gestational complications, Pre-eclampsia, Gestational diabetes.

• Keywords: Advanced maternal age, Gestational complications, Pre-eclampsia, Gestational diabetes.

• Abstract:

  Objective: This systematic review seeks to examine the literature on pregnancy complications in this context. Methodology: Using the PubMed database, 11articles out of 1939 found since 2019, ensuring a detailed analysis. Results: Advanced maternal age is associated with neonatal complications, such as low birth weight, low Apgar score, perinatal mortality and premature birth. In addition, there is a greater risk of pregnancy-specific hypertensive diseases, gestational diabetes and cesarean section. Placental changes in older pregnant women contribute to fetal complications, such as intrauterine growth restriction and stillbirth, as well as birth complications, such as changes in fetal heart rate and an increase in cesarean sections. Final considerations: Studies reveal a higher risk of complications, such as gestational diabetes and premature birth, in women aged 35 and over. Continuing research is crucial to understanding the implications of late pregnancy and its long-term consequences.