Being a Mother After 35 Years: Will it be Different?
Autor(a) principal: | |
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Data de Publicação: | 2017 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | por eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8319 |
Resumo: | Introduction: Advanced maternal age is defined as maternity after 35 years old and is associated with more complications during pregnancy and neonatal period as well as decreased fertility. This study aims to examine the relationship between advanced maternal age and their maternal and fetal consequences, as well as maternal perception of the risk of pregnancy after 35 years old.Material and Methods: Observational, retrospective and comparative study, between two groups: advanced maternal age group (aged ≥ 35 years) and non-advanced maternal age group (age < 35 years), onducted between March and June 2015. Chi-square test and Fisher’s exact test were used and considered significant if p < 0.05.Results: Of the 736 women admitted to the hospital (32.2% with advanced maternal age), 306 were included in the study (153 in each group). In the non-advanced maternal age group there was a greater number of primiparous women (p < 0.01). In the advanced maternal age group, more previous miscarriages were observed (p < 0.001), as well as a higher use of assisted reproductive techniques (p < 0.01), preformed of amniocentesis (p < 0.001) and dystocia, including caesarean sections (p < 0.001). No association was found regarding the presence of maternal complications in pregnancy, birth defects, need for neonatal resuscitation or prematurity. As for the perception of risk in pregnancy, the non-advanced maternal age group considered it to be superior (p < 0.05).Discussion: Most women of advanced maternal age have term deliveries without complications. Neonatal outcomes seem not to have been influenced by the advanced maternal age.Conclusion: The consequences of an advanced maternal age pregnancy in this sample did not have the same clinical expression as described in the literature. In the future, advanced maternal age will possibly be considered after age 40. |
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Being a Mother After 35 Years: Will it be Different?Ser Mãe Depois dos 35 Anos: Será Diferente?InfantNewbornMaternal AgePregnancy ComplicationsPregnancy OutcomeComplicações na GravidezIdade MaternaRecém-NascidoResultado da GravidezIntroduction: Advanced maternal age is defined as maternity after 35 years old and is associated with more complications during pregnancy and neonatal period as well as decreased fertility. This study aims to examine the relationship between advanced maternal age and their maternal and fetal consequences, as well as maternal perception of the risk of pregnancy after 35 years old.Material and Methods: Observational, retrospective and comparative study, between two groups: advanced maternal age group (aged ≥ 35 years) and non-advanced maternal age group (age < 35 years), onducted between March and June 2015. Chi-square test and Fisher’s exact test were used and considered significant if p < 0.05.Results: Of the 736 women admitted to the hospital (32.2% with advanced maternal age), 306 were included in the study (153 in each group). In the non-advanced maternal age group there was a greater number of primiparous women (p < 0.01). In the advanced maternal age group, more previous miscarriages were observed (p < 0.001), as well as a higher use of assisted reproductive techniques (p < 0.01), preformed of amniocentesis (p < 0.001) and dystocia, including caesarean sections (p < 0.001). No association was found regarding the presence of maternal complications in pregnancy, birth defects, need for neonatal resuscitation or prematurity. As for the perception of risk in pregnancy, the non-advanced maternal age group considered it to be superior (p < 0.05).Discussion: Most women of advanced maternal age have term deliveries without complications. Neonatal outcomes seem not to have been influenced by the advanced maternal age.Conclusion: The consequences of an advanced maternal age pregnancy in this sample did not have the same clinical expression as described in the literature. In the future, advanced maternal age will possibly be considered after age 40.Introdução: A idade materna avançada corresponde à maternidade depois dos 35 anos. Está associada a maior número de complicações na gravidez e período neonatal e ainda à diminuição da fertilidade. Propôs-se analisar a relação entre idade materna avançada e suas consequências materno-fetais, assim como a perceção materna dos riscos de uma gravidez depois dos 35 anos.Material e Métodos: Estudo observacional, retrospetivo, descritivo e comparativo entre dois grupos: Grupo idade materna avançada (idade ≥ 35 anos) e Grupo não-idade materna avançada (idade < 35 anos), efetuado entre março e junho de 2015. Utilizado o teste do qui-quadrado e teste exato de Fisher e considerado significativo se p < 0,05.Resultados: Das 736 puérperas internadas (32,2% com idade materna avançada), 306 foram incluídas no estudo (153 em cada grupo). No grupo não-idade materna avançada verificou-se um maior número de primíparas (p < 0,01). No grupo idade materna avançada observou-se um maior número de abortos espontâneos prévios (p < 0,001) e foi superior o recurso a técnicas de reprodução medicamente assistida (p < 0,01), a realização de amniocentese (p < 0,001) e o número de partos distócicos, nomeadamente cesarianas (p < 0,001). Não se encontraram diferenças em relação à presença de patologia materna na gravidez, malformações congénitas, necessidade de reanimação neonatal ou prematuridade. Quanto à perceção do risco numa gravidez em idade materna avançada, o grupo não-idade materna avançada considerou-o superior (p < 0,05).Discussão: A maior parte das mulheres em idade materna avançada tiveram partos de termo e sem complicações. Os resultados neonatais parecem não ter sido influenciados pela idade materna avançada. Conclusão: As consequências de uma gravidez em idade materna avançada na nossa amostra não tiveram a mesma expressão clínica que as descritas na literatura. No futuro, a idade materna avançada será possivelmente considerada após os 40 anos.Ordem dos Médicos2017-09-29info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfapplication/pdfapplication/pdfapplication/mswordapplication/vnd.openxmlformats-officedocument.wordprocessingml.documentapplication/pdfhttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8319Acta Médica Portuguesa; Vol. 30 No. 9 (2017): September; 615-622Acta Médica Portuguesa; Vol. 30 N.º 9 (2017): Setembro; 615-6221646-07580870-399Xreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPporenghttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8319https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8319/5149https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8319/5389https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8319/8834https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8319/9002https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8319/9124https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8319/9311Direitos de Autor (c) 2017 Acta Médica Portuguesainfo:eu-repo/semantics/openAccessMarques, BárbaraPalha, FranciscaMoreira, EdgarValente, SandraAbrantes, MargaridaSaldanha, Joana2023-08-13T03:00:21Zoai:ojs.www.actamedicaportuguesa.com:article/8319Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T16:19:34.477958Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Being a Mother After 35 Years: Will it be Different? Ser Mãe Depois dos 35 Anos: Será Diferente? |
title |
Being a Mother After 35 Years: Will it be Different? |
spellingShingle |
Being a Mother After 35 Years: Will it be Different? Marques, Bárbara Infant Newborn Maternal Age Pregnancy Complications Pregnancy Outcome Complicações na Gravidez Idade Materna Recém-Nascido Resultado da Gravidez |
title_short |
Being a Mother After 35 Years: Will it be Different? |
title_full |
Being a Mother After 35 Years: Will it be Different? |
title_fullStr |
Being a Mother After 35 Years: Will it be Different? |
title_full_unstemmed |
Being a Mother After 35 Years: Will it be Different? |
title_sort |
Being a Mother After 35 Years: Will it be Different? |
author |
Marques, Bárbara |
author_facet |
Marques, Bárbara Palha, Francisca Moreira, Edgar Valente, Sandra Abrantes, Margarida Saldanha, Joana |
author_role |
author |
author2 |
Palha, Francisca Moreira, Edgar Valente, Sandra Abrantes, Margarida Saldanha, Joana |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Marques, Bárbara Palha, Francisca Moreira, Edgar Valente, Sandra Abrantes, Margarida Saldanha, Joana |
dc.subject.por.fl_str_mv |
Infant Newborn Maternal Age Pregnancy Complications Pregnancy Outcome Complicações na Gravidez Idade Materna Recém-Nascido Resultado da Gravidez |
topic |
Infant Newborn Maternal Age Pregnancy Complications Pregnancy Outcome Complicações na Gravidez Idade Materna Recém-Nascido Resultado da Gravidez |
description |
Introduction: Advanced maternal age is defined as maternity after 35 years old and is associated with more complications during pregnancy and neonatal period as well as decreased fertility. This study aims to examine the relationship between advanced maternal age and their maternal and fetal consequences, as well as maternal perception of the risk of pregnancy after 35 years old.Material and Methods: Observational, retrospective and comparative study, between two groups: advanced maternal age group (aged ≥ 35 years) and non-advanced maternal age group (age < 35 years), onducted between March and June 2015. Chi-square test and Fisher’s exact test were used and considered significant if p < 0.05.Results: Of the 736 women admitted to the hospital (32.2% with advanced maternal age), 306 were included in the study (153 in each group). In the non-advanced maternal age group there was a greater number of primiparous women (p < 0.01). In the advanced maternal age group, more previous miscarriages were observed (p < 0.001), as well as a higher use of assisted reproductive techniques (p < 0.01), preformed of amniocentesis (p < 0.001) and dystocia, including caesarean sections (p < 0.001). No association was found regarding the presence of maternal complications in pregnancy, birth defects, need for neonatal resuscitation or prematurity. As for the perception of risk in pregnancy, the non-advanced maternal age group considered it to be superior (p < 0.05).Discussion: Most women of advanced maternal age have term deliveries without complications. Neonatal outcomes seem not to have been influenced by the advanced maternal age.Conclusion: The consequences of an advanced maternal age pregnancy in this sample did not have the same clinical expression as described in the literature. In the future, advanced maternal age will possibly be considered after age 40. |
publishDate |
2017 |
dc.date.none.fl_str_mv |
2017-09-29 |
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info:eu-repo/semantics/publishedVersion |
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info:eu-repo/semantics/article |
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article |
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publishedVersion |
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https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8319 |
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https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8319 |
dc.language.iso.fl_str_mv |
por eng |
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por eng |
dc.relation.none.fl_str_mv |
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8319 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8319/5149 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8319/5389 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8319/8834 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8319/9002 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8319/9124 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8319/9311 |
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Direitos de Autor (c) 2017 Acta Médica Portuguesa info:eu-repo/semantics/openAccess |
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Direitos de Autor (c) 2017 Acta Médica Portuguesa |
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application/pdf application/pdf application/pdf application/msword application/vnd.openxmlformats-officedocument.wordprocessingml.document application/pdf |
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Ordem dos Médicos |
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Ordem dos Médicos |
dc.source.none.fl_str_mv |
Acta Médica Portuguesa; Vol. 30 No. 9 (2017): September; 615-622 Acta Médica Portuguesa; Vol. 30 N.º 9 (2017): Setembro; 615-622 1646-0758 0870-399X reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
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RCAAP |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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