Objective: Pregnancy complications for the mother and fetus are considered to be increased in pregnancies >35 years of age, which is considered as advanced maternal age. In our study, we aimed to compare the maternal and fetal outcomes of pregnant women >35 years of age and pregnancies between the ages of 18 and 34.
Materials and Methods: The files of 355 pregnant women who were followed up in the obstetrics clinic of our hospital and whose births were delivered in our hospital were retrospectively examined. The gestational age of birth, birth weight, maternal hemoglobin and hematocrit values, 1st and 5th minute Apgar scores and fetomaternal complications of all patients were evaluated for pregnant women under and over 35 years of age.
Results: In the patient groups, the average age of the >35 age group was 38.68±2.40, and the average age of the 18-34 age group was 28.20±4.10. Birth weight was found to be 3120±680 g in the >35 age group and 3080±580 g in the 18-34 age group, and no significant difference was found between the groups (p:0.82). In the patient groups, the mean gestational week of the >35 age group was 37.1±2.45, and that of the 18-34 age group was 37.3±2.30, and no significant difference was found between the groups (p:0.91). No significant difference was found between the groups in hemoglobin and hematocrit values (p:0.85). There was no significant difference between the groups between the 1st and 5th minute Apgar scores (p:0.90, p:0.95 respectively). Preeclampsia and gestational diabetes were found to be significantly higher in the > 35 age group (p: 0.045, 0.037, respectively).
Conclusion: Advanced age pregnancies are becoming increasingly common due to the postponement of the marriage age and women's participation in the workforce, and accordingly, the possibility of developing fetomaternal complications may increase. In our study, an increased risk for preeclampsia and gestational diabetes was found in older pregnancies, and these pregnancies should be followed up in tertiary centers with a multidisciplinary approach. ORCID NO: 0000-0002-2109-1373
Anahtar Kelimeler: Gestational diabetes, Maternal Age, Preeclampsia, Pregnancy
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