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No use, distribution or reproduction is permitted which does not comply with these terms. Objectives: Maternal age has been increasing for several decades with many of these late pregnancies between 40 and 45 years old. The main objective of this study is to assess whether maternal age is an independent factor of obstetric, fetal, and neonatal complications. Maternal and perinatal outcomes were studied using univariates and multivariate analysis.
We compared women aged 40 and above in a ratio with women of 25—35 years old. Results: One thousand nine hundred eighty-two women were 40 or older mean age: We found also a significant difference for gestational hypertension 3. These results were also significantly different in multivariate analysis. Conclusion: A pregnancy after 40 years old is worth considering today as far as the risk factors are controlled and understand by the patient and the obstetrician.
However, they have a significantly higher risks of cesarean, preterm delivery, pre-eclampsia, gestational diabetes, and fetal death in utero FDIU. It is therefore the responsibility of the obstetrician to inform correctly these women in a detailed way, to reassure them and to adapt the monitoring of their pregnancy accordingly.
Keywords: advanced maternal age, complication, neonatal, pregnancy, preeclampsia, gestationnal diabetes. Late pregnancies have been a sensitive subject in society and in the medical field since a couple years. Indeed, maternal age has been increasing for several decades with many of these late pregnancies between 40 and 45 years old 1. The age of first pregnancy increased from This is explained by a societal evolution marked by a constantly increasing level of studies by women who have more responsibilities at work and therefore delay their project of childbearing giving their first priority to their professional career 1.
