Advanced Maternal Age (>35 Years)

Defining Advanced Age

Advanced maternal age refers to pregnancy at 35 years or older at delivery. Fertility declines sharply after 35 due to reduced egg quantity and quality. Many women over 35 achieve healthy pregnancies with proper care.

Key Maternal Risks

Women over 35 face higher chances of gestational diabetes, preeclampsia, high blood pressure, and placenta previa. Miscarriage risk rises to 20% at 35 and 80% by 45. Cesarean deliveries become more common due to complications.

Fetal and Neonatal Concerns

Risks include preterm birth, low birth weight, stillbirth, and chromosomal disorders like Down syndrome from aging eggs. Multiple pregnancies and large babies also increase. Prenatal screening helps detect issues early.

Management Strategies

Frequent antenatal visits, senior obstetrician oversight, and screening tests improve outcomes. Lifestyle optimization and prompt intervention mitigate risks effectively.