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Chapter 2 - Advanced Maternal Age

from Section 1 - Obstetric Aspects of Antenatal Care

Published online by Cambridge University Press:  23 February 2023

By
Amira El-Messidi  and
William M. Buckett
Edited by
Amira El-Messidi  and
Alan D. Cameron
Amira El-Messidi
Affiliation:
McGill University, Montréal
Alan D. Cameron
Affiliation:
University of Glasgow
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Summary

A 43-year-old G1P1 is referred by her primary care provider to your hospital center’s high-risk obstetrics unit for preconception counseling for advanced maternal age (AMA). She started folic-containing prenatal vitamins and has recently discontinued five-year use of a copper intrauterine contraceptive device. They wish to attempt spontaneous conception prior to considering fertility evaluation.

Keywords

Preconception counselingAdvanced maternal ageAdvanced paternal ageSpermatic changesPerinatal morbiditiesAdverse obstetric outcomeObstetric deliveryMaternal age–related postpartum morbidities
Type
Chapter
Information
OSCEs in Obstetrics and Maternal-Fetal Medicine
An Evidence-Based Approach
 , pp. 22 - 30
Publisher: Cambridge University Press
Print publication year: 2023

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References

Suggested Readings

Attali, E, Yogev, Y. The impact of advanced maternal age on pregnancy outcome. Best Pract Res Clin Obstet Gynaecol. 2020;S1521–6934(20):30096-1.Google Scholar
Chronopoulou, E, Raperport, C, Serhal, P, et al. Preconception tests at advanced maternal age. Best Pract Res Clin Obstet Gynaecol. 2021;70:28.CrossRefGoogle ScholarPubMed
Frick, AP. Advanced maternal age and adverse pregnancy outcomes. Best Pract Res Clin Obstet Gynaecol. 2020;S1521–6934(20):30112-7.Google Scholar
Kawwass, JF, Badell, ML. Maternal and fetal risk associated with assisted reproductive technology. Obstet Gynecol. 2018;132(3):763–772.CrossRefGoogle ScholarPubMed
Liu, KE, Case, A. No. 346 – advanced reproductive age and fertility. J Obstet Gynaecol Can. 2017;39(8):685–695.CrossRefGoogle ScholarPubMed
Walker, KF, Thornton, JG. Timing and mode of delivery with advancing maternal age. Best Pract Res Clin Obstet Gynaecol. 2020;S1521–6934(20):30095-X.Google Scholar

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