Retrospective Analysis of Advanced Maternal Age Pregnancies in Erzincan

Objective: To evaluate the results and complications of pregnancy of mothers giving birth over 35 years of age. Materials and Methods: Prenatal examinations and birth files of pregnant women age 20-34 and 35 years and older who gave birth from 2010 to 2015 were analyzed retrospectively. Results: Average age of advanced maternal age group pregnant women were found to be 40,7±2,42 years (over 35 year-olds), whereas average age of the pregnant women at reproductive phase were determined as 26,69 ± 4,13 years (20-34 year-olds). Both groups did not have history of alcohol during pregnancy. But in advanced maternal group, 2,19% smoking cases were revealed, whereas the number was 26,47% for reproductive age group. Regular prenatal care rate of advanced age pregnancy was detected in 90,1%, it was found to be 80,39% in the 20-34 age group. Patients were evaluated for obstetric complications; the rate of preterm birth was 9,89%, premature rupture of membranes rates was 5,49%, oligohydramnios rates was 7,69%, polyhydramnios was 2,19%. The same parameters in the control group were 16,6% for preterm labor, 29,4% for premature rupture of membranes, 13,7% for oligohydramnios and 3,92% for polyhydramnios. Patients were evaluated for need of neonatal intensive care, trauma and intrauterine growth retardation there was not a significant difference between the groups. 3 patients in advanced maternal age group (3,29%) had fetal abnormalities (Down syndrome) but the control group did not show any abnormality. Conclusion: Advanced maternal age is a risk factor for some diseases even in healthy women. Preeclampsia and gestational diabetes are some of them. In this study, parameters such as gestational diabetes and fetal anomalous baby were more frequently observed in advanced maternal age group. Regular antenatal care should be provided especially for older pregnancies to prevent these maternal and fetal complications.