Skip to main content Accessibility help

We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Close this message to accept cookies or find out how to manage your cookie settings.

Close cookie message
×
Hostname: page-component-cd9895bd7-p9bg8 Total loading time: 0 Render date: 2024-12-26T18:49:16.340Z Has data issue: false hasContentIssue false

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
Get access

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

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

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

Save book to Kindle

To save this book to your Kindle, first ensure no-reply@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×