Nowadays, more and more women tend to postpone their pregnancy plans until later ages.
The reasons for this include the desire to start family life late, their working lives, and the hope that they will be able to raise their children in better conditions at an older age. There are controversial results regarding the maternal (mother) and perinatal (prenatal) outcomes of the increasing number of pregnancies over the age of 35. Especially in developing countries, approximately 15% of the pregnant population consists of pregnant women over the age of 35.
Since the decrease in women's ovarian follicle reserve in the period over 35 will reduce the chance of pregnancy, the use of assisted reproductive techniques has increased and in parallel with this, multiple pregnancies, The risk of premature birth, low birth weight baby births, and cesarean section possibilities have also increased.
With the increase in gestational age, genetic anomalies, numerical and structural chromosome defect anomalies, non-chromosomal congenital anomalies have increased, and abortion rates, congenital For these reasons, fetal development rates with anomalies are more common.
Prenatal screening and ultrasound tests (1st and/or 2nd trimester) and late fetal screening ultrasound (20-22w) are offered to all pregnant women, regardless of age. Chromosome analysis (amniocentesis, CVS) is recommended for risky results. In pregnancies over the age of 35, the recommendation of fetal chromosome cell screening tests in maternal (mother's) blood, which can be easily performed in the early period, instead of these screening tests, has recently been included in our pregnancy follow-up programs.
With advancing maternal age, the rates of gestational diabetes, hypertension, placental location anomalies, fetus presentation problems, operative vaginal birth, thrombosis risk, and postpartum hemorrhage increase compared to pregnancies under 35 years of age.
Known. In addition to all the reasons for cesarean section, even advanced maternal age alone can be an indication for cesarean section. It is thought that with advancing age, uterine function decreases, pelvic adaptation becomes inadequate and as a result, labor is prolonged.
Pregnancies over the age of 35 are for these reasons. It is followed more carefully before and during pregnancy and becomes more important.
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