Risk factors in pregnant women older than 35 years at the General Hospital of Playa del Carmen

Case Report

Abstract

INTRODUCTION. A variety of maternal risks and complications can occur during pregnancy or delivery in women with advanced maternal age have been examined. These include an increased risk of developing diabetes, gestational hypertension, preeclampsia, eclampsia, and HELLP syndrome. The correlation of advanced maternal age with placental dysfunction such as placenta previa or placental abruption has also been frequently reported.

MATERIAL AND METHODS. A descriptive, observational, cross-sectional study was carried out in 52 patients aged 35 years and older attended during the period January 2022-December 2022 in the Gynecology and Obstetrics Service of the General Hospital Playa del Carmen.

RESULTS. Only the increase in cesarean sections was statistically significant, obesity as a risk factor, although refusal of family planning was also important, as well as obesity as a risk factor in this group of pregnant women. Gestational diabetes was not important in this group over 35 years of age.

DISCUSSION. During the last three decades, pregnancy at advanced maternal age has been increasing in frequency. According to a report from the Center for Disease Control and Prevention, the prevalence of births among women aged 35 years or older in the United States increased 23% (7% to 9%) between 2000 and 2014. From 2006 to 2015, the proportion of births increased 5% for women aged 35 to 39 years, 8%. Many studies have demonstrated increased risk of adverse outcomes in older patients. However, few studies stratified these risks by maternity older than 35 years, and few studies examined neonatal outcomes.