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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

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.

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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):763772.CrossRefGoogle ScholarPubMed
Liu, KE, Case, A. No. 346 – advanced reproductive age and fertility. J Obstet Gynaecol Can. 2017;39(8):685695.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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