{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,11]],"date-time":"2026-05-11T22:58:33Z","timestamp":1778540313136,"version":"3.51.4"},"reference-count":0,"publisher":"Ordem dos Medicos","issue":"7-8","license":[{"start":{"date-parts":[[2022,7,1]],"date-time":"2022-07-01T00:00:00Z","timestamp":1656633600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Acta Med Port"],"abstract":"<jats:p>Introduction: Studies updating the evidence in advanced maternal age as an independent factor of obstetric risk are needed. The aim\u00a0of this study was to determine the prevalence of \u2265 35-years-old pregnant women who give birth in a Spanish hospital in Northwestern\u00a0Spain, and to describe the incidence of maternal and perinatal morbidity and mortality.Material and Methods: Retrospective follow-up observational study including women \u2265 20 years-old who gave birth over one year (n\u00a0= 1378). Data were collected from medical records, including socio-demographic characteristics, comorbidities, gestational conditions,\u00a0variables related with the delivery and perinatal outcomes. Multivariable logistic regression analysis was performed to determine the\u00a0association of advanced maternal age with obstetric and perinatal outcomes.Results: Forty-two percent of pregnant women were \u2265 35 years old. In the multivariable analysis, advanced maternal age was associated\u00a0with the likelihood of gestational diabetes (OR = 1.84; 95% CI = 1.10 - 3.07), hypothyroidism (OR = 2.11; 95% CI = 1.17 - 3.80),\u00a0lower probability of an eutocic delivery (OR = 0.74; 95% CI = 0.56 - 0.98), and a hospital admission &gt; four days (OR = 2.91; 95% CI =\u00a01.95 - 4.35). An association with the rate of C-sections was not found (OR = 1.24; 95% CI = 0.89 - 1.72).Conclusion: A high prevalence of pregnant women of advanced maternal age was confirmed. There was a higher rate of comorbidities\u00a0and longer hospital admissions in older women but not a higher rate of higher C-sections and other complications.<\/jats:p>","DOI":"10.20344\/amp.16550","type":"journal-article","created":{"date-parts":[[2022,3,14]],"date-time":"2022-03-14T23:51:42Z","timestamp":1647301902000},"page":"550-557","source":"Crossref","is-referenced-by-count":9,"title":["Advanced Maternal Age as an Obstetric Risk Factor: Current Experience in a Hospital from Northwestern Spain"],"prefix":"10.20344","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2830-5001","authenticated-orcid":false,"given":"Laura","family":"Peteiro-Mahia","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Susana","family":"Blanco-L\u00f3pez","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Noelia","family":"L\u00f3pez-Casti\u00f1eira","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Roc\u00edo","family":"Navas-Arrebola","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Teresa","family":"Seoane-Pillado","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sonia","family":"Pertega-D\u00edaz","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"8464","published-online":{"date-parts":[[2022,7,1]]},"container-title":["Acta M\u00e9dica Portuguesa"],"original-title":[],"link":[{"URL":"https:\/\/actamedicaportuguesa.com\/revista\/index.php\/amp\/article\/download\/16550\/6576","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/actamedicaportuguesa.com\/revista\/index.php\/amp\/article\/download\/16550\/6576","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,10,23]],"date-time":"2022-10-23T19:25:18Z","timestamp":1666553118000},"score":1,"resource":{"primary":{"URL":"https:\/\/actamedicaportuguesa.com\/revista\/index.php\/amp\/article\/view\/16550"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,7,1]]},"references-count":0,"journal-issue":{"issue":"7-8","published-online":{"date-parts":[[2022,7,1]]}},"URL":"https:\/\/doi.org\/10.20344\/amp.16550","relation":{},"ISSN":["1646-0758","0870-399X"],"issn-type":[{"value":"1646-0758","type":"electronic"},{"value":"0870-399X","type":"print"}],"subject":[],"published":{"date-parts":[[2022,7,1]]}}}