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      • The elderly gravidas: What are the risk?

        ( Haywood L. Brown ) 대한산부인과학회 2018 대한산부인과학회 학술대회 Vol.104 No.-

        This presentation will focus on pregnancy in women after 40 years of age. At the conclusion of the presentation the participants will come to appreciate the association of medical and obstetric complications in pregnancy with advanced reproductive age in the 4thdecade. We will examine the question, “What is advanced maternal age in 2018? The age of 35 has traditionally been used to discuss advanced maternal age prior because of the association with chromosomal aneuploidy which increases for conceptions occurring in into the late 30’s and 40’s. However, medical and obstetrical complications are significantly more likely in women who conceive spontaneously or with in vitro methods particularly in 40’s and especially after age 45. The example, the risk for the development of hypertension/preeclampsia and diabetes are significantly greater. Of more concern, the risk for the women having a major cardiac event leading to morbidity and mortality for pregnancies after age 45 years. The risk for composite cardiac morbidity and death is 10 times greater compared to women age < 35 years.

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