Advanced maternal age and adverse maternal outcomes: Experience from a large Indian cohort

Abstract

Introduction: It is very evident that pregnancies at advanced maternal age (AMA) is increasing internationally, due to multifactorial social socio-cultural and economic development. These pregnancies are associated with significant adverse pregnancy outcomes.Patients & Methods: The study was conducted as an ambispective cohort study at a tertiary care Medical College Hospital over a period of 4and a half years from December 2013 to May 2018 to evaluate the outcomes associated with the risk.Results: Patients from higher socio-economic class, better education and more food availability appeared to have pregnancies at AMA. Such pregnancies place the patients at significant risk for development of hypertension (aRR – 1.53, 95%CI (1.22 – 1.60), P < 0.001) and diabetes (aRR – 1.23, 95%CI (1.36 – 1.94), P