Maternal and Perinatal Outcomes in Advanced Maternal Age

Backgrounds: Advanced maternal age is defined as pregnancy that occurs at more 35 years old. This condition is considered as high risk pregnancy due to its close association with maternal and perinatal complications. This study was performed to reveal the data of advanced maternal age and its complications. Methods: This study was a descriptive retrospective study performed by taking data of advanced maternal age in Sitti Fatimah and Pertiwi Mother and Child Hospital in Makassar in 2015 – 2016. Results: There were 2,342 (15.7%) with advanced maternal age which most frequently occur at 35 - 39 years old group (74.6%) and mostly were multiparous. Hypertensive disorders were the most frequent pregnancy complications at older age comprising of 33.1% cases. Premature delivery, low birth weight, and fetal growth disorders were the most frequent fetal complications comprising of 17.7%14.1% and 10.2% of cases respectively. 88.9% newborn had a 5 minutes APGAR score > 8. Conclusions: Advanced maternal age was closely related to pregnancy and neonatal complications, such as hypertensive disorders, preterm delivery and low birth weight.