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International Journal of Reproductive Medicine
Volume 2013, Article ID 287519, 4 pages
Research Article

Pregnancy Outcome of Multiparous Women Aged over 40 Years

1Department of Obstetrics and Gynecology, Bezmialem Vakif University, 34093 Istanbul, Turkey
2Bezmialem Vakif University, Adnan Menderes Bul. Vatan Cad., 34093 Istanbul, Turkey
3Department of Obstetrics and Gynecology, Haseki Education and Research Hospital, Istanbul, Turkey

Received 18 November 2012; Revised 17 December 2012; Accepted 19 December 2012

Academic Editor: Yves Jacquemyn

Copyright © 2013 Seda Ates et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Objective. The aim of this study was to evaluate the effect of maternal age on prenatal and obstetric outcome in multiparaous women. Materials and Methods. A retrospective case control study was conducted, including women aged 40 years and over (study group, ) who delivered at 20 week’s gestation or beyond and women aged 20–29 years (control group, ). Results. The mean age of women in the study group was years versus years in the control group. Advanced maternal age was associated with a significantly higher rate of hypertension, diabetes mellitus, fetal complication, and 5-minute Apgar scores <7 ( ). Caeserean section rate, incidence of placental abruption, preterm delivery, and neonatal intensive care unit admission were more common in the older group, but the differences were not statistically significant. Conclusions. Advanced maternal age is related to maternal and neonatal complications.