Labour outcomes in advanced maternal age


  • Priya B. Pisal Department of Obstetrics and Gynecology, GGMC and JJH Group of Hospitals, Mumbai, Maharashtra, India
  • Tushar Palve Department of Obstetrics and Gynecology, GGMC and JJH Group of Hospitals, Mumbai, Maharashtra, India
  • Priya Bulchandani Department of Obstetrics and Gynecology, GGMC and JJH Group of Hospitals, Mumbai, Maharashtra, India



Advanced maternal age, Perinatal outcome, Postpartum hemorrhage


Background: Advanced maternal age has been traditionally defined as age >35 years at delivery, although some authors have used the age limits 40and even 44 years.

Regardless of what is the cutoff for advanced maternal age, pregnancies in women aged >35 years are considered at risk of both obstetric complications and interventions.

Methods: Study design: retrospective study. The present study is a type of research article which was conducted in the department of obstetrics and gynaecology, Cama Hospital, Mumbai from October 2021 to January 2022, 50 postnatal mothers with age more than or equal to 35 were selected.

Results: About 50 women participated in this study and most of them belonged between the age group of 30-35 years of age. Most of the women were multipara. Most of them had postpartum hemorrhage as the most common post-delivery complication.

Conclusions: Early ANC registration, regular ANC visits and adequate intrapartum fetal surveillance is essential to prevent adverse maternal and perinatal outcomes in advanced maternal age.



Fretts RC, Usher, RH. Causes of fetal death in women of advanced maternal age. Obstet Gynecol. 1997;89: 40-5.

van Katwijk C, Peters LL. Clinical aspects of pregnancy after the age of 35 year: a review of the literature. Hum Reprod Update. 1998;4:185-94.

Gilbert WM, Nesbitt TS, Danielsen B. Childbearing beyond age of 40: pregnancy outcome in 24,032 cases. Obstet Gynecol. 1999;93:9-14.

Bianco A, Sone J, Lynch L, Lapinski R, Berkowitz G, Berkowitz RL. Pregnancy outcome at age 40 and older. Obstet Gynecol. 1996;87:917-22.

Dulitzki M, Soriano D, Schiff E, Chetrit A, Mashiach S, Seidman DS. Effect of very advanced maternal age on pregnancy outcome and rate of cesarean delivery. Obstet Gynecol. 1998;92:935-9.

Ecker JL, Chen KT, Cohen AP, Riley LE, Lieberman ES. Increased risk of cesarean delivery with advancing maternal age: Indications and associated factors in nulliparous women. Am J Obstet Gynecol. 2001;185: 883-7.

Ziadeh S, Yahaya A. Pregnancy outcome at age 40 and older. Arch Gynecol Obstet. 2001;265:30-3.

Paulson RJ, Boostanfar R, Saadat P, Mor E, Tourgeman DE, Slater CC, et al. Pregnancy in the sixth decade of life: obstetric outcomes in women of advanced reproductive age. JAMA. 2002;288:2320-3.

Cleary-Goldman J, Malone FD, Vidaver J, Ball RH, Nyberg DA, Comstock CH, et al. Impact of maternal age on obstetric outcome. Gynecol Obstet. 2005;105: 983-90.

Chen XK, Wen SW, Fleming N, Demissie K, Rhoads GG, Walker M. Teenage pregnancy and adverse birth outcomes: a large population based retrospective cohort study. Int J Epidemiol. 2007;366:368-73.

Fraser AM, Brockert JE, Ward RH. Association of youmg maternal age with adverse reproductive outcomes. N Engl J Med. 1995;332:1113-7.

Martin JA, Hamilton BE, Ventura SJ, Osterman MJK, Wilson EC, Mathews TJ. Births: final data for 2010. Natl Vital Stat Rep. 2012;61:1-71.

Gilbert WM, Nesbitt TS, Danielsen B. Childbearing beyondage 40: pregnancy outcome in24,032 cases. Obstet Gynecol. 1999;93:9.

Simchen MJ, Yinon Y, Moran O, Schiff E, Sivan E. Pregnancy outcome after age 50. Obstet Gynecol. 2006;108:1084-8

Jacobsson B, Ladfors L, Milsom I. Advanced maternal age and adverse perinatal outcome. Obstet Gynecol. 2004;104:727-33.

Salihu HM, Shumpert MN, Slay M, Kirby RS, Alexander GR. Childbearing beyond maternal age 50 and fetal outcomes in the United States. Obstet Gynecol. 2003;102:1006-14.

Zhang J, Troendle J, Reddy UM, Laughon SK, Branch DW, Burkman R, et al. Contemporary cesarean delivery practice in the United States. Am J Obstet Gynecol, 2010;203:el-10.

Hansen JP. Older maternal age and pregnancy outcome: a review of literature. Obstet Gynecol Surv. 1986;41:726-42.

Verma S. Advanced maternal age and obstetric performance. Apollo Med. 2009;6(3):258-63.






Original Research Articles