医学
高龄产妇
怀孕
不育
机会之窗
风险因素
产科
重症监护医学
胎儿
计算机科学
遗传学
实时计算
生物
内科学
作者
Elpiniki Chronopoulou,Claudia Raperport,Paul Serhal,Wael Saab,Srividya Seshadri
标识
DOI:10.1016/j.bpobgyn.2020.11.003
摘要
Pregnancies at an advanced reproductive age are increasingly common. However, the safety of pregnancy remains a concern as maternal age is a recognized independent factor for various obstetric complications. Also, age is a risk factor for most systematic health problems and older women are more likely to enter into pregnancy with pre-existing conditions. At the moment there is no separate, structured guidance on preconception tests at advanced maternal age. However, the preconceptual period offers an ideal window to recognize and address underlying health issues, social issues and harmful lifestyle behaviours in order to optimize maternal health ultimately reducing infertility, perinatal morbidity and mortality. Preconception tests should be clinically relevant aiming to identify risk factors and address them to predict and prevent infertility and pregnancy complications. The importance of preconception care is magnified for women of advanced age for whom the risks are higher and the potential benefits greater.
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