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Impact of advanced maternal age on neonatal morbidity: a systematic review

Title
Impact of advanced maternal age on neonatal morbidity: a systematic review
Type
Another Publication in an International Scientific Journal
Year
2023
Authors
Rodrigues, I
(Author)
Other
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Rocha, G
(Author)
Other
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Inês Azevedo
(Author)
FMUP
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Journal
Vol. 36
ISSN: 1476-7058
Publisher: Taylor & Francis
Other information
Authenticus ID: P-00Z-G2P
Abstract (EN): Objective This systematic review aimed to understand the impact of advanced maternal age (AMA) on the neonatal morbidity, based on the available scientific evidence.Methods A systematic search was conducted on 22 November 2021, using the PubMed and Scopus databases to identify studies that compared the morbidity of neonates delivered to AMA mothers with that of neonates delivered to non-AMA mothers.Results Sixteen studies that evaluated the effect of AMA on the neonatal morbidity were included in this review. Nine of these studies found some association between AMA and increased neonatal morbidity (with two of them only reporting an increase in asymptomatic hypoglycemia, and one only reporting an association in twins), six found no association between AMA and neonatal morbidity and one study found a decrease in morbidity in preterm neonates. The studies that found an increase in overall neonatal morbidity with AMA considered older ages for the definition of AMA, particularly >= 40 and >= 45 years.Conclusion The current evidence seems to support a lack of association between AMA and the neonatal morbidity of the delivered neonates. However, more studies focusing on the neonatal outcomes of AMA pregnancies are needed to better understand this topic.
Language: English
Type (Professor's evaluation): Scientific
No. of pages: 9
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