Maternal and perinatal outcomes in women aged 42 years or older

Article Obstetrics & Gynecology

Results of the 2021 French National Perinatal Survey and trends in perinatal health in metropolitan France since 1995

Camille Le Ray et al.

Summary: This article reports the results of the 2021 French National Perinatal Survey (ENP) and assesses trends in perinatal health indicators, medical practices, and risk factors in France since 1995. The survey showed changes in maternal characteristics, with an increase in maternal age and obesity rates. Some preventive behaviors improved, such as not smoking during the third trimester and receiving folic acid and influenza vaccinations. The role of midwives in prenatal care has increased. However, there are still areas that need improvement.

JOURNAL OF GYNECOLOGY OBSTETRICS AND HUMAN REPRODUCTION (2022)

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Article Obstetrics & Gynecology

Pregnancy outcomes in very advanced maternal age women

Sarah D. Smithson et al.

Summary: This study compared outcomes between women of advanced maternal age and women of very advanced maternal age. The results showed that in the very advanced maternal age group, rates of cesarean delivery, hypertensive disorders, neonatal intensive care unit admission, and low birthweight were higher compared to the advanced maternal age group.

AMERICAN JOURNAL OF OBSTETRICS & GYNECOLOGY MFM (2022)

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Review Medicine, General & Internal

Pre-eclampsia

Lucy C. Chappell et al.

Summary: Pre-eclampsia is a pregnancy disorder characterized by placental malperfusion, leading to hypertension and multi-organ injury, with potential fetal growth restriction and stillbirth. While prophylactic low-dose aspirin can reduce the risk of preterm pre-eclampsia, there are currently no curative treatments once pre-eclampsia is diagnosed except for delivery. Ongoing studies are evaluating various strategies and drugs to prevent and manage pre-eclampsia.

LANCET (2021)

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Review Obstetrics & Gynecology