Pregnancy Outcome in Women with Advanced Maternal Aged Over 35 Years, Riyadh, Saudi Arabia 2019

Background: The rate of women who are delaying their pregnancy and childbirth to their 4th decade of life appears to be increasing recently, and this may be because of various reasons such as education and delayed marriage. Objective: Thus, the study aims to assess maternal and fetal outcomes in all pregnant women with advanced maternal age Methods: This is a retrospective cohort study conducted in the National Guard Hospital (NGH) in Riyadh, Saudi Arabia. The delivery records were searched for pregnant women in the designated hospital between the period of January 1st, 2019, to 31st March 2019. 1257 patients in total were included according to the inclusion criteria Result: In this study, we collected data for 1257 pregnancies where the prevalence of mothers older than 30 years old was 25.2 % (N = 253). Moreover, older women (>35) had a higher risk for needing CS than younger participants (RR = 1.78, 95 % CI: 1.34: 2.36, P = 0.001) where the prevalence of CS in the older group was 41.5 % compared with 28.5 5 of the younger group. Conclusion: Advanced maternal age is associated with a range of adverse pregnancy and fetal outcomes.