Child-bearing beyond age 50

Catherine McDiarmid-Watt | Monday, January 11, 2016 | 0 comments

Image: newborn holding mom's finger, on MorgueFileChild-bearing beyond age 50: pregnancy outcome in 59 cases "a concern?".

OBJECTIVE: To study maternal and perinatal outcomes in healthy women aged 50 years and older.

METHOD: This study was of 59 clinical pregnancies, of which 10 ended in first trimester spontaneous miscarriage (and were excluded from further studies) and 58 live births. This retrospective review of 58 live births in 49 essentially healthy women (mean [SE] age, [52+/-2.5] years; range 50-55 years), with no chronic medical conditions (of which 28 were primigravids). Pregnancy outcomes were ascertained by chart review and telephone follow-up.

RESULTS: Of the 58 live births, 41 were singletons, and 7 were twins, and 1 triplet, for which the mean+/-SE gestational age at delivery were 38.1 weeks +/-0.4, 36.2 weeks +/-0.1 and 34.1 weeks respectively. Birth weights (mean +/- SE) were 3,201 g+/-10, 2,252 g+/-4 and 1,998+/-95 g respectively. Mean Apgar score +/- SE at 1 and 5 min were 9.2+/-0.8 and 8.8+/-0.6 respectively.

Total cesarean deliveries were 73% (36/49). Of singletons 68% (28) were delivered by cesarean section as were all multiples. The incidence of pre-eclampsia was 30.6%: mild pre-eclampsia 20.4% (10/49), severe pre-eclampsia 10.2% (5/49). Gestational diabetes required insulin in all 19.5% of women. Anemia was noted in 6.5%.

CONCLUSIONS: Appropriately screened women, aged 50 years or older, can deliver successfully. During pregnancy, they appear to be at increased risk of pre-eclampsia and gestational diabetes. A significant majority can expect to deliver via cesarean.

PMID: 14716494 [PubMed - indexed for MEDLINE]

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Catherine

About Catherine: I am mom to three grown sons, two grandchildren and two rescue dogs. After years of raising my boys as a single mom, I remarried a wonderful man who had never had a child of his own. Unexpectedly, I found myself pregnant at 49!
Sadly we lost that precious baby at 8 weeks, and decided to try again. Five more losses, turned down for donor egg, foster care and adoption due to my age and losses - we have accepted that there will be no more babies in our house.

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