Maternal and Fetal Outcome on Pregnancy in Advanced Maternal Age

  • Sianty Dewi University of Indonesia, Jakarta
  • Ferry Ferry University of Indonesia, Jakarta
  • Eddy Toynbee Department of Obstetrics and Gynecology
  • Sandhy Prayudhana Department of Obstetrics and Gynecology


Objective: Pregnancy in advanced maternal age (AMA) was classified as high risk. The study aims to provide a better description of pregnancy outcome in AMA. Method: The cross sectional study was to review the demography, medical and obstetrics problems, mode of delivery, maternal and fetal outcome in Tangerang General Hospital as a referral center in Banten. The data were taken from medical records of 35-year-old and above women age who delivered on the period of January to December 2014. Result: The total number of delivery and live birth was 6,107 and 5,926 respectively, including 1,548 (25.36%) pregnancies in AMA. The prevalence of grandmultiparities was 11.4%. The average education level was mostly elementary. The prevalence of hypertension in pregnancy was 34.6%. There was increasing trend of miscarriages from 10.8% in 35-40-year-old group to 25% in above 45- year-old group. Pregnancy complications were higher consisting of 3.2% multifetal, 16.6% malpresentation, and 7.1% placenta previa. Cesarean section rate was 33.6%. Maternal near-missed cases were 56 of 1000 and the maternal mortality rate (MMR) was 932 of 100,000 live births. The prevalence of stillbirth and perinatal mortality were 5.3% and 12.9%; respectively. Conclusion: Adverse maternal and fetal outcome were higher in AMA as it takes special attention and multidiscipline-approached care started from preconception, antenatal, preparation of delivery, and also postpartum care. Keywords: advanced maternal age (AMA), fetal outcome, maternal outcome, pregnancy


Download data is not yet available.

Author Biographies

Sianty Dewi, University of Indonesia, Jakarta
Faculty of Medicine,
Ferry Ferry, University of Indonesia, Jakarta
Faculty of Medicine,
Eddy Toynbee, Department of Obstetrics and Gynecology
Tangerang General Hospital
Sandhy Prayudhana, Department of Obstetrics and Gynecology
Tangerang General Hospital
Research Article