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Pregnancy complications among nulliparous and multiparous women with advanced maternal age: a community-based prospective cohort study in China
Open accessAbstract
Background: This study aimed to evaluate the incidence rates and risks of pregnancy complications among nulliparous and multiparous women with advanced maternal age (AMA, ≥35 years) in China. Methods: We performed a community-based prospective cohort study of 10,171 pregnant women in selected two sub-districts and 11 towns of Liuyang from 2013 to 2015. All subjects were followed up from the first prenatal care (at ≤12 weeks) to delivery, and risks of pregnancy complications were compared by parity and maternal age groups. Results: Among nulliparas, women with AMA showed significantly increased risks for gestational hypertension (OR 8.44, 95%CI 1.68–2.88), preeclampsia/eclampsia (OR 9.92, 95%CI 4.87–18.78), premature rupture of membrane (OR 6.84, 95%CI 2.00–17.69), as compared to women in the 20–29-year age group. Among multiparas with AMA, increased risks were found for gestational diabetes mellitus (OR 3.29, 95%CI 1.76–5.94), anemia (OR 1.85, 95%CI 1.25–2.69), polyhydramnios (OR 3.29, 95%CI 1.56–6.64), premature rupture of membrane (OR 5.14, 95%CI 2.12–12.29), and preterm labor (OR 1.89, 95CI 1.42–2.50). Conclusions: Women with AMA were associated with increased risks of pregnancy complications, and complications with increased risks differed in nulliparas and multiparas. Women with AMA should be identified as a high-risk group in clinical practice.
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“The findings suggested that women of advanced maternal age should be regarded as at high risk for pregnancy complications, including HDP [19].”
From Epidemiological trends of maternal hypertensive disorders of pregnancy at the global, regional, and national levels: a population‐based study (2021) · cites this paper as [19]
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References 36 · Cited by 60
Metadata
- Authors
- Luo, J., Fan, C., Luo, M., Fang, J., Zhou, S., & Zhang, F.
- Affiliations
- Central South University (CN)
- Hubei Provincial Women and Children's Hospital (CN)
- Hunan Provincial Maternal and Child Health Hospital (CN)
- Liuyang City Maternal and Child Health Hospital (CN)
- Corresponding author
- Luo, Miyang
- Venue
- BMC Pregnancy and Childbirth
- Published
- 2020-10-02
- Volume
- 20
- Issue
- 1
- Pages
- 581-581
- ISSN
- 1471-2393 (ISSN-L)
- PMC
- PMC7532564
- OpenAlex
- W3091511291
- Cited by
- 60
- References
- 36
- Citations by year
- 2026: 6 · 2025: 9 · 2024: 10 · 2023: 14 · 2022: 8 · 2021: 12 · 2020: 1
- FWCI
- 5.34
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- cc-by
- creativecommons.org/licenses/by/4.0 (tdm)
- creativecommons.org/licenses/by/4.0 (vor)
- Locations
- BMC Pregnancy and Childbirth (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- National Natural Science Foundation of China (81172680)
- Topics
- Health Sciences › Medicine › Obstetrics and Gynecology › Maternal and Perinatal Health Interventions
- Health Sciences › Medicine › Obstetrics and Gynecology › Pregnancy and preeclampsia studies
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Maternal and Neonatal Healthcare
- Keywords
- advanced maternal age, pregnancy complications, nulliparous women, multiparous women, parity, gestational hypertension, preeclampsia, premature rupture of membranes, gestational diabetes mellitus, anemia in pregnancy, polyhydramnios, preterm labor, high-risk pregnancy
- MeSH terms
- Adult, Birth Weight, Cesarean Section, China, Female, Follow-Up Studies, Humans, Infant, Newborn, Maternal Age, Parity, Pregnancy, Pregnancy Complications, Prospective Studies, Rural Population, Urban Population, Premature Birth, Young Adult
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- CoChat. (2026). Citation check: Pregnancy complications among nulliparous and multiparous women with advanced maternal age: a community-based prospective cohort study in China. https://app.cochat.ai/papers/10.1186/s12884-020-03284-1
- The paper
- Luo, J., Fan, C., Luo, M., Fang, J., Zhou, S., & Zhang, F. (2020). Pregnancy complications among nulliparous and multiparous women with advanced maternal age: a community-based prospective cohort study in China. BMC Pregnancy and Childbirth. https://doi.org/10.1186/s12884-020-03284-1
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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
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