Gynäkologische Endokrinologie

, Volume 12, Issue 1, pp 6–8 | Cite as

Schwangerschaft mit über 40 Jahren

Geburtshilfliche Aspekte
Leitthema
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Zusammenfassung

Trend

Multifaktoriell bedingt steigt insbesondere in den Industrienationen der Anteil an Schwangerschaften von Frauen im Alter über 40 Jahren an.

Risiken und Risikofaktoren

Begleitet wird dieser Trend von einer erhöhten Rate an Fehlgeburten, ektopen Schwangerschaften und Totgeburten in dieser Altersgruppe im Vergleich zu jüngeren Schwangeren. Zahlreiche Untersuchungen zeigen zudem ein leicht erhöhtes Risiko für hypertensive Schwangerschaftserkrankungen und Gestationsdiabetes – allerdings ist bislang unklar, ob hierbei der Faktor Alter an sich oder vielmehr altersbedingte Begleiterkrankungen die relevanten Risikofaktoren sind.

Schlüsselwörter

Mütterliches Alter Komplikationen Schwangerschaftserkrankungen Gestationsdiabetes Mehrlingsschwangerschaft 

Pregnancy after the age of 40 years

Obstetric aspects

Abstract

Trend

Especially in industrial countries, the number of women having their children after the age of 40 years is increasing for a number of reasons.

Risk and risk factors

This development is accompanied by an increased rate of miscarriages, ectopic pregnancies, and stillbirths in comparison to younger women. It is still a matter of debate whether the moderately elevated risk for hypertensive pregnancy disorders and gestational diabetes is solely caused by maternal age or due to pre-existing medical conditions.

Keywords

Maternal age Complications Pregnancy-related disorders Diabetes, gestational Pregnancy, multiple 

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Copyright information

© Springer-Verlag Berlin Heidelberg 2013

Authors and Affiliations

  1. 1.Universitätsfrauenklinik HeidelbergHeidelbergDeutschland

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