Evidence map›Paper›PMID 30134873›Full record

ArticleBMC pregnancy and childbirth2018

The effect of advanced maternal age on perinatal outcomes in nulliparous singleton pregnancies.

Bekir Kahveci, Rauf Melekoglu, Ismail Cuneyt Evruke, Cihan Cetin

Registry-linked trialAbstract read
In one paragraph

Article in BMC pregnancy and childbirth, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06528340 (Study of Pregnancies Outcomes in Advanced Maternal Age Women), which is not on this map. Cited by 83 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
83citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06528340 completednot on this mapstarted 2025, after this paper: background citation

Study of Pregnancies Outcomes in Advanced Maternal Age Women

Typeobservational_patient_registrySponsorCentro di Ricerca Clinica SalentinoRan2025 to 2026Enrolled1,000ConditionsAdvanced Maternal Age Pregnancy, Premature, Labor Complication, Delivery ComplicationArmsspontaneous delivery
3 · Its place in the literature

Who cites it

83 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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  9. Increased vaginalmSystems · 2025
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  14. Birth outcomes of advanced maternal age pregnancies.Central European journal of public health · 2024
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  15. Observational
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23 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Bekir KahveciDepartment of Obstetrics and Gynecology, Diyarbakır Gazi Yaşargil Training and Research Hospital, 21010, Diyarbakır, Turkey.
Rauf MelekogluFaculty of Medicine, Department of Obstetrics and Gynecology, The University of Inonu, 44280, Malatya, Turkey. rmelekoglu@gmail.com.ORCID http://orcid.org/0000-0001-7113-6691
Ismail Cuneyt EvrukeFaculty of Medicine, Department of Obstetrics and Gynecology, The University of Cukurova, 01330, Adana, Turkey.
Cihan CetinFaculty of Medicine, Department of Obstetrics and Gynecology, The University of Cukurova, 01330, Adana, Turkey.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPregnancy at advanced maternal age has become more common in both developed and developing countries over the last decades. The association between adverse perinatal outcomes and advanced maternal age has been a matter of controversy in several studies. The objective of this study is to investigate the impact of advanced maternal age on perinatal and neonatal outcomes of nulliparous singleton pregnancies.

methodsRecords of patients admitted to the Department of Obstetrics and Gynecology, University of Cukurova School of Medicine, between January 2011 and July 2015 for routine mid-trimester fetal ultrasonography were retrospectively reviewed. The control (age: 18-34 years), advanced maternal age (35-39 years), and very advanced maternal age (> 40 years) groups included 471, 399, and 87 women, respectively.

resultsGestational diabetes, gestational hypertension, and cesarean delivery rates were more common in the very advanced maternal age group, with compared with the advanced maternal age and the younger age group. There were no significant differences in regarding rates of spontaneous preterm delivery before 34 weeks of gestation, prolonged rupture of membranes, large for gestational age infants, and operative vaginal delivery rates between the groups. Also, there were no significant differences regarding in APGAR scores, the rate of low birth weight infants, and neonatal morbidity rates between the groups. However, admission to the neonatal intensive care unit requirement was more common in the two advanced maternal age groups compared with the control group.

conclusionAdvanced maternal age is a risk factor for gestational diabetes mellitus, gestational hypertension, preeclampsia, small for gestational age infants, spontaneous late preterm delivery, and cesarean section, with significant potential clinical implications.

Indexed as

Maternal AgeAdolescentAdultFemaleHumansMiddle AgedParityPregnancyPregnancy ComplicationsPregnancy OutcomeRetrospective StudiesRisk FactorsYoung AdultMaternal ageNulliparityPreeclampsiaPregnancy outcomesSmall for gestational age

Identifiers

PMID30134873
PMCPMC6106883

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.