Evidence map›Paper›PMID 37369496›Full record

ArticleIn vivo (Athens, Greece)

Impact of Advanced Maternal Age on Maternal and Neonatal Outcomes.

Dominik Ratiu, Florian Sauter, Elena Gilman, Sebastian Ludwig, Jessika Ratiu, Nina Mallmann-Gottschalk, Peter Mallmann, Berthold Gruttner, Sunhwa Baek

Open access · diamondAbstract read
In one paragraph

Article in In vivo (Athens, Greece). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
5.9field-weighted citation impact, top 3% of its field
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 20 citations in OpenAlex.

  1. Influence of advanced maternal age (≥35 years) on maternal and neonatal outcomes in vaginally intended breech deliveries at term-A FRABAT study.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2026
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  7. Delaying Motherhood-An Increasingly Common but Risky Trend in High-Income Countries.American journal of human biology : the official journal of the Human Biology Council · 2025
    Article
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  9. Analysis of the influence of advanced maternal age on gestational and fetal outcomes.Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia · 2025
    Observational
  10. Article
  11. Uterine Aging and Reproduction: Dealing with a Puzzle Biologic Topic.International journal of molecular sciences · 2023
    Review
  12. Article
  13. Pregnancy Outcomes FollowingIn vivo (Athens, Greece)
    Article
  14. Article
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

9 authors at 1 institution in 1 country.

Dominik RatiuDepartment of Obstetrics and Gynecology, University Hospital Cologne and Medical Faculty, Cologne, Germany.
Florian SauterDepartment of Obstetrics and Gynecology, University Hospital Cologne and Medical Faculty, Cologne, Germany.
Elena GilmanDepartment of Obstetrics and Gynecology, University Hospital Cologne and Medical Faculty, Cologne, Germany.
Sebastian LudwigDepartment of Obstetrics and Gynecology, University Hospital Cologne and Medical Faculty, Cologne, Germany.
Jessika RatiuDepartment of Obstetrics and Gynecology, University Hospital Cologne and Medical Faculty, Cologne, Germany.
Nina Mallmann-GottschalkDepartment of Obstetrics and Gynecology, University Hospital Cologne and Medical Faculty, Cologne, Germany.
Peter MallmannDepartment of Obstetrics and Gynecology, University Hospital Cologne and Medical Faculty, Cologne, Germany.
Berthold GruttnerDepartment of Obstetrics and Gynecology, University Hospital Cologne and Medical Faculty, Cologne, Germany.
Sunhwa BaekDepartment of Obstetrics and Gynecology, University Hospital Cologne and Medical Faculty, Cologne, Germany sunhwa.baek@uk-koeln.de.
University Hospital Cologne · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

aimDue to better career opportunities for women and a shift in sex roles, as well as improved reproductive medicine, the age of women who conceive children is rising. A variety of maternal risks and complications that may occur during pregnancy or childbirth in women with advanced maternal age has been examined and reported controversial results. The present study focused on controversial and debatable conclusions regarding the impact of advanced maternal age on maternal and neonatal outcomes. PATIENTS AND

methodsData from 8,523 patients, who gave singleton birth at the Women's University Hospital Cologne between 2014 and 2018, were subdivided into two groups: those with maternal age ≥40 years and those <40, and analyzed.

resultsA significantly higher rate of C-section, more preterm births, more low birth weight, and higher incidence of retained placenta were observed in women older than or equal to 40. There were no significant differences regarding postpartum hemorrhage and fetal position. Younger patients tend to have more birth injuries and use more epidural administration. The evaluation of neonatal outcomes using fetal base-excess, birth pH, and Apgar score showed no significant clinical differences.

conclusionMore antenatal complications could be identified in patients with advanced maternal age. Nonetheless, the neonatal outcomes were comparable and no severe complications in women with advanced maternal age were observed. These findings are due to a well standardized management system for women with risk pregnancies. This encourages better monitoring and care of pregnant women with risk factors.

Indexed as

Delivery, ObstetricPremature BirthAdultCesarean SectionChildFemaleHumansInfant, NewbornMaternal AgePregnancyPregnancy OutcomeAdvanced maternal ageantenatal complicationsbirth injurieslow birth weightmanagement system for women with high-risk pregnanciesneonatal outcomespostpartum hemorrhagepreterm birth

Identifiers

PMID37369496
PMCPMC10347939
OpenAlexW4382241085

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.