高龄妊娠对母胎结局的影响

目前高龄孕妇比例越来越高。随着妇女年龄的增长，其生育能力下降，糖、脂代谢异常，内、外科及妇科疾病发病率增加，这些高危因素均可导致高龄孕妇母胎不良结局增加。高龄孕妇的妊娠期糖尿病、妊娠期高血压疾病、前置胎盘、胎盘植入、胎儿畸形、流产、早产、巨大儿、胎儿生长受限等并发症升高。另外，剖宫产率增加，子宫破裂、产后出血、羊水栓塞、产后血栓风险也增加。本文通过分析高龄孕妇诸多高危因素，做好产前评估及孕期管理，是保证母婴安全的关键一步。

Impact of advanced maternal age on pregnancy outcome

At present, the amount of pregnancies with advanced age has increased dramatically. As maternal age increasing, the fertility, glucose and lipid metabolism decreased. The incidence rate of physical disease, surgical disease and gynecological disease is higher and higher. The above risk factors increase maternal and fetal adverse pregnancy outcomes, including gestational diabetes mellitus, hypertensive disorder complicating pregnancy, placenta previa, placenta increta, fetal malformation, miscarriage, preterm birth, macrosomia, intrauterine growth restriction and other pregnancy complications. In addition, the risks of the uterine rupture, postpartum hemorrhage, amniotic fluid embolism and postpartum thrombosis increase according to the rate of cesarean rising. Do well in antenatal assessment and management during pregnancy through analyzing various risk factors at women with advanced age, which is vital to ensure maternal and fetal safety.