A Balancing Act: Navigating Hypertensive Disorders of Pregnancy at Very Advanced Maternal Age, from Preconception to Postpartum
The decision to postpone parenting has gained momentum in recent years, a shift driven by evolving social dynamics and improved access to fertility treatments. Despite their increasing prevalence, pregnancies at advanced maternal ages are associated with increased risks of adverse maternal and neona...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-07-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/12/14/4701 |
| _version_ | 1797588862599430144 |
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| author | Miriam Lopian Lior Kashani-Ligumsky Ariel Many |
| author_facet | Miriam Lopian Lior Kashani-Ligumsky Ariel Many |
| author_sort | Miriam Lopian |
| collection | DOAJ |
| description | The decision to postpone parenting has gained momentum in recent years, a shift driven by evolving social dynamics and improved access to fertility treatments. Despite their increasing prevalence, pregnancies at advanced maternal ages are associated with increased risks of adverse maternal and neonatal outcomes. This article addresses the association between advanced maternal age and hypertensive disorders of pregnancies (HDPs), which are more prevalent and a significant cause of maternal morbidity and mortality in this population. This review explores the biological mechanisms and age-related risk factors that underpin this increased susceptibility and offers practical management strategies that can be implemented prior to, as well as during, each stage of pregnancy to mitigate the incidence and severity of HDPs in this group. Lastly, this review acknowledges both the short-term and long-term postpartum implications of HDPs in women of advanced maternal age. |
| first_indexed | 2024-03-11T00:58:04Z |
| format | Article |
| id | doaj.art-cb5aa9fc1f0443f08b05c2cbdd9590d6 |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-11T00:58:04Z |
| publishDate | 2023-07-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-cb5aa9fc1f0443f08b05c2cbdd9590d62023-11-18T19:52:42ZengMDPI AGJournal of Clinical Medicine2077-03832023-07-011214470110.3390/jcm12144701A Balancing Act: Navigating Hypertensive Disorders of Pregnancy at Very Advanced Maternal Age, from Preconception to PostpartumMiriam Lopian0Lior Kashani-Ligumsky1Ariel Many2Department of Obstetrics and Gynecology, Mayanei Hayeshua Medical Center, Bnei Brak 51544, IsraelDepartment of Obstetrics and Gynecology, Mayanei Hayeshua Medical Center, Bnei Brak 51544, IsraelDepartment of Obstetrics and Gynecology, Mayanei Hayeshua Medical Center, Bnei Brak 51544, IsraelThe decision to postpone parenting has gained momentum in recent years, a shift driven by evolving social dynamics and improved access to fertility treatments. Despite their increasing prevalence, pregnancies at advanced maternal ages are associated with increased risks of adverse maternal and neonatal outcomes. This article addresses the association between advanced maternal age and hypertensive disorders of pregnancies (HDPs), which are more prevalent and a significant cause of maternal morbidity and mortality in this population. This review explores the biological mechanisms and age-related risk factors that underpin this increased susceptibility and offers practical management strategies that can be implemented prior to, as well as during, each stage of pregnancy to mitigate the incidence and severity of HDPs in this group. Lastly, this review acknowledges both the short-term and long-term postpartum implications of HDPs in women of advanced maternal age.https://www.mdpi.com/2077-0383/12/14/4701advanced maternal agehypertensionpre-eclampsia |
| spellingShingle | Miriam Lopian Lior Kashani-Ligumsky Ariel Many A Balancing Act: Navigating Hypertensive Disorders of Pregnancy at Very Advanced Maternal Age, from Preconception to Postpartum Journal of Clinical Medicine advanced maternal age hypertension pre-eclampsia |
| title | A Balancing Act: Navigating Hypertensive Disorders of Pregnancy at Very Advanced Maternal Age, from Preconception to Postpartum |
| title_full | A Balancing Act: Navigating Hypertensive Disorders of Pregnancy at Very Advanced Maternal Age, from Preconception to Postpartum |
| title_fullStr | A Balancing Act: Navigating Hypertensive Disorders of Pregnancy at Very Advanced Maternal Age, from Preconception to Postpartum |
| title_full_unstemmed | A Balancing Act: Navigating Hypertensive Disorders of Pregnancy at Very Advanced Maternal Age, from Preconception to Postpartum |
| title_short | A Balancing Act: Navigating Hypertensive Disorders of Pregnancy at Very Advanced Maternal Age, from Preconception to Postpartum |
| title_sort | balancing act navigating hypertensive disorders of pregnancy at very advanced maternal age from preconception to postpartum |
| topic | advanced maternal age hypertension pre-eclampsia |
| url | https://www.mdpi.com/2077-0383/12/14/4701 |
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