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Schwangerschaften bei älteren Müttern und Vätern

  • Christian Dadak
Originalien
  • 23 Downloads

Zusammenfassung

Es gibt ein erhöhtes Risiko für Infertilität, Chromosomenaberrationen, ein schlechteres Ergebnis bei in-vitro-Fertilisierungs(IVF)-Versuchen, Präeklampsie, Diabetes mellitus gravidarum, Placenta praevia, Sectio, Totgeburten, mütterliche intensivstationäre Betreuung und erhöhte mütterliche Mortalität bei Frauen, die eine Schwangerschaft in höhere Altersgruppen verschieben. Die Verlegung des Kinderwunsches in eine höhere Altersgruppe hat hauptsächlich sozioökonomische Gründe, aber auch die vermehrte Inanspruchnahme kontrazeptiver Maßnahmen ist dafür verantwortlich. Bei Eizellenspende steigt ebenfalls die Rate mütterlicher Probleme mit zunehmendem Alter an. Einzig Chromosomenaberrationen werden nur mit dem Alter der Spenderin vergesellschaftet. Auch das väterliche Alter scheint für den Ausgang der Schwangerschaft eine gewaltige Rolle zu spielen. Die vorhandene Literatur zu diesem Thema ist jedoch noch uneinheitlich.

Schlüsselwörter

Schwangerschaft Ältere Mütter Ältere Väter 

Pregnancy with older mothers and fathers

Abstract

For women who delay pregnancy until the higher age groups, there is a higher risk of infertility, chromosomal aberrations, a poorer result with attempts at IVF, preeclampsia, placenta previa, diabetes mellitus gravidarum, cesarean sections, stillbirths, maternal admission to intensive care units and a higher rate of maternal mortality. This has mainly socioeconomic reasons as well as an increased utilization of contraceptive measures. For oocyte donation the rate of maternal problems also increases with higher age. Chromosomal aberrations alone are only associated with the age of the donor. Even the age of the father seems to play an enormous role in the outcome of pregnancy: however, the available literature on this topic is still inconsistant.

Keywords

Pregnancy Mother of advanced age Father of advanced age 

Notes

Einhaltung ethischer Richtlinien

Interessenkonflikt

C. Dadak gibt an, dass kein Interessenkonflikt besteht.

Dieser Beitrag beinhaltet keine von den Autoren durchgeführten Studien an Menschen oder Tieren.

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Copyright information

© Springer-Verlag GmbH Austria, ein Teil von Springer Nature 2018

Authors and Affiliations

  1. 1.Univ.-Klinik für FrauenheilkundeMedizinische Universität WienWienÖsterreich

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