Obstetric Care Consensus #11, Pregnancy at age 35 years or older.

Journal Article (Journal Article)

Centers for Disease Control and Prevention data from 2020 demonstrate the continued upward trend in the mean age of pregnant individuals in the United States. Observational studies demonstrate that pregnancy in older individuals is associated with increased risks of adverse pregnancy outcomes-for both the pregnant patient and the fetus-that might differ from those found in younger pregnant populations, even in healthy individuals with no other comorbidities. There are several studies that suggest that advancing age at the time of pregnancy is associated with greater disparities in severe maternal morbidity and mortality. This document seeks to provide evidence-based clinical recommendations for minimizing adverse outcomes associated with pregnancy with anticipated delivery at an advanced maternal age. The importance and benefits of accessible health care from prepregnancy through postpartum care for all pregnant individuals cannot be overstated. However, this document focuses on and addresses the unique differences in pregnancy-related care for women and all those seeking obstetrical care with anticipated delivery at the age of 35 years or older within the framework of routine pregnancy care. This Obstetric Care Consensus document was developed using an a priori protocol in conjunction with the authors listed above.

Full Text

Duke Authors

Cited Authors

  • American College of Obstetricians and Gynecologists’ Committee on Clinical Consensus-Obstetrics, ; Gantt, A; Society for Maternal-Fetal Medicine, ; Metz, TD; Kuller, JA; Louis, JM; Society for Maternal-Fetal Medicine, ; Cahill, AG; Turrentine, MA; American College of Obstetricians and Gynecologists,

Published Date

  • March 2023

Published In

Volume / Issue

  • 228 / 3

Start / End Page

  • B25 - B40

PubMed ID

  • 35850202

Electronic International Standard Serial Number (EISSN)

  • 1097-6868

Digital Object Identifier (DOI)

  • 10.1016/j.ajog.2022.07.022


  • eng

Conference Location

  • United States