Gynecology and Obstetrics Clinic, giving information about the risks of pregnancy in advanced age, Prof. Dr. Mehmet Bilge Çetinkaya stated that pregnancy can lead to advanced ages because women delay having a child due to education and economic factors. It has been observed that it increases the risk of intrauterine growth retardation (IUGG), Down syndrome, neonatal and postnatal infant death” .
Expressing that women’s chances of conceiving spontaneously after the age of 30, Dr. Mehmet Bilge Çetinkaya, “Advanced maternal age” for those over 35 years of age, and “very advanced maternal age” for those over 40 years of age. called advanced maternal age. Chromosomal abnormalities are more common with advanced maternal age. Advanced maternal age increases the risk of Down syndrome. Cesarean section rates also increased in the advanced age pregnancy period. Problems such as late pregnancy bleeding, placental location anomalies and early ruptures, hypertension, and growth retardation alone increase the risk of sequelae and death in the newborn. Such pregnancy complications also lead to cesarean delivery. However, independent of all these, advanced maternal age increases the rate of developmental restriction and stillbirth of the baby in the womb” .
Genetic defects of the baby can be determined by detailed ultrasonography
He pointed out that screening and diagnostic tests should be evaluated separately from each other. Çetinkaya, “With the detailed ultrasonography scan performed towards the end of the second trimester in advanced gestational weeks, the scans were completed with the search for anomalies that may show genetic defects in the structural development of the baby. The chorion, which is the process of obtaining cells from the baby’s partner by needle aspiration in the first trimester, whose diagnostic tests are interventional procedures. villus sampling is the procedure of taking amniotic fluid (amniocentesis) with the help of a thin and long needle from the mother’s womb from the second trimester or taking the cord blood of the baby (cordocentesis) in later weeks.In these procedures, there are rarely risks such as miscarriage, premature birth, and infection. Non-invasive prenatal diagnostic tests (NIPT) are used to detect genetic anomalies by obtaining fetal cells from the blood of pregnant women who are not in advanced gestational weeks, unless there is a major anomaly of the baby or the risk of chromosomal anomaly is not very high. is the name. These tests are used almost as effectively as the diagnostic test with small error rates depending on their performance” .
