20.500.12556/RUL-183590 Pregnancy and childbirth over the age of 40 a prospective cohort study Trudnoća i rađanje nakon 40. godine prospektivno kohortno istraživanje The age of women in childbirth is increasing globally. Older pregnant and childbearing women and their children are considered to be at a higher risk of complications. This study aimed to determine whether older women giving birth for the first time had more complications during pregnancy, delivery, and postpartum period. A secondary analysis of national perinatal data from 2013 to 2019 was made. We compared complications in different age groups (20-24, 25-29, 30-34, 35-39, and >40 years). Statistically significant differences were estimated using χ2 -test and Fisher test. Older first-time mothers (≥40 years) had a higher incidence of gestational diabetes (20.7%), preeclampsia (4.1%), and placental abnormalities than others. Cesarean section was also more common (21.1%). There were more preterm births (13.8%) and small-for-gestational-age babies (12.6%) in the group of first-time mothers aged over 40. Statistically significant differences were also found in Apgar scores at the first (p=0.00; χ2 =89.560) and fifth minute (p Žene rađaju djecu u sve kasnijoj dobi. Smatra se da starije trudnice i rodilje te njihova djeca imaju viši rizik od komplikacija. Cilj ovog istraživanja bio je utvrditi imaju li žene koje prvi put rađaju u starijoj dobi više komplikacija tijekom trudnoće, porođaja i nakon porođaja. Provedena je sekundarna analiza nacionalnih perinatalnih podataka od 2013. do 2019. godine. Usporedili smo komplikacije u različitim dobnim skupinama (20-24, 25-29, 30-34, 35-39 i >40 godina). Statistički značajne razlike procijenjene su primjenom χ2-testa i Fisherova testa. Žene koje su prvi put postale majke u starijoj dobi (≥40 godina) imale su višu incidenciju gestacijskog dijabetesa (20,7%), preeklampsije (4,1%) i poremećaja placente u odnosu na druge dobne skupine. Carski rez je također bio češći (21,1%). U skupini žena koje su prvi put rodile u dobi iznad 40 godina bilo je više prijevremenih porođaja (13,8%) i novorođenčadi male za gestacijsku dob (12,6%). Statistički značajne razlike nađene su također u rezultatima Apgar u prvoj minuti (p=0,00; χ2=89,560) i petoj minuti (p advanced age complications birth national data analysis preconception health promotion višja starost zapleti porod nacionalna analiza podatkov promocija zdravja pred spočetjem true false true Angleški jezik Hrvaški jezik Članek v reviji 2026-06-16 07:28:37 2026-06-16 07:28:39 2026-06-17 04:10:53 0000-00-00 00:00:00 2026 0 0 Str. 235-244 iss. 2 Vol. 65 2026 0000-00-00 Zaloznikova Objavljeno NiDoloceno 0000-00-00 0000-00-00 2026-01-01 618.4-053.9 1333-9451 10.20471/acc.2026.65.02.02 281709315 mn026_ACC_64_02_02_menhart_091.pdf mn026_ACC_64_02_02_menhart_091.pdf 1 DD1AA9FE52A4604A7FD1DE65E54F94FF 008a8e452856c7fdb89f5d93d5d5c52a10a5a9c44eb15add5b66ff8433fed613 9141caa8-6944-11f1-9b0d-0050569b8976 https://repozitorij.uni-lj.si/Dokument.php?lang=slv&id=235694 https://hrcak.srce.hr/clanak/501834 1 2cdfe443-6944-11f1-9b0d-0050569b8976 https://repozitorij.uni-lj.si/Dokument.php?lang=slv&id=235693 Zdravstvena fakulteta 0 0 0