Молодежный инновационный вестникМолодежный инновационный вестник2415-7805Федеральное государственное бюджетное образовательное учреждение высшего образования "Воронежский государственный медицинский университет имени Н.Н. Бурденко" Министерства здравоохранения Российской Федерации10340Conference ProceedingsCourse of pregnancy and birth outcomes in the age aspectStakeevaCholpon Askarovna<p>PHD</p>stakeeva@bk.ruhttps://orcid.org/0000-0002-2854-5956ZholdoshbekovaGulnur Zholdoshbekovnabgj7777777@mail.ruhttps://orcid.org/0000-0002-7601-8544AsakeevaRys Sultanovna<p>PHD</p>intmed.ksma@gmail.comhttps://orcid.org/0009-0000-3066-0374KudayarovaAruuke Almazbekovnaaig2kgma@mail.ruI. K. Akhunbaev Kyrgyz state medical academyI.K.Akhunbaev Kyrgyz state medical academy3006202514117182402202508032025Copyright © 2025, Stakeeva C.A., Zholdoshbekova G.Z., Asakeeva R.S., Kudayarova A.A.2025<p>In the Kyrgyz Republic, there has been an increase in the number of births in the group of women of late reproductive age (40 years and older) in the age structure of fertility, from 2.9% in 2019 to 3.8% in 2023. Pregnancy after 40 is growing due to changes in lifestyle, the status of women in society, and the emergence of assisted reproductive technologies. At the same time, it is considered that this category of patients is exposed to many risks associated with pregnancy and childbirth. Objective. To study the course of pregnancy and birth outcomes in women aged 40 years and older.Materials and Methods. A retrospective analysis was conducted on 198 birth histories of women who gave birth in the clinical maternity hospital № 2 in Bishkek, of which the main group consisted of 46 women of late reproductive age (40 years and older), and the control group consisted of 152 women of optimal reproductive age (20-25 years). Inclusion criteria: age, gestational age between 22-42 weeks. Exclusion criteria: in vitro fertilization. Ethical approval was obtained before the data collection process. Relative indicators (absolute numbers, %) were used to present qualitative features, and Pearsons 2 criterion was applied for their evaluation.Conclusion. Late reproductive age (40 years and older) affects the development of complications such as preeclampsia, premature labor, and operative delivery, which should be anticipated by the obstetrician.</p>extragenital diseasespremature laborpostpartum hemorrhagecesarean sectionэкстрагенитальные заболеванияпреждевременные родыпослеродовые кровотечениякесарево сечение1.1. Женщины и мужчины Кыргызской Республики: 2019–2023. Бишкек: 2024 – 307 с.2.https://stat.gov.kg/media/publicationarchive/dd79bce2-f315-4956-8fc5-52d3485c6aaf.pdf3.2. Juneja SK, Tandon P, Kaur G. To Evaluate the Effect of Increasing Maternal Age on Maternal and Neonatal Outcomes in Pregnancies at Advanced Maternal Age. Int J Appl Basic Med Res. 2022 Oct-Dec;12(4):239-242. doi: 10.4103/ijabmr.ijabmr_193_22. Epub 2022 Dec 19. PMID: 36726656; PMCID: PMC9886143. https://pubmed.ncbi.nlm.nih.gov/36726656/4.3. Елгина С.И., Овчарова П.А., Шибельгут Н.М., Батина Н.А., Рудаева Е.В., Мозес К.Б., Мозес В.Г. Течение беременности и родов у женщин позднего репродуктивного возраста //Мать и Дитя в Кузбассе. 2023. №4(95). DOI:10.24412/2686-7338-2023-4-46-51CMUBDK5.file:///C:/Users/User/Downloads/techenie-beremennosti-i-rodov-u-zhenschin-pozdnego-reproduktivnogo-vozrasta%20(1).pdf6.4. Долгушина Н.В., Адамян Л.В., Шешко Е.Л. Поздний репродуктивный возраст женщины: риски нарушения репродуктивной функции (обзор литературы). Проблемы репродукции. 2023;29(4):99 106.7.https://doi.org/10.17116/repro20232904199https://www.mediasphera.ru/issues/problemy-reproduktsii/2023/4/downloads/ru/11025721720230410998.5. Attali E, Yogev Y. The impact of advanced maternal age on pregnancy outcome. Best Pract Res Clin Obstet Gynaecol. 2021 Jan;70:2-9. doi: 10.1016/j.bpobgyn.2020.06.006. Epub 2020 Jun 24. PMID: 32773291. https://pubmed.ncbi.nlm.nih.gov/32773291/9.6. Tambvekar SE, Adki S, Sheriar NK. Pregnancies in Elderly Mothers over 40 years: What to Expect from the Rising New Age High-Risk Cohort? J Obstet Gynaecol India. 2023 Aug;73(4):358-362. doi: 10.1007/s13224-022-01701-3. Epub 2023 Mar 27. PMID: 37701086; PMCID: PMC10492723. https://pubmed.ncbi.nlm.nih.gov/37701086/