16 Jul Advanced Maternal Age in Twins in Women with and without Diabetes, Obesity, and Hypertension
Research has shown that increased likelihood of pregnancy complications in women of an advanced age may be due to aging of the uterus. Given that twin pregnancies place a greater burden on the uterus, women of advanced age expecting twins will more likely face pregnancy complications compared to singleton pregnancies. However some research finds that pregnancy outcomes for twins are worse while others find that twin pregnancies may actually fare better. Reasons for the inconsistency include: lack of a consistent definition for advanced age; failure to address potential outside influences like BMI; and lack of a single pregnancy comparison group. This retrospective study attempts to address these gaps by looking at all women who gave birth in Ontario from April 2012 to March 2017 from the Better Outcomes Registry and Network (BORN) database. The aim is to test the hypothesis that the association of advanced maternal age with adverse pregnancy and neonatal outcomes in twin gestations is greater than that observed in singleton gestations.
Contact for this study:
Isabel Arruda, isabel.arruda@sunnybrook.ca