- 作者：Gesthimani Mintziori ; Irene Lambrinoudaki ; Efstratios M. Kolibianakis ; Iuliana Ceausu ; Herman Depypere ; C. Tamer Erel ; Faustino R. P¨¦rez-L¨®pez ; Karin Schenck-Gustafsson ; Yvonne T. van der Schouw ; Tommaso Simoncini ; Florence Tremollieres ; Basil C. Tarlatzis ; Margaret Rees ; Dimitrios G. Goulis
- 关键词：Late parenthood ; Advanced parental age ; Male infertility ; Female infertility ; Pregnancy complications ; Advanced age
- 刊名：Maturitas
- 出版年：2013
- 出版时间：October, 2013
- 年：2013
- 卷：76
- 期：2
- 页码：200-204
- 全文大小：643 K
Introduction
During the last decades, couples in Europe have been delaying parenthood, mainly due to socio-demographic factors that include increased rates of university education and employment in women and poorer financial status.Aims
The aim of this position statement is to provide and critically appraise evidence on the impact of late parenthood, focusing on the pathophysiology and management of male and female infertility, pregnancy complications and long-term offspring health.
Materials and methods
Literature review and consensus of expert opinion.
Results and conclusions
Advanced parental age is associated with infertility and pregnancy complications and may have an impact on long-term offspring health. All adults of reproductive age should receive counseling on the risks of advanced parental age, so they can make informed decisions about the timing of childbearing. All parents-to-be of advanced age should receive advice on the potential pregnancy, neonatal and long-term offspring health-related issues. These tasks require an interdisciplinary approach that could lead to patient-centered, informed decision-making strategies.