First Department of Obstetrics and Gynecology, Medical School, Aristotle University of Thessaloniki, Thessaloniki, Greece.
Maturitas. 2013 Oct;76(2):200-4. doi: 10.1016/j.maturitas.2013.07.008. Epub 2013 Aug 6.
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.
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.
Literature review and consensus of expert opinion.
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.
在过去几十年中，欧洲的夫妇一直推迟生育，主要原因是社会人口因素，包括女性接受高等教育和就业的比例增加以及经济状况较差。
本立场声明旨在提供并批判性地评估晚育的影响，重点关注男性和女性不孕、妊娠并发症以及后代长期健康的病理生理学和管理。
文献回顾和专家意见的共识。
高龄生育与不孕和妊娠并发症有关，并且可能对后代的长期健康产生影响。所有处于生育年龄的成年人都应该接受关于高龄生育风险的咨询，以便他们能够就生育时机做出明智的决定。所有高龄准父母都应该就潜在的妊娠、新生儿和后代长期健康相关问题提供建议。这些任务需要采取跨学科的方法，从而可以制定以患者为中心、知情的决策策略。
