{"id":"https://openalex.org/W2182806743","doi":null,"title":"Advanced maternal age, pregnancy and birth","display_name":"Advanced maternal age, pregnancy and birth","publication_year":2015,"publication_date":"2015-02-20","ids":{"openalex":"https://openalex.org/W2182806743","mag":"2182806743"},"language":"en","primary_location":{"id":"pmh:oai:erepo.uef.fi:123456789/14823","doi":null,"is_oa":true,"landing_page_url":"http://urn.fi/URN:ISBN:978-952-61-1710-2","pdf_url":"https://erepo.uef.fi/bitstreams/f1c7fc9d-bb85-4029-8971-1fc45e61dadd/download","source":{"id":"https://openalex.org/S4306402418","display_name":"UEF eRepo (University of Eastern Finland)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I175532246","host_organization_name":"University of Eastern Finland","host_organization_lineage":["https://openalex.org/I175532246"],"host_organization_lineage_names":[],"type":"repository"},"license":"other-oa","license_id":"https://openalex.org/licenses/other-oa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"info:eu-repo/semantics/doctoralThesis"},"volume":null,"type":"dissertation","is_traditional":true,"indexed_in":[],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://erepo.uef.fi/bitstreams/f1c7fc9d-bb85-4029-8971-1fc45e61dadd/download","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5041270148","display_name":"Reeta Lamminp\u00e4\u00e4","orcid":"https://orcid.org/0000-0001-8342-8923","observed_orcids":["https://orcid.org/0000-0001-8342-8923"]},"institutions":[],"countries":[],"is_corresponding":true,"raw_author_name":"Reeta Lamminp\u00e4\u00e4","raw_affiliation_strings":[],"raw_orcid":"https://orcid.org/0000-0001-8342-8923","affiliations":[]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":["https://openalex.org/A5041270148"],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":null,"has_fulltext":true,"cited_by_count":6,"citation_normalized_percentile":null,"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10453","display_name":"Maternal and Perinatal Health Interventions","score":0.9458000063896179,"subfield":{"id":"https://openalex.org/subfields/2729","display_name":"Obstetrics and Gynecology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10453","display_name":"Maternal and Perinatal Health Interventions","score":0.9458000063896179,"subfield":{"id":"https://openalex.org/subfields/2729","display_name":"Obstetrics and Gynecology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10673","display_name":"Gestational Diabetes Research and Management","score":0.015699999406933784,"subfield":{"id":"https://openalex.org/subfields/2729","display_name":"Obstetrics and Gynecology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12741","display_name":"Maternal and Neonatal Healthcare","score":0.009700000286102295,"subfield":{"id":"https://openalex.org/subfields/2735","display_name":"Pediatrics, Perinatology and Child Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/advanced-maternal-age","display_name":"advanced maternal age","score":0.9990000128746033},{"id":"https://openalex.org/keywords/pregnancy-complications","display_name":"pregnancy complications","score":0.7549999952316284},{"id":"https://openalex.org/keywords/preeclampsia","display_name":"preeclampsia","score":0.8479999899864197},{"id":"https://openalex.org/keywords/maternal-smoking","display_name":"maternal smoking","score":0.8029999732971191},{"id":"https://openalex.org/keywords/maternal-obesity","display_name":"maternal obesity","score":0.7559999823570251},{"id":"https://openalex.org/keywords/overweight","display_name":"overweight","score":0.6359999775886536},{"id":"https://openalex.org/keywords/gestational-diabetes-mellitus","display_name":"gestational diabetes mellitus","score":0.9909999966621399},{"id":"https://openalex.org/keywords/preterm-birth","display_name":"preterm birth","score":0.8489999771118164},{"id":"https://openalex.org/keywords/low-birth-weight","display_name":"low birth weight","score":0.8999999761581421},{"id":"https://openalex.org/keywords/fetal-death","display_name":"fetal death","score":0.7540000081062317},{"id":"https://openalex.org/keywords/large-for-gestational-age","display_name":"large for gestational age","score":0.8100000023841858},{"id":"https://openalex.org/keywords/small-for-gestational-age","display_name":"small for gestational age","score":0.9879999756813049},{"id":"https://openalex.org/keywords/cesarean-section","display_name":"cesarean section","score":0.8389999866485596},{"id":"https://openalex.org/keywords/congenital-malformations","display_name":"congenital malformations","score":0.8610000014305115},{"id":"https://openalex.org/keywords/risk-factors","display_name":"risk factors","score":0.453000009059906},{"id":"https://openalex.org/keywords/maternity-care","display_name":"obstetric care","score":0.45100000500679016},{"id":"https://openalex.org/keywords/finland","display_name":"Finland","score":0.75},{"id":"https://openalex.org/keywords/birth-outcomes","display_name":"birth outcomes","score":0.4519999921321869}],"concepts":[{"id":"https://openalex.org/C131872663","wikidata":"https://www.wikidata.org/wiki/Q5284418","display_name":"Obstetrics","level":1,"score":0.5305030345916748},{"id":"https://openalex.org/C2779234561","wikidata":"https://www.wikidata.org/wiki/Q11995","display_name":"Pregnancy","level":2,"score":0.5078805088996887},{"id":"https://openalex.org/C2776352029","wikidata":"https://www.wikidata.org/wiki/Q4686351","display_name":"Advanced maternal age","level":4,"score":0.43833035230636597},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.3797228932380676},{"id":"https://openalex.org/C86803240","wikidata":"https://www.wikidata.org/wiki/Q420","display_name":"Biology","level":0,"score":0.12406265735626221},{"id":"https://openalex.org/C172680121","wikidata":"https://www.wikidata.org/wiki/Q26513","display_name":"Fetus","level":3,"score":0.12188839912414551},{"id":"https://openalex.org/C54355233","wikidata":"https://www.wikidata.org/wiki/Q7162","display_name":"Genetics","level":1,"score":0.053506940603256226}],"mesh":[],"locations_count":2,"locations":[{"id":"pmh:oai:erepo.uef.fi:123456789/14823","doi":null,"is_oa":true,"landing_page_url":"http://urn.fi/URN:ISBN:978-952-61-1710-2","pdf_url":"https://erepo.uef.fi/bitstreams/f1c7fc9d-bb85-4029-8971-1fc45e61dadd/download","source":{"id":"https://openalex.org/S4306402418","display_name":"UEF eRepo (University of Eastern Finland)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I175532246","host_organization_name":"University of Eastern Finland","host_organization_lineage":["https://openalex.org/I175532246"],"host_organization_lineage_names":[],"type":"repository"},"license":"other-oa","license_id":"https://openalex.org/licenses/other-oa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"info:eu-repo/semantics/doctoralThesis"},{"id":"mag:2182806743","doi":null,"is_oa":false,"landing_page_url":"https://epublications.uef.fi/pub/urn_isbn_978-952-61-1710-2/urn_isbn_978-952-61-1710-2.pdf","pdf_url":null,"source":null,"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":null}],"best_oa_location":{"id":"pmh:oai:erepo.uef.fi:123456789/14823","doi":null,"is_oa":true,"landing_page_url":"http://urn.fi/URN:ISBN:978-952-61-1710-2","pdf_url":"https://erepo.uef.fi/bitstreams/f1c7fc9d-bb85-4029-8971-1fc45e61dadd/download","source":{"id":"https://openalex.org/S4306402418","display_name":"UEF eRepo (University of Eastern Finland)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I175532246","host_organization_name":"University of Eastern Finland","host_organization_lineage":["https://openalex.org/I175532246"],"host_organization_lineage_names":[],"type":"repository"},"license":"other-oa","license_id":"https://openalex.org/licenses/other-oa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"info:eu-repo/semantics/doctoralThesis"},"sustainable_development_goals":[{"score":0.9940000176429749,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W2182806743.pdf","grobid_xml":"https://content.openalex.org/works/W2182806743.grobid-xml"},"referenced_works_count":116,"referenced_works":["https://openalex.org/W156847651","https://openalex.org/W438467823","https://openalex.org/W1527468558","https://openalex.org/W1684740056","https://openalex.org/W1703522286","https://openalex.org/W1764341687","https://openalex.org/W1785799957","https://openalex.org/W1904425516","https://openalex.org/W1960945337","https://openalex.org/W1970818830","https://openalex.org/W1971122225","https://openalex.org/W1971434569","https://openalex.org/W1972443058","https://openalex.org/W1974305506","https://openalex.org/W1975460289","https://openalex.org/W1975652735","https://openalex.org/W1975700101","https://openalex.org/W1976843702","https://openalex.org/W1977427376","https://openalex.org/W1982603272","https://openalex.org/W1989653808","https://openalex.org/W1991188156","https://openalex.org/W1991489314","https://openalex.org/W1996735544","https://openalex.org/W1998139987","https://openalex.org/W1998921481","https://openalex.org/W2001697259","https://openalex.org/W2002650262","https://openalex.org/W2004214323","https://openalex.org/W2005609777","https://openalex.org/W2008291427","https://openalex.org/W2009170519","https://openalex.org/W2009522277","https://openalex.org/W2011106249","https://openalex.org/W2014563716","https://openalex.org/W2015246591","https://openalex.org/W2020565855","https://openalex.org/W2021705653","https://openalex.org/W2024009936","https://openalex.org/W2026019084","https://openalex.org/W2029761858","https://openalex.org/W2030537281","https://openalex.org/W2032316704","https://openalex.org/W2035852622","https://openalex.org/W2037084272","https://openalex.org/W2037180532","https://openalex.org/W2037956027","https://openalex.org/W2046384585","https://openalex.org/W2047468387","https://openalex.org/W2051065393","https://openalex.org/W2052556981","https://openalex.org/W2057647916","https://openalex.org/W2059411028","https://openalex.org/W2059788501","https://openalex.org/W2059893189","https://openalex.org/W2062195138","https://openalex.org/W2070609390","https://openalex.org/W2073492791","https://openalex.org/W2074307717","https://openalex.org/W2076034194","https://openalex.org/W2076686574","https://openalex.org/W2077311976","https://openalex.org/W2078708667","https://openalex.org/W2082543644","https://openalex.org/W2082549060","https://openalex.org/W2091485922","https://openalex.org/W2094044824","https://openalex.org/W2094396235","https://openalex.org/W2094606328","https://openalex.org/W2095266149","https://openalex.org/W2100123852","https://openalex.org/W2100592097","https://openalex.org/W2101064807","https://openalex.org/W2103482706","https://openalex.org/W2103966730","https://openalex.org/W2105215510","https://openalex.org/W2107494296","https://openalex.org/W2111248560","https://openalex.org/W2114168327","https://openalex.org/W2118352334","https://openalex.org/W2119365719","https://openalex.org/W2122910611","https://openalex.org/W2126819540","https://openalex.org/W2127495068","https://openalex.org/W2130076102","https://openalex.org/W2130258518","https://openalex.org/W2133600474","https://openalex.org/W2135423862","https://openalex.org/W2136720502","https://openalex.org/W2139138382","https://openalex.org/W2139611848","https://openalex.org/W2139649412","https://openalex.org/W2140680851","https://openalex.org/W2144600147","https://openalex.org/W2146316950","https://openalex.org/W2151180898","https://openalex.org/W2151947022","https://openalex.org/W2161174977","https://openalex.org/W2163903328","https://openalex.org/W2166000404","https://openalex.org/W2171643065","https://openalex.org/W2171930271","https://openalex.org/W2273808545","https://openalex.org/W2286134908","https://openalex.org/W2304683563","https://openalex.org/W2315374661","https://openalex.org/W2315576526","https://openalex.org/W2321764448","https://openalex.org/W2328595367","https://openalex.org/W2328787921","https://openalex.org/W2329144185","https://openalex.org/W2329364264","https://openalex.org/W2335315294","https://openalex.org/W2418062675","https://openalex.org/W2926436395","https://openalex.org/W2989791065"],"related_works":["https://openalex.org/W2946180770","https://openalex.org/W6961192601","https://openalex.org/W7215658932","https://openalex.org/W2162012527","https://openalex.org/W2047468387","https://openalex.org/W3202726305","https://openalex.org/W2976341845","https://openalex.org/W3026986367","https://openalex.org/W2886135957","https://openalex.org/W2922406903"],"abstract_inverted_index":{"Maternal":[0],"age":[1,115],"of":[2,22,39,67,131,147,181,213,216,285,369],"35":[3,42,55,261],"years":[4,43,56,189,262],"and":[5,32,37,59,83,105,117,124,126,151,154,179,204,252,278,280,304,324,344,360,397,404,410],"over":[6],"has":[7],"increased":[8,140,247,298,312,333,351],"in":[9,15,63,128,141,227,282,381],"Western":[10],"countries":[11],"as":[12,14,222,267,271,385],"well":[13],"Finland":[16],"during":[17],"the":[18,30,108,118,129,137,155,188,194,199,210,214,229,239,272,283,289,390,398,402,405],"last":[19],"decades.The":[20],"purpose":[21],"this":[23],"retrospective":[24],"register-based":[25],"study":[26,163,363],"was":[27,93,139,164,196,219,265],"to":[28,35,49,96,99,134,192,250,255],"explore":[29],"risks":[31,248,290],"complications":[33,60,392],"related":[34,249],"pregnancy":[36,251],"birth":[38,253,317],"women":[40,51,70,74,101,133,150,245,257,294,307,326,346,371],"aged":[41,52,258],"or":[44,81,330],"older,":[45],"when":[46,225,288,389],"comparing":[47],"them":[48,98],"younger":[50,100,256],"less":[53,259],"than":[54,260],"old.Pregnancy":[57],"outcomes":[58],"were":[61,76,79,85,157,236,291,309,328],"observed":[62],"four":[64,367],"different":[65,169],"groups":[66,368],"older":[68],"women:":[69],"diagnosed":[71,86,347],"with":[72,87,102,295,348],"preeclampsia,":[73],"who":[75,78,84,207,308,327,376],"smoking,":[77],"overweight":[80,123,277,329],"obese":[82,331],"gestational":[88],"diabetes":[89],"mellitus":[90],"(GDM).The":[91],"aim":[92],"at":[94],"first":[95],"compare":[97],"low-risk":[103],"pregnancies":[104],"further":[106],"evaluate":[107],"risk":[109,120,138,270,274,299,313,334,352],"caused":[110],"independently":[111,264],"by":[112,159,166],"advanced":[113],"maternal":[114],"(AMA)":[116],"existing":[119,273],"factor":[121,275],"(smoking,":[122,276],"obesity":[125,279],"GDM)":[127,281],"group":[130,284],"AMA":[132,142,244,286,370],"estimate":[135],"whether":[136],"women.The":[143],"data":[144,156,186,195],"consisted":[145],"information":[146,212],"690":[148],"555":[149],"their":[152],"newborns":[153],"analysed":[158],"statistical":[160],"methods.The":[161],"present":[162,362],"conducted":[165],"merging":[167],"three":[168],"Finnish":[170],"health":[171],"registries":[172],"(Medical":[173],"Birth":[174],"Register,":[175],"Hospital":[176],"Discharge":[177],"Register":[178,180,215],"Congenital":[182,217],"Malformations)":[183],"into":[184],"one":[185],"covering":[187],"1997-2008.The":[190],"permission":[191],"use":[193],"gained":[197],"from":[198,238],"National":[200],"Institute":[201],"for":[202,301,315,336,354,400],"Health":[203],"Welfare":[205],"(THL),":[206],"is":[208],"controlling":[209],"registries.The":[211],"Malformations":[218],"used":[220],"only":[221],"exlusion":[223],"criteria,":[224],"cases":[226],"which":[228],"baby":[230],"had":[231,246,297,311,332,350],"a":[232,269],"major":[233],"congenital":[234],"anomaly":[235],"exluded":[237],"data.The":[240],"findings":[241],"showed":[242],"that":[243,365],"compared":[254],"old.AMA":[263],"not":[266],"large":[268],"women,":[287],"significantly":[292],"increased.AMA":[293],"preeclampsia":[296],"especially":[300,314,335,353],"preterm":[302,320,337,355],"deliveries":[303],"small-for-gestational-age-infants":[305],"(SGA).AMA":[306],"smoking":[310],"low":[316],"weight":[318],"(LBW),":[319],"deliveries,":[321,338,356],"foetal":[322,339,357],"death":[323],"SGAinfants.AMA":[325],"death,":[340,358],"large-for-gestational-age-infants":[341],"(LGA),":[342],"Caesarean":[343],"preeclampsia.AMA":[345],"GDM":[349],"LGA-infants":[359],"preeclampsia.The":[361],"demonstrated":[364],"these":[366],"are":[372],"distinct":[373],"highriks":[374],"groups,":[375],"should":[377],"be":[378,394,408],"identified":[379],"early":[380,396],"maternity":[382],"care":[383],"clinics":[384],"being":[386],"\"at":[387],"risk\"":[388],"potential":[391],"could":[393,407],"detected":[395],"harm":[399],"both":[401],"mother":[403],"foetus":[406],"prevented":[409],"reduced.":[411]},"counts_by_year":[{"year":2024,"cited_by_count":1},{"year":2020,"cited_by_count":2},{"year":2019,"cited_by_count":1},{"year":2018,"cited_by_count":1},{"year":2017,"cited_by_count":1}],"updated_date":"2026-11-08T12:12:28.789561","created_date":"2016-06-24T00:00:00"}
