CONFERENCE PROCEEDING
Perinatal outcomes in women with severe preeclampsia at extremes of maternal age
 
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1
Hospital Clínic de Barcelona – Maternitat Unit, Gynecology and Obstetrics, Barcelona, Spain
 
2
Universidad de Barcelona, Student Degree Mathematics, Barcelona, Spain
 
3
Hospital Clínic de Barcelona – Maternitat Unit, Perineal Clinic, Barcelona, Spain
 
 
Eur J Midwifery 2026;10(Supplement 1):A423
 
ABSTRACT
BACKGROUND:
Preeclampsia remains one of the leading causes of maternal and perinatal morbidity and mortality worldwide. While extensive research has been conducted on its pathophysiology and clinical management, less is known about how maternal age, especially at the extremes of reproductive life, may influence the severity and outcomes of this condition. Adolescents and women of advanced maternal age represent physiologically distinct populations, and both may be predisposed to greater obstetric risks. In this context, understanding whether age significantly alters perinatal outcomes in severe preeclampsia is essential to optimize clinical care and resource allocation.

OBJECTIVES:
Compare perinatal outcomes in pregnant women with severe preeclampsia and a singleton fetus at extreme maternal ages.

METHODS:
A total of 230 patients with severe preeclampsia were evaluated between 2018 and 2021. Patients were divided into two groups: younger than 20 years (n=86) and older than 34 years (n=144). Demographic characteristics and perinatal outcomes were recorded.

RESULTS:
No differences were found between the two groups regarding preeclampsia criteria, gestational age at delivery, birth weight, or Apgar scores at 1 and 5 minutes. Nor were there any differences in cesarean section rates, acute fetal distress, NICU admission, sepsis, or fetal and neonatal mortality. In subgroup analysis, no significant differences were found among three groups according to gestational age (<33 weeks; 34–36 weeks; and ≥37 weeks), birth weight (750–1500g; 1501–2500g; >2500g), or Apgar scores at 1 and 5 minutes (0–3; 4–6; 7–10).

CONCLUSIONS:
Severe preeclampsia is a serious condition regardless of maternal age.

KEY MESSAGE:
Although severe preeclampsia is a high-risk obstetric condition, extreme maternal age—whether adolescent or advanced—does not appear to significantly influence key perinatal outcomes. This suggests that clinical management should prioritize timely diagnosis and evidence-based care protocols over maternal age alone when assessing perinatal risk in cases of severe preeclampsia. Poster session 1 (Group A)
eISSN:2585-2906
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