Advanced age - a critical risk factor for recurrent miscarriage.

Sun H, Lu Y, Qi Q, Li M, Zhou J, Wang J, Lin J, Cao L, Yan Du, Li L, Wang L
Global health & medicine · 2023 · doi:10.35772/ghm.2023.01066 · PMID:37908515 · PMC10615023
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This retrospective analysis identifies advanced maternal age as a critical risk factor for recurrent spontaneous abortion, primarily driven by intrauterine adhesions and ovarian dysfunction in older patients.

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Abstract

Recurrent spontaneous abortion (RSA) is a multifactorial disease that seriously affects womens physical and mental health. With the advent of efficient contraception, the trend for women towards later maternity until their thirties or even forties. Nevertheless, the risk of miscarriage is strongly related to maternal age. We performed a retrospective analysis to evaluate the etiology of RSA through age groups. The results demonstrated that intrauterine adhesions and ovarian dysfunction were responsible for increased miscarriages in older RSA patients. In conclusion, older women will bear a higher risk of miscarriage, mainly due to uterine adhesions or decreased ovarian function.
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- Hongmei Sun Laboratory for Reproductive Immunology, Obstetrics and Gynecology Hospital of Fudan University, Shanghai, China. The Academy of Integrative Medicine of Fudan University, Shanghai, China. Shanghai Key Laboratory of Female Reproductive Endocrine-related Diseases, Shanghai, China. HeXi University, Zhangye, Gansu, China. - Youhui Lu Laboratory for Reproductive Immunology, Obstetrics and Gynecology Hospital of Fudan University, Shanghai, China. The Academy of Integrative Medicine of Fudan University, Shanghai, China. Shanghai Key Laboratory of Female Reproductive Endocrine-related Diseases, Shanghai, China. - Qing Qi Laboratory for Reproductive Immunology, Obstetrics and Gynecology Hospital of Fudan University, Shanghai, China. The Academy of Integrative Medicine of Fudan University, Shanghai, China. Shanghai Key Laboratory of Female Reproductive Endocrine-related Diseases, Shanghai, China. - Meiling Li Department of Nosocomial Infection, The International Peace Maternity & Child Health Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China. - Jing Zhou Laboratory for Reproductive Immunology, Obstetrics and Gynecology Hospital of Fudan University, Shanghai, China. The Academy of Integrative Medicine of Fudan University, Shanghai, China. Shanghai Key Laboratory of Female Reproductive Endocrine-related Diseases, Shanghai, China. - Jing Wang Laboratory for Reproductive Immunology, Obstetrics and Gynecology Hospital of Fudan University, Shanghai, China. The Academy of Integrative Medicine of Fudan University, Shanghai, China. Shanghai Key Laboratory of Female Reproductive Endocrine-related Diseases, Shanghai, China. - Jing Lin Laboratory for Reproductive Immunology, Obstetrics and Gynecology Hospital of Fudan University, Shanghai, China. The Academy of Integrative Medicine of Fudan University, Shanghai, China. Shanghai Key Laboratory of Female Reproductive Endocrine-related Diseases, Shanghai, China. - Liwen Cao Reproductive Medicine Center of Zhoushan Maternal and Child Health Care Hospital, Zhoushan, Zhejiang, China. - Yan Du Laboratory for Reproductive Immunology, Obstetrics and Gynecology Hospital of Fudan University, Shanghai, China. The Academy of Integrative Medicine of Fudan University, Shanghai, China. Office of Clinical Epidemiology, Obstetrics and Gynecology Hospital of Fudan University, Shanghai, China. - Lisha Li Laboratory for Reproductive Immunology, Obstetrics and Gynecology Hospital of Fudan University, Shanghai, China. The Academy of Integrative Medicine of Fudan University, Shanghai, China. Shanghai Key Laboratory of Female Reproductive Endocrine-related Diseases, Shanghai, China. - Ling Wang Laboratory for Reproductive Immunology, Obstetrics and Gynecology Hospital of Fudan University, Shanghai, China. The Academy of Integrative Medicine of Fudan University, Shanghai, China. Shanghai Key Laboratory of Female Reproductive Endocrine-related Diseases, Shanghai, China.

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