%0 Journal Article %T The Features of Pregnancy and Childbirth for Women Over 35: Risks and Opportunities %A Ludmila Vladimirovna Kaushanskaya %A Danil Olegovich Fetisov %A Daria Kirillovna Zagranichnaya %A Maksim Nikolaevich Davydov %A Elmina Afikovna Babaeva %A Said-Akhmed Tamirlanovich Evloev %A Murad Musaevich Mirzaev %A Magomed Gadzhimuradovich Ichalov %A Saida Osmanovna Mutaeva %A Lyubov Alekseevna Kukina %J Journal of Biochemical Technology %@ 0974-2328 %D 2025 %V 16 %N 3 %R 10.51847/BQyH5YuMIB %P 126-134 %X A prospective, comparative study of 360 pregnant women with their first physiological pregnancy was conducted. The women were divided into two groups: 180 women aged 22-28 and 180 women aged 36-42. The study aimed to compare the course of pregnancy, frequency of complications, structure of drug therapy, and outcomes of childbirth among somatically healthy women from different age groups. It was found that older women had a statistically significant increase in the incidence of gestational diabetes mellitus (17.2% versus 5.0%), pre-eclampsia (13.9% versus 3.9%), and fetoplacental insufficiency (26.1% versus 8.9%). Additionally, a higher need for medical support was revealed. Progesterone preparations were prescribed to 54.4% of women in the older group compared to 23.3% in the younger group. Antiplatelet agents were also used more frequently in the older group (37.2%) than in the younger group (13.9%). Cesarean delivery rates were higher among the older women, with 44.4% in the older group versus 22.8% in the younger comparison group. The indicators of newborn condition also varied: the Apgar score at 5 minutes %U https://jbiochemtech.com/article/the-features-of-pregnancy-and-childbirth-for-women-over-35-risks-and-opportunities-c7qg6hx3vi7t0ie