Anesthetic considerations in pregnant women at advanced maternal age.

J Matern Fetal Neonatal Med. 2014 Apr 9. 

Orbach-Zinger S, Aviram A, Ioscovich A, Listengart M, Reuveni A, Fein S, Eidelman LA, Yogev Y.

Anesthesia management of parturients aged 45 years and above is comparable to the management of women aged 40-44 years. However, parturients ≥45 are more susceptible to

bleeding complications. 

Of note, parturients aged ≥ 45 years had an approximately eight-fold risk for postpartum hemorrhage.