Abstract: The number of advanced maternal age（AMA）adds up with the opening of the birth policy，and the risk of fetal growth restriction（FGR）in AMA increases.FGR is one of the common pregnancy complications in obstetrics，which can lead to fetal distress，stillbirth and other adverse pregnancy outcomes.The incidence of FGR involves multiple etiologies and factors，and there are still no effective intervention measures at present，so obstetricians must strengthen the management of AMA.We should identify the possible etiology，and make reasonable use of the existing monitoring means，so as to evaluate the intrauterine condition of the fetus comprehensively，and terminate the pregnancy timely.The adverse outcome of the perinatal infants should be minimized to improve the long-term prognosis.

Key words: pregnant women of advanced maternal age, fetal growth restriction, pathological pregnancy, pregnancy management

摘要： 随着中国生育政策的放开，高龄孕妇逐渐增多，高龄孕妇罹患胎儿生长受限的风险也在增加。胎儿生长受限是产科常见的妊娠并发症之一，其发病涉及多病因、多因素，是胎儿窘迫、死胎、死产等不良妊娠结局的重要原因，且目前尚无有效干预措施。因此，产科医师应加强对高龄产妇的妊娠期管理，甄别胎儿生长受限的可能病因，合理利用现有各种监测手段，综合评估胎儿宫内状况，把握时机，适时终止妊娠，最大程度减少围产儿的不良结局，改善其远期预后。

关键词: 高龄产妇, 胎儿生长受限, 病理妊娠, 妊娠期管理