Introduction
In resource-rich countries, the median age of women giving birth for the first time has been progressively increasing, with many women starting families after turning 35.1 This indicates a rising trend of advanced maternal age, reflecting the influence of social and economic factors. In recent years, driven by economic growth and evolving attitudes toward marriage, the number of first-time mothers in the advanced maternal age bracket has been rising annually in our country. Alongside the increased use of assisted reproductive technology, the incidence of in vitro fertilization (IVF) among older first-time mothers has also been steadily climbing. This emphasizes the growing proportion of older first-time mothers utilizing assisted reproductive technology. Globally, there has been a notable surge in the…