Please use this identifier to cite or link to this item:
https://hdl.handle.net/2440/115819
Citations | ||
Scopus | Web of Science® | Altmetric |
---|---|---|
?
|
?
|
Type: | Journal article |
Title: | Linear association between maternal age and need of medical interventions at delivery in primiparae: a cohort of 21,235 singleton births |
Author: | Robillard, P.-Y. Hulsey, T. Boukerrou, M. Bonsante, F. Dekker, G. Iacobelli, S. |
Citation: | The Journal of Maternal-Fetal and Neonatal Medicine, 2018; 31(15):2027-2035 |
Publisher: | Taylor & Francis |
Issue Date: | 2018 |
ISSN: | 1476-7058 1476-4954 |
Statement of Responsibility: | Pierre-Yves Robillard, Thomas C. Hulsey, Malik Boukerrou, Francesco Bonsante, Gustaaf Dekker and Silvia Iacobelli |
Abstract: | Objectives: We sought to investigate the potential association between maternal age and the need for active obstetrical intervention intrapartum in primiparas. Study design: Observational study over 14 years (2001–2014) of all consecutive primiparous singleton births having delivered at the Centre Hospitalier Universitaire Hospitalier Sud Reunion’s maternity (French overseas department, Indian Ocean). Results: Of the 21,235 singleton primiparous births, there were three significant linear associations between maternal age from 12 years of age to 42 + (all χ2 for linear trend, p < .0001) (a) vaginal deliveries without any medical intervention, (b) rate of cesarean sections, and (c) rate of operative vaginal procedures. These three linear associations persisted when controlling for maternal obesity (±30 kg/m2), “heavy babies” (>3.5 kg), and ethnicity. Using maternal age remained significantly an independent risk factor (p < .0001), after controlling for the major confounders: maternal BMI, maternal height, birthweight ≥3500 g, p < .0001. Conclusions: Increasing maternal age has a linear association with vaginal deliveries without any medical intervention, rate of cesarean sections, and rate of operative vaginal procedures. These associations are independent of maternal BMI and maternal height. We currently do not have a specific explanation why younger women appear to be protected from requiring intrapartum obstetric intervention. Nevertheless, these strong facts deserve acknowledgement and further research. |
Keywords: | Primiparae birthing cesarean delivery epidemiology maternal age |
Description: | Published Online 26 June 2017 |
Rights: | © 2017 Informa UK Limited, trading as Taylor & Francis Group |
DOI: | 10.1080/14767058.2017.1334049 |
Published version: | http://dx.doi.org/10.1080/14767058.2017.1334049 |
Appears in Collections: | Aurora harvest 3 Obstetrics and Gynaecology publications |
Files in This Item:
There are no files associated with this item.
Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.