Volume 8, Issue 3 (7-2010)                   IJRM 2010, 8(3): 80-0 | Back to browse issues page

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Nojomi M, Haghighi L, Bijari B, Rezvani L, Tabatabaee S K. Delayed childbearing: pregnancy and maternal outcomes. IJRM. 2010; 8 (3) :80-0
URL: http://journals.ssu.ac.ir/ijrmnew/article-1-178-en.html
1- Department of Community Medicine, School of Medicine, Iran University of Medical Sciences, Tehran, Iran , drnojomi@iums.ac.ir
2- Department of Obstetrics and Gynecology, Akbar-abadi Hospital, Iran University of Medical Sciences, Tehran, Iran
3- Department of Community Medicine, School of Medicine, Iran University of Medical Sciences, Tehran, Iran
4- School of Medicine, Iran University of Medical Sciences, Tehran, Iran
Abstract:   (244 Views)
Background: Women 35-39 years old have a 2–3 fold higher risk of pregnancy-related death than women in their twenties and the risk is even more dramatic for women 40 years and older.
Objective: The aim of this study was to investigate the association of maternal age with risk of adverse pregnancy and mother outcomes in our setting Tehran Iran.
Materials and Methods: In this retrospective observational hospital-based study 538 nulliparous women were assessed. The association between maternal age and various pregnancy and neonatal outcomes were reported. Data were extracted from the database of Akbar Abadi hospital in Tehran from 2001-2006 records. Univariate and multiple logistic regression analyses were preformed to investigate the association between maternal age and various relevant outcomes.
Results: Women aged 35 years or older had an increased percentages of gestational hypertension (18.8% vs 9.6%; p=0.02) and diabetes in pregnancy (3.7% vs 1.4%; p=0.08) compared with women younger than 35 years. There were no differences between the two age groups in Apgar score at 1 min antepartum hemorrhage preterm labor PROM fetal distress perinatal death and postpartum hemorrhage.
Conclusion: Advanced maternal age was shown to be independently associated with low birth weight preterm labor and rate of cesarean delivery.
Full-Text [PDF 149 kb]   (56 Downloads) |   |   Full-Text (HTML)  (5 Views)  
Type of Study: Original Article |
Received: 2017/10/1 | Accepted: 2017/10/5 | Published: 2017/10/5

1. Ventura SJ, Martin JA, Taffel SM, Mathews TJ, Clarke SC. Advance report of final natality statistics, 1993. Washington DC: United States Department of Health and Human Services, Monthly Vital Statistics Report 1995; 44 (Suppl.):1– 88.
2. Women's Health campaign Working Group, Family Planning Association of Hong Kong. Report on the Survey of Family Planning. Hong Kong: Family Planning Association of Hong Kong; 1993.
3. Berg CJ, Chang J, Callaghan WM, Whitehead SJ. Pregnancy- related mortality in the United States, 1991–1997. Obstet Gynecol 2003; 101:289–296.
4. Cnattingius R, Cnattingius S, Notzon F.C. Obstacles to reducing cesarean section rates in a low-cesarean setting: the effect of maternal age, height, and weight. Obstet Gynecol 1998; 92:501-506.
5. Rosenthal AN, Paterson BS. Is there an incremental rise in the risk of obstetric intervention with increasing maternal age? Br J Obstet Gynecol 1998; 105: 1064-1069. [DOI:10.1111/j.1471-0528.1998.tb09937.x]
6. Chan BC, Lao TT. Influence of parity on the obstetric performance of mothers aged 40 years and above. Hum Reprod 1999; 14:833–837. [DOI:10.1093/humrep/14.3.833]
7. Lie RT, Rasmussen S, Brunborg H, Gjessing HK, Lie-Nielsen E, Irgens LM. Fetal and maternal contributions to risk of preeclampsia: population based study. BMJ 1998; 316:1343–1347. [DOI:10.1136/bmj.316.7141.1343]
8. Callaway LK, Lust K, McIntyre HD. Pregnancy outcomes in women of very advanced maternal age. Aust N Z J Obstet Gynaecol 2005; 45:12–16. [DOI:10.1111/j.1479-828X.2005.00333.x]
9. Oyelese Y, Ananth CV. Placental abruption. Obstet Gynecol 2006; 108:1005–1016. [DOI:10.1097/01.AOG.0000239439.04364.9a]
10. Wang T.F, Beski S. The older obstetric patient. Current Obstetrics & Gynecology 2002; 12:41-46. [DOI:10.1054/cuog.2001.0231]
11. Chan BC, Lao TT. Effect of parity and advanced maternal age on obstetric outcome. Int J of Gynecology and Obstetrics 2008; 102:237-241. [DOI:10.1016/j.ijgo.2008.05.004]
12. Jolly M, Sebire N, Robinson S, Regan L. The risk associated with pregnancy in women aged 35 years or older. Hum Reprod 2000; 15:2433-2437. [DOI:10.1093/humrep/15.11.2433]
13. Delbaere I, Verstraelen H, Goetgeluk S, Martens G, Backer GD, Temmerman M. Pregnancy outcome in primipare of advanced maternal age. European Journal of Obstetrics & Gynecology and Reproductive Biology 2007; 135:41-46. [DOI:10.1016/j.ejogrb.2006.10.030]
14. Cnattingius S, Forman MR, Berendes HW, Isotalo L. Delayed childbearing and risk of adverse perinatal outcome. JAMA 1992; 268:886-890. [DOI:10.1001/jama.1992.03490070068044]
15. Ziadeh SM. Maternal and perinatal outcome in nulliparous women aged 35 and older. Gynecol Obstet Invest 2002; 54:6-10. [DOI:10.1159/000064689]
16. Gilbert WM, Nesbitt TS, Danielsen B. Childbearing beyond age 40: pregnancy outcome in 24,032 cases. Obstetrics & Gynecology 1999; 93:9-14. [DOI:10.1097/00006250-199901000-00003]
17. Usta IM, Nassar AH. Advanced maternal age. Part I: Obstetric complications. Am J Perinatol 2008; 25: 521-534. [DOI:10.1055/s-0028-1085620]
18. Nanbakhsh F, Golmohammadlou S, Poorali R, Azhdari E, Esmailzadeh P. Study of the pregnancy and delivery complications in women above 35 years and compare with age group of 20-34 years. Urmia Medical Journal 2006; 17:251-252.
19. Suzuki S, Miyake H. Obstetric outcomes in nulliparous women aged 35 and over with singleton pregnancies conceived by in vitro fertilization. Arch Gynecol Obstet 2008; 277: 225-227. [DOI:10.1007/s00404-007-0461-y]
20. Cunningham FG, Leveno KJ. Childbearing among older women—the message is cautiously optimistic. N Engl J Med 1995; 333: 1002-1004. [DOI:10.1056/NEJM199510123331511]
21. Jolly M, Sebire N, Harris J, Robinson S, Regan L. The risks associated with pregnancy in women aged 35 years or older. Hum Reprod 2000; 15:2433-2437. [DOI:10.1093/humrep/15.11.2433]
22. Delbaere I, Vestraelen H, Goetgeluk S, Martens G, De Backer G, Temmerman M. Pregnancy outcome in primiparae of advanced maternal age. Eur J Obstet Gynecol Reprod Biol 2007;135: 41-46. [DOI:10.1016/j.ejogrb.2006.10.030]
23. Jacobsson B, Ladfors L, Milson I. Advanced maternal age and adverse perinatal outcome. Obstet Gynecol 2004; 104:727-733. [DOI:10.1097/01.AOG.0000140682.63746.be]
24. Bianco A, Stone J, Lynch L, Lapinski R, Berkowitz G, Berkowitz RL. Pregnancy outcome at age 40 and older. Obstet Gynecol 1996; 87:917-922. [DOI:10.1016/0029-7844(96)00045-2]
25. Brakan SE, Bracken MB. Delayed childbearing: no evidence for increased risk of low birth weight and preterm delivery. Am J Epidemiol 1987; 125:101-109. [DOI:10.1093/oxfordjournals.aje.a114491]
26. Joseph KS, Allen AC, Dodds L, Turner LA, Scott H, Liston R. The perinatal effects of delayed childbearing. Obstet Gynecol 2005; 105:1410-1418. [DOI:10.1097/01.AOG.0000163256.83313.36]

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