Advance Age Pregnancy in a Tertiary Care Centre: A Descriptive Cross-sectional Study

Mahato, Vibha; Shrestha, Pravin; Shrestha, Smita

doi:10.31729/jnma.6008

Cited by 4 publications

(3 citation statements)

References 14 publications

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“…The prevalence of AMA women (18.95%) in the present studied Meitei population is in trend with the studies reported from South-East Asian countries. Moreover, a high frequency of very advanced maternal age mothers (≥40 years) is also evidenced in different studies (Mahato et al, 2021;Rajput et al, 2018). The present study also witnesses a high prevalence of very advanced maternal age women (11.80%), and it could be linked to the mother's educational status, as evident from different studies claiming an association between extended women's education and delaying in childbearing age (Carolan, 2003).…”

Section: Discussionsupporting

confidence: 77%

Maternal age and adverse pregnancy outcomes among Meitei women of Manipur, Northeast India: A cross‐sectional study

Devi,

Singh

2023

American J Hum Biol

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ObjectiveThe study examines the outcomes of pregnancies conceived at advanced maternal age (AMA) and maternal complications after childbirth among Meitei women of Northeast India.MethodA total of 760 women participants were included in this study and compared among women aged ≥35 years, with a reference group of women aged 20–34 years. Data on obstetric characteristics were collected after obtaining consent. The data were compared using chi‐square analysis, and the results were adjusted using a logistic regression model. Decision trees were developed to predict the potential variables associated with preterm delivery and postpartum complication.ResultsIn the study, 18.95% of AMA women experienced one or more adverse pregnancy outcomes (APOs). Women with AMA are at significantly increased risk of placenta previa (adjusted odds ratio [AOR] = 4.89, 95% confidence interval [CI]: 2.78–8.57), induction of labor (AOR = 3.69, 95%CI: 2.48–5.50), and caesarean section (AOR = 3.42, 95%CI: 2.28–5.12). Moreover, AMA women have a 1.86–2.76 AOR for developing gestational diabetes, pregnancy‐induced hypertension, urinary tract infections, preterm delivery, and postpartum complications. Decision tree analysis revealed that AMA and urban residence independently predict preterm delivery and postpartum complications.ConclusionThe study's findings confirm the adverse impact of AMA on pregnancy outcomes and postpartum complications. Such issues should be addressed, and counseling on the risk of AMA should be provided, particularly for those in the high‐risk group. Further prospective studies are needed to understand other potential risk factors of APOs and the impact of AMA complications to prevent the associated burden.

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Section: Discussionsupporting

confidence: 77%

Maternal age and adverse pregnancy outcomes among Meitei women of Manipur, Northeast India: A cross‐sectional study

Devi,

Singh

2023

American J Hum Biol

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“…A study from tertiary centre of Nepal revealed the prevalence of AMA pregnancy was 5.3%. 23 On a global level, a study done in 29 countries (Africa, Asia, Middle East and Latin America) revealed that the magnitude of pregnant women with advanced maternal age was 12.3%. 24 In our study, the prevalence of caesarian section (CS) was 12.8%.…”

Section: Discussionmentioning

confidence: 99%

Association of geographic distribution and birth weight with sociodemographic factors of the maternal and newborn child of hilly and mountain regions of eastern Nepal: a cross-sectional study

Bhattarai

Panthi

Gautam

et al. 2022

bmjpo

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ObjectivesTo determine the association of geographic distribution, and birth weight with sociodemographic factors of the maternal and newborn child of hilly region (lower altitude) and mountain region (high altitude) of eastern Nepal as well as the prevalence of low birth weight (LBW) and large for gestational age (LGA) among term singleton deliveries in eastern Nepal.MethodologyA cross-sectional study was conducted in the district-level hospitals of Dhankuta, Tehrathum, Solukhumbu and Taplejung districts of eastern Nepal of Province 1. Mothers with preterm or post-term delivery, multiple pregnancies, stillbirth/intrauterine fetal death and incomplete records were excluded from the study with only 1386 term pregnancies (37–42 weeks) delivered at the respective facilities between 17 July 2019 and 16 July 2020 were included. The appropriate data were entered in Microsoft Excel 2019 V.16.0 and statistical analysis was performed by using the statistical package for social sciences, IBM SPSS V.29.ResultsThe low maternal age, Dalit ethnic group, low gravidity, low parity, higher antenatal care (ANC) visits (≥4), incomplete deworming and dT vaccination status, breech deliveries and LBW newborns were significantly attributed to hilly region (lower altitude) (p value <0.05). Similarly, the hilly region, lower and/or no ANC visits and early term gestation had significant negative association with birth weight at the lower quantiles only. Meanwhile, the female newborn had significant and negative association with birth weight distribution at all seven quantiles. The prevalence of the LBW, average for gestational age and LGA newborn child among term singleton deliveries in Eastern Nepal is 6.6%, 85.8% and 7.6%, respectively.ConclusionsThe local organisations should focus on adequate antenatal care visits in mountain region and coverage of dT vaccine and deworming medications in hilly region. Appropriate measures and programmes should be initiated to bring down LBW in hilly region.

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“…It includes the utilization of methods and systems that diminish agony, nervousness, and injury during medical treatments (Wong et al, 2003). So, the fundamental principles of atraumatic care involve reducing or preventing a child's separation from the family, fostering a sense of control, and minimizing physical harm or discomfort (Mahato et al, 2022).…”

Section: Introductionmentioning

confidence: 99%

Parents’ Participation in Atraumatic Care During Children Hospitalization: Systematic Review

Alfiyanti,

Arief,

Krisnana

et al. 2024

MJN

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Introduction: Atraumatic care for children undergoing hospitalization requires parental participation. Parental participation is an important aspect of atraumatic care for hospitalized children. Parental participation is expected to reduce child pain and anxiety. Aim: This study aimed to describe the participation of parents in atraumatic care while the child is hospitalized. Methods: The methodology used in this study was a systematic review, which began with topic selection and entails searching several databases, including Proquest, PubMed, ScienceDirect, Ebscohost, CINAHL, Scopus, and Google Scholar, by entering keywords "parents' participation" AND "atraumatic care" AND "hospitalized children." Articles were reviewed from 2019 to 2023. Protocol and evaluation of the literature review using the PRISMA checklist. Results: All databases provided 263 articles published in the years 2019-2023. There were forty articles left after duplicates were removed and inclusion and exclusion criteria were applied. Ten articles were left for quality assessment after the full-text review, and all of them scored higher than seven parental participations in atraumatic care while the child is hospitalized based on the results of the review of the articles above, including emotional support, distraction techniques, comfort measures, communication and education, advocacy, collaboration with the healthcare team, participating in care routines, and providing postprocedure comfort. Conclusion: Parental participation in atraumatic care while the child is hospitalized includes emotional support, distraction techniques, comfort measures, communication and education, advocacy, collaboration with the healthcare team, participating in care routines, and providing post-procedure comfort. This literature review provides a viewpoint for thinking about how to enhance the way that parents are currently being prepared to participate in the traumatic care of their children during hospitalization. Further research is expected to be able to develop research on specific interventions related to each form of parental participation in childcare during hospitalization.

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Advance Age Pregnancy in a Tertiary Care Centre: A Descriptive Cross-sectional Study

Cited by 4 publications

References 14 publications

Maternal age and adverse pregnancy outcomes among Meitei women of Manipur, Northeast India: A cross‐sectional study

Maternal age and adverse pregnancy outcomes among Meitei women of Manipur, Northeast India: A cross‐sectional study

Association of geographic distribution and birth weight with sociodemographic factors of the maternal and newborn child of hilly and mountain regions of eastern Nepal: a cross-sectional study

Parents’ Participation in Atraumatic Care During Children Hospitalization: Systematic Review

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