La edad materna como factor de riesgo obstétrico. Resultados perinatales en gestantes de edad avanzada

Pérez, Blanca Heras; Tejedor, Julio Alberto Gobernado; Cepeda, P. Mora; Gómez, Ana Almaraz

doi:10.1016/j.pog.2011.06.012

Cited by 26 publications

(24 citation statements)

References 18 publications

(27 reference statements)

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“…Respecto al aumento de las cesáreas, esto también concuerda con lo publicado en estudios internacionales y por otro grupo nacional que compara mujeres ≥35 años respecto a las de 20-34 años, con un riesgo significativamente más alto en las mujeres mayores, debido fundamentalmente complicaciones como síndrome hipertensivo del embarazo y diabetes gestacional, entre otros (8,31,32).…”

Section: Discussionunclassified

Cambios en la distribución etaria de las madres en Chile y en el Hospital Clínico de la Universidad de Chile y su influencia en la morbimortalidad neonatal

R¹,

H²,

O³

et al. 2012

Rev. chil. obstet. ginecol.

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En las últimas décadas en Chile y otros países Sudamericanos se ha producido un cambio en la distribución etaria de las madres. Objetivos: Obtener la distribución de los nacimientos por grupos de edades maternas en el Hospital Clínico de la Universidad de Chile (HCUCH) y compararlos con iguales grupos en todo Chile. Comprobar que los grupos de edades extremas están aumentando. Estudiar la relación entre estos cambios con algunas patologías del recién nacido, como prematuridad, recién nacidos pequeños para su edad gestacional (PEG) y malformaciones congénitas. Método: Datos de la maternidad del HCUCH (1982-2010) y del Ministerio de Salud (1990-2008). Se distribuye a las madres en 3 grupos: <20, ≥35 y 20-34 años. Las comparaciones se hicieron con prueba de Chi Cuadrado. Resultados: En Chile el grupo de madres ≥35 años aumentó en más del 50% al comparar los años 1990 (10,2% del total) y 2008 (15,8%) (p<10-8). Las madres adolescentes en Chile aumentaron de 13,8% en 1990 a 16,6% en 1998 (p<10-8). En el HCUCH las adolescentes disminuyeron de 16,08% en 1982 a 9,09% en 2010 (p<10-8). Las ≥35 años aumentaron significativamente, al igual que en Chile, de 9,8% en 1982 a 22,17% en el año 2010 (p<10-8). Esta distribución etaria en el HCUCH (1996-2010) se asoció con otros cambios significativos: disminuyeron los RN PEG (p=0,02) y los prematuros (<37 semanas) aumentaron significativamente (p<0,00001). El grupo de mujeres ≥35 años se asocia con mayor cantidad de RN femeninos, malformaciones congénitas, síndrome de Down y partos por cesárea.

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Section: Discussionunclassified

Cambios en la distribución etaria de las madres en Chile y en el Hospital Clínico de la Universidad de Chile y su influencia en la morbimortalidad neonatal

R¹,

H²,

O³

et al. 2012

Rev. chil. obstet. ginecol.

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“…The sample size was calculated for the principal objective of the study: the appearance of any pathology during pregnancy. For this calculation, the study by Heras Pérez et al 2011 [ 14 ] was used as reference. According to this study, the incidence of pregnancy-associated pathology in woman over the age of 35 years was 29.2% compared with 15.8% in women 35 years old or younger; and to achieve a power of 80% to detect differences in the null hypothesis H₀:μ₁ = μ₂ using a bilateral chi-squared test for two samples with a significance level of 5%, a sample size of 302 women was needed.…”

Section: Methodsmentioning

confidence: 99%

The Age at Which a Woman Becomes a Mother and Her Satisfaction with the Process of Pregnancy, Childbirth and the Puerperium

et al. 2020

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This study assessed the effect of maternal age on satisfaction at each stage of pregnancy, childbirth and puerperium, and globally. An observational study was carried out in five hospitals of the Andalusian public health system with older primiparous women, from May 2016 to May 2018. Using a pre-piloted questionnaire, information was collected on pregnancy, childbirth, puerperium, newborn variables and degree of satisfaction with the care received. Crude and adjusted mean differences and the standard error of the mean were calculated. A total of 373 women participated. In total, 43.0% of the sample were very satisfied with the care received during pregnancy, and 74.2% with the care received during childbirth. During the puerperium, the highest percentage (60.4%) was found among the women who reported being quite satisfied, although the results were not significant in any of these stages (p > 0.05). No significant differences were established between women’s different age strata and maternal satisfaction. However, the average given by women regarding their satisfaction with the process, on a scale from 0 to 4, was: 3.5 ± 0.5 in general, 3.2 ± 0.8 regarding pregnancy, 3.7 ± 0.5 in childbirth and 3.1 ± 0.6 in the postpartum period. The woman’s satisfaction with the follow up and health care received during pregnancy, childbirth and puerperium is independent of the mother’s age.

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“…The principal outcome was the appearance of pathology associated with the pregnancy. According to the 2011 study by Heras Pérez et al [3], the incidence of pregnancy-associated pathology in women older than 35 years was 29.2% compared to 15.8% in the group of women 35 years or younger; for the detection of significance ( p < 0.05) with a statistical power of 80%, a sample size of 302 women was necessary. Considering a drop-out rate of 15%, 373 women were recruited.…”

Section: Methodsmentioning

confidence: 99%

“…The age at which a woman will have her first children is increasing [1,2]; this delay in motherhood has been studied in terms of obstetric outcomes, such as the development of any pathologies during pregnancy, the type of birth, as well as other parameters related to the pregnancy, labor, and delivery [3,4]. However, the impact of maternal age on newborn’s health has not been as well studied, with most research focusing on the effect of advanced maternal age (mother’s age over 35 years, 40 years or more) but not including any age [5,6,7,8,9,10,11,12,13,14,15,16].…”

Section: Introductionmentioning

confidence: 99%

Newborn Health Indicators Associated with Maternal Age during First Pregnancy

Molina-García

Hidalgo-Ruiz

Cámara-Jurado

et al. 2019

IJERPH

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Delaying motherhood is becoming increasingly common, raising questions of the possible influence that maternal age may have on newborn health. Therefore, the objective of this study was to determine the association between maternal age and different newborn health parameters. An observational study was conducted in Spain on primiparous women and their infants. Data were collected on newborn health variables, breastfeeding, and different clinical practices that are beneficial for child health and development. Crude and adjusted mean differences were calculated along with the standard error of the mean. A total of 373 women and their children participated. In terms of early commencement skin-to-skin contact, the mean age of women that did skin-to-skin contact was 29.95 ± 0.31 years compared to 31.49 ± 0.66 years in those that did not (p = 0.042). In terms of other newborn parameters, such as preterm birth, health problems or complications, or the need for hospital admission, these were more frequent in the oldest group of mothers, but the differences found were not significant (p > 0.05). Hence, indicators of newborn morbidity were not found to be significantly associated with maternal age; however, beneficial practices such as early commencement skin-to-skin contact were found to be significantly associated with maternal age.

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La edad materna como factor de riesgo obstétrico. Resultados perinatales en gestantes de edad avanzada

Cited by 26 publications

References 18 publications

Cambios en la distribución etaria de las madres en Chile y en el Hospital Clínico de la Universidad de Chile y su influencia en la morbimortalidad neonatal

Cambios en la distribución etaria de las madres en Chile y en el Hospital Clínico de la Universidad de Chile y su influencia en la morbimortalidad neonatal

The Age at Which a Woman Becomes a Mother and Her Satisfaction with the Process of Pregnancy, Childbirth and the Puerperium

Newborn Health Indicators Associated with Maternal Age during First Pregnancy

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