Maternal Age and Pregnancy, Childbirth and the Puerperium: Obstetric Results

Molina-García, Leticia; Hidalgo-Ruiz, Manuel; Arredondo-López, Beatriz; Colomino-Ceprián, Silvia; Delgado-Rodrı́guez, Miguel; Martínez‐Galiano, Juan Miguel

doi:10.3390/jcm8050672

Cited by 18 publications

(15 citation statements)

References 20 publications

(39 reference statements)

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“…This situation is not unique to Spain, and pregnancy at an advanced age is also increasing in countries such as Japan, United Kingdom, Australia, and Chile, among others [7]. Pregnancy at an advanced maternal age is known to have consequences for maternal heathl and neonatal health [8,9].…”

Section: Introductionmentioning

confidence: 99%

The delay of motherhood: Reasons, determinants, time used to achieve pregnancy, and maternal anxiety level

et al. 2019

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BackgroundFertility in recent decades in European countries such as Norway, Spain or United Kingdom has declined, while in others such as Portugal, it has remained relatively constant, and in others such as Germany fertility rated have risen. The determinants of this change in reproductive pattern can be explained by the cultural, social, and economic changes that took place in our society. Objective: to identify the principal reasons and independent determinants associated with the postponement of motherhood and document any association between the time taken to achieve successful pregnancy and maternal age, as well as the level of anxiety of these women.MethodsAn observational study, including 326 women, was conducted in Spain with primiparous women, in which data was collected on sociodemographic, health, and pregnancy-related factors. Comparison of means (t-test or analysis of variance) and the analysis of covariance was used to estimate adjusted means for potential confounders.ResultsWomen in stable relationships became mothers at older ages (31.83±0.29) than those who were not (28.75±0.78) (p<0.001). Women who delayed motherhood for medical reasons had a mean age of 34.15 ± 0.88 years, compared to a mean of 30.52±0.36 years for personal reasons, and 27.51±1.39 years for other reasons. Mothers with an older age had a higher level of anxiety (p<0.05). The average time required to achieve pregnancy increased as maternal age increased, with an average time of 24 months for women with a mean age of 35.23±0.71 years compared to <3 months for women with a mean age of 29.44±0.39 years. Women ≥ 35 years were more likely to need medical assistance to achieve pregnancy (aOR = 12.07, 95% CI: 1.50–97.05; p = 0.019).ConclusionsMedical reasons were among those cited for delaying motherhood. The postponement of motherhood was associated with difficulty to achieve a successful pregnancy and a higher level of anxiety.

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Section: Introductionmentioning

confidence: 99%

The delay of motherhood: Reasons, determinants, time used to achieve pregnancy, and maternal anxiety level

et al. 2019

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“…The high satisfaction of these women may be due to the good maternal and neonatal outcomes: there was no maternal or neonatal mortality [17,18].…”

Section: Discussionmentioning

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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“…Globally, especially in developed countries, more women are choosing to have children at an older age (>35 years) . CHB carriers in the third and fourth decades are more likely to transition to HBeAg−/anti‐HBe+ (with undetectable or low HBV‐DNA) or harbor PC/BCP mutants (with fluctuating levels of moderate to high HBV‐DNA).…”

Section: Epidemiology Of Hbv and Mtctmentioning

confidence: 99%

Hepatitis B and Pregnancy: Virologic and Immunologic Characteristics

Joshi

Coffin

2020

Hepatol Commun

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The hepatitis B virus (HBV) is an important human pathogen. Unvaccinated infants infected through mother-to-child transmission (MTCT) are at >95% risk of developing serum hepatitis B surface antigen-positive chronic hepatitis B (CHB). Despite complete passive-active HBV immunoprophylaxis, approximately 10% of infants born to mothers who are highly viremic develop CHB, and thus maternal treatment with nucleos(t)ide analogs (tenofovir disoproxil fumarate, lamivudine, or telbivudine) is recommended in the third trimester of pregnancy to reduce MTCT risk. Viral rebound usually occurs after stopping treatment and, in the context of maternal immunologic reconstitution postpartum, can also precipitate host immune-mediated hepatic (biochemical) flares. In this article, we review the epidemiology of HBV MTCT, discuss management and potential mechanisms of HBV vertical transmission, and highlight recent studies on virologic and immunologic aspects of hepatitis B in pregnancy and postpartum. (Hepatology Communications 2020;4:157-171).The global prevalence of CHB (serum HBsAg+) is 3.6%, with the highest prevalence in Africa (8.8%) and the Western Pacific (5.2%). More than 75% of individuals with CHB worldwide are found in the Asia Pacific

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Maternal Age and Pregnancy, Childbirth and the Puerperium: Obstetric Results

Cited by 18 publications

References 20 publications

The delay of motherhood: Reasons, determinants, time used to achieve pregnancy, and maternal anxiety level

The delay of motherhood: Reasons, determinants, time used to achieve pregnancy, and maternal anxiety level

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

Hepatitis B and Pregnancy: Virologic and Immunologic Characteristics

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