Maternal Age and Risk of Labor and Delivery Complications

Abstract

Objective We utilized an updated nationally representative database to examine associations between maternal age and prevalence of maternal morbidity during complications of labor and delivery. Study design We used hospital inpatient billing data from the 2009 United States Nationwide Inpatient Sample (NIS), part of the Healthcare Cost and Utilization Project (HCUP). To determine whether the likelihood that maternal morbidity during complications of labor and delivery differed among age groups, separate logistic regression models were run for each complication. Age was the main independent variable of interest. Results In analyses that controlled for demographics and clinical confounders, we found that complications with the highest odds among women, 11–18 years of age, compared to 25–29 year old women, included preterm delivery, chorioamnionitis, endometritis, and mild preeclampsia. Pregnant women who were 15–19 years old had greater odds for severe preeclampsia, eclampsia, postpartum hemorrhage, poor fetal growth, and fetal distress. Pregnant women who were ≥35 years old had greater odds for preterm delivery, hypertension, superimposed preeclampsia, severe preeclampsia, and decreased risk for chorioamnionitis. Older women (≥40 years old) had increased odds for mild preeclampsia, fetal distress, and poor fetal growth. Conclusions Our findings underscore the need for pregnant women to be aware of the risks associated with extremes of age so that they can watch for signs and symptoms of such complications.

A retrospective analytical study of the epidemiology and causes of preterm birth

“…Cavazos PA in their study, using age as an independent variable, concluded that the antenatal and labor delivery complications, low birth weight and preterm birth are higher in teenage and elderly gravida group. 9 Present study also depicted the same observation, as we had 23.9% preterm in elderly mothers and 27% in teenage group, higher than other reproductive age group. Females who sought antenatal care experienced less preterm rates (14.8%) as compared to the patients who never sought antenatal care (58.4%).…”

“…Singh Uet al reported a neonatal mortality rate of 12.7% and Das A reported an incidence of 20.48%. 13,9 The rates of neonatal death remain high irrespective of the type of intensive care facilities. Prolonged hospital stays and NICU admission add to the cost and impose a burden on existing health care facilities.…”

A Prospective Study of Maternal and Neonatal Outcome in Women with Preeclampsia

“…This may be due to the fact that early marriage before 20 years is common in many parts of our country. This is in contrast to the studies conducted by Cavazos Rehg et al 13 .Similarly the association of increased BMI with increased incidence of preeclampsia is shown in various studies. In this study we found that women with a BMI more than 30 were more likely to develop preeclampsia than those with BMI less than 30.…”

Factors Affecting the Occurrence of Mental Disability in Ponorogo District, East Java

“…Usia yang terlalu tua berkaitan dengan kemunduran dan penurunan daya tahan tubuh serta berbagai penyakit yang sering menimpa seperti hipertensi, diabetes, solusio plasenta, prematur, lahir mati, partumbuhan janin yang buruk dan plasenta previa. Semakin muda atau semakin tua usia ibu saat hamil akan semakin berisiko untuk ibu mengalami komplikasi saat hamil dan melahirkan (Cavazos et al, 2015).…”