The effect of parity on obstetric and perinatal outcomes in pregnancies at the age of 40 and above: a retrospective study

GENÇ, Simten; EMEKLİOGLU>, Cagdas Nurettin; Cıngıllıoğlu, Başak; Aktürk, Erhan; Özkan, H. Turhan; Mihmanlı, Veli

doi:10.3325/cmj.2021.62.130

Cited by 8 publications

(9 citation statements)

References 29 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Multiple studies worldwide have also reported similarly that the mothers’ age remains a significant factor in determining childbirth through CS [ 21 , 53 - 54 , 63 ]. Additionally, as discussed, published studies have reported that maternal age (35+ years) is correlated with developing obstetric complications, including death [ 19 - 20 , 32 - 33 , 40 - 45 ]. These factors were possibly operative in determining a high level of CS seen in this study.…”

Section: Discussionmentioning

confidence: 99%

“…Likewise, several studies have consistently found a positive association between advanced maternal age and CS [ 35 , 38 - 40 ]. Additionally, several studies have documented that as maternal age progresses, significantly above 35 years, the risk of complications increases [ 19 - 20 , 32 ]. Commonly observed adverse clinical outcomes among pregnant mothers over 35 years include gestational diabetes, preeclampsia, placenta previa, placental abruption, preterm delivery, low birth weight, small-for-gestation-age infants, fetal distress, intrauterine fetal death, and increased perinatal morbidity and mortality [ 33 , 40 - 45 ].…”

Section: Introductionmentioning

confidence: 99%

“…These include maternal socio-economical determinants incorporating maternal age, residence, education, income, and the number of antenatal care (ANC) during pregnancy and other factors, including body mass index, number of children, the preceding birth interval, and media exposure [28][29][30]. Maternal age of fewer than 30 years [19][20][31][32][33] is considered to lower the risk of comorbidities associated with CS [34][35], with advanced maternal age, i.e., 35 years or more, found to significantly increase the rate of CS and adverse outcomes [1,13,30,34,[36][37]. With advancing age, the overall rate of CS doubles from 21% (<20 years) to 42% (≥35 years), enhanced by repeated pre-labour CS [28].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Prevalence and Factors Associated With Caesarean Delivery in Nepal: Evidence From a Nationally Representative Sample

Das¹,

Samad²,

Sapkota³

et al. 2021

Cureus

View full text Add to dashboard Cite

Background Caesarian sections (CS) are life-saving management for a pregnant mother and fetus subject to obstetric complications. The World Health Organization (WHO) expected CS rates not to exceed 10 to 15 per 100 live births in any country. This study aimed to assess the prevalence of CS and its associated factors from the 2016 Nepal Demographic and Health Survey (NDHS), building on previous studies mentioned in detail in the latter part of the paper. Methods This study analyzed the secondary data from the 2016 Nepal Demographic and Health Survey (NDHS), conducted from June 19, 2016, to January 31, 2017. The survey is undertaken every five years; consequently, the data capture the information in the previous five years from the data collection period. We used the 2016 NDHS, which is implemented by the new Enumeration Area (EA) under the support of the Ministry of Health (MOH) and funded by the U.S. Agency for International Development (USAID). In the rural areas, the sample is stratified and selected in two stages. In the first stage, wards are selected as the primary sampling units (PSU), with households subsequently chosen from the PSUs. In the urban areas, the sample is nominated in three stages. In the first stage, wards are selected as PSUs; in the second stage, one EA is chosen from each PSU, and finally, households are selected from the EAs. Then data were collected from the women in the reproductive age group within the selected households. Results The prevalence of CS in Nepal conforms to the WHO standard with 7.8, 7.5, and 8.1 per 100 deliveries, or 9.8, 8.9, and 9.1 per women’s last births in the previous one, three, and five years, respectively. Older mothers of 30 years old or more, having high incomes, being overweight and obese, using the internet, ante-natal care (ANC) visits of more than four times, ANC by doctors, twin delivery, and having babies of 4 kg or more, had higher odds for a CS while having two or more children seemed to be protective towards CS. Conclusion These findings can be used to update health policies surrounding CS delivery to limit unnecessary CS and ensure better health as CS is not without complications.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Prevalence and Factors Associated With Caesarean Delivery in Nepal: Evidence From a Nationally Representative Sample

Das¹,

Samad²,

Sapkota³

et al. 2021

Cureus

View full text Add to dashboard Cite

show abstract

“…In line with the above findings, we found a significantly higher age in women performing caesarean section compared to those delivering vaginally, independently of multiple confounding factors which are also linked with raised probability of caesarean section delivery. In this aspect, it should be noted that as maternal age increases, considerably over 35 years, the probability of prenatal and perinatal complications raises [31]. Usually observed adverse clinical outcomes amongst pregnant mothers over 35 years comprise of gestational diabetes, preeclampsia, placenta previa, placental abruption, preterm delivery, low birth weight, small-for-gestation-age infants, fetal distress, intrauterine fetal death, gestational hypertension, and increased perinatal morbidity and mortality [32].…”

Section: Discussionmentioning

confidence: 99%

Predominant Maternal Risk Factors Increase the Prevalence of Caesarean Section Deliveries: A Cross-Sectional Study in a Reproductive-Aged Women Population

Pavlidou,

Papadopoulou,

Alexatou

et al. 2023

Preprint

View full text Add to dashboard Cite

Background: There is an exponential increase in caesarean sections with epidemic proportions worldwide, which is considered as a serious public health issue that influences negatively both maternal and childhood health. Aims: This study aimed to evaluate the associations between pre-dominant maternal risk factors and the prevalence of caesarean section in a representative sample of women from Greece. Methods: This is a cross-sectional study conducted on 5182 healthy, re-productive-aged women from 11 geographically diverse Greek areas after applying specific inclu-sion and exclusion criteria. Statistical analysis was applied to evaluate the impact of maternal so-ciodemographic, anthropometric, lifestyle and perinatal factors in the risk of caesarean section de-liveries. Results: A high prevalence of 56.4% of caesarean section deliveries was recorded in the study population. The incidence of caesarean sections reached to 51.5% in private hospitals in which an increasing rate of 47.5% for planned caesarean sections were noticed. Older maternal age, pre-pregnancy overweight and obesity, excess gestational weight gain, high rates of preterm birth, better economic status, smoking habits, and private type of birth hospital were significantly related with enhanced risk of caesarean section, independently of multiple confounding factors. Conclu-sions: Our study revealed that caesarean section rates are continuously increase, while several maternal risk factors, including especially pre-pregnancy overweight/obesity and excess gestational weight gain, cumulatively raise its prevalence which further increase the risk for postnatal adverse outcomes for both the mothers and their children. Emergent public health policies and strategies should be promoted to confront the predominant maternal risk factors-related with caesarean sec-tion and inform future mothers how to be prevented from them by applying healthier nutritional and lifestyle habits and to select caesarean section only due to emergency medical reasons. Alarmingly enough, targeted nutritional intervention strategies are strongly recommended to ef-fectively reduce the prevalence of maternal pre-pregnancy overweight/obesity and the excess gestational weight gain, which in turn may minimize the risk of childhood overweight/obesity.

show abstract

“…In line with the above findings, we found a significantly higher age in women undergoing caesarean section than those giving a birth by vaginal delivery, regardless of several confounders that are also linked with raised probability of caesarean section delivery. In this aspect, it should be noted that as the mother’s age increases, considerably over 35 years, the probability of prenatal and perinatal complications raises [ 34 ]. Usually, amongst pregnant mothers over 35 years, the most common pregnancy complications comprise of gestational diabetes, preeclampsia, placenta previa, placental abruption, preterm delivery, low childbirth weight, small-for-gestation-age infants, fetal distress, intrauterine fetal death, gestational hypertension, and elevated perinatal morbidity and mortality [ 35 ].…”

Section: Discussionmentioning

confidence: 99%

Association of Maternal Risk Factors with the Prevalence of Caesarean Section Deliveries: A Cross-Sectional Study

Pavlidou,

Antasouras,

Papadopoulou

et al. 2023

Medical Sciences

View full text Add to dashboard Cite

In the last few years, there has been a gradually increasing rate of caesarean section deliveries worldwide that negatively affects both mothers’ and children’s health. The present survey intended to explore the relations of common maternal risk factors with the prevalence of caesarean sections. This is a cross-sectional study including 5182 healthy mothers from geographically diverse regions of Greece, which has applied relevant inclusion and exclusion criteria. An elevated 56.4% incidence of caesarean sections was noted. The prevalence of caesarean section deliveries was estimated to be 51.5% in private hospitals and 48.5% in public hospitals. Maternal age, pre-pregnancy overweight/obesity, excess gestational weight gain, preterm birth, financial status, smoking habits, and private type of birth hospital were considerably associated with a high probability of caesarean section, regardless of several confounders. In conclusion, caesarean section rates are constantly increasing, and various maternal risk factors additively elevate its incidence, which additionally enhances the likelihood of postpartum complications for both the mothers and their infants. Public health procedures and approaches are strongly recommended to notify future mothers of the potential risk factors that may result in adverse pregnancy outcomes of caesarean section delivery, highlighting its use only for emergency medical reasons and also promoting healthier nutritional and lifestyle habits that may reduce the increasing prevalence of caesarean section deliveries.

show abstract

The effect of parity on obstetric and perinatal outcomes in pregnancies at the age of 40 and above: a retrospective study

Cited by 8 publications

References 29 publications

Prevalence and Factors Associated With Caesarean Delivery in Nepal: Evidence From a Nationally Representative Sample

Prevalence and Factors Associated With Caesarean Delivery in Nepal: Evidence From a Nationally Representative Sample

Predominant Maternal Risk Factors Increase the Prevalence of Caesarean Section Deliveries: A Cross-Sectional Study in a Reproductive-Aged Women Population

Association of Maternal Risk Factors with the Prevalence of Caesarean Section Deliveries: A Cross-Sectional Study

Contact Info

Product

Resources

About