The Effects of Childbirth Age on Maternal and Infant Outcomes in Pregnant Women
Abstract
Background: To investigate the effects of childbirth age on maternal and infant outcomes in pregnant women.
Methods: The clinical data of 4552 singleton parturient women and their newborns treated in the Second People’s Hospital of Liaocheng, China from June 2015 to June 2017 were retrospectively analyzed. They were divided into group A (<20 yr old), group B (20-<30 yr old,), group C (30-<35 yr old), group D (35-<40 yr old), group E (≥40 yr old) according to the age of the parturient women. The incidence rates of pregnancy complications and adverse pregnancy outcomes of the pregnant and parturient women and their newborns in each group were compared.
Results: With the increase of childbirth age, the incidence rates of pregnancy complications in pregnant women were increased gradually (P=0.028, 0.038, 0.042, 0.025, 0.012). The incidence rates of adverse pregnancy outcomes were increased gradually with the increase of childbirth age (P=0.006, 0.026, 0.010, 0.028). After correction of factors including pre-pregnancy body mass index (BMI), parity, gravidity and educational level, the incidence rate of cesarean section was reduced and the incidence rate of premature birth was increased in group A compared with those in group B. The incidence rates of cesarean section, premature birth, postpartum hemorrhage of pregnant women and the transference of newborns into NICU in group C, D and E were higher than those in group B (P=0.002, 0.019, 0.043, 0.015).
Conclusion: Both low and high age pregnancy can increase the incidence rate of adverse pregnancy outcomes.
Markham AC, Lonsdorf EV, Pusey AE, Murray CM (2015). Maternal rank influ-ences the outcome of aggressive interac-tions between immature chimpanzees. Anim Behav, 100: 192-8.
Traisrisilp K, Tongsong T (2015). Pregnancy outcomes of mothers with very advanced maternal age (40 years or more). J Med Assoc Thai, 98: 117-22.
Sydsjö G, Möller L, Lilliecreutz C, Bladh M, Andolf E, Josefsson A (2015). Psychiatric illness in women requesting caesarean section. BJOG, 122: 351-8.
Shah MK, Kieffer EC, Choi H, Schumann C, Heisler M (2015). Mediators and Moderators of the Effectiveness of a Community Health Worker Intervention That Improved Dietary Outcomes in Pregnant Latino Women. Health Educ Be-hav, 42: 593-603.
Bickel J, Bridgemohan C, Sideridis G, Hun-tington N (2015). Child and Family Char-acteristics Associated With Age of Diag-nosis of an Autism Spectrum Disorder in a Tertiary Care Setting. J Dev Behav Pediatr, 36: 1-7.
Rasmussen LG, Lykke JA, Staff AC (2015). Angiogenic biomarkers in pregnancy: de-fining maternal and fetal health. Acta Ob-stet Gynecol Scand, 94: 820-32.
Plumptre L, Masih SP, Ly A et al (2015). High concentrations of folate and un-metabolized folic acid in a cohort of pregnant Canadian women and umbilical cord blood. Am J Clin Nutr, 102: 848-57.
Masih SP, Plumptre L, Ly A, Berger H, Lausman AY, Croxford R, Kim YI, O'Connor DL (2015). Pregnant Canadi-an Women Achieve Recommended In-takes of One-Carbon Nutrients through Prenatal Supplementation but the Sup-plement Composition, Including Choline, Requires Reconsideration. J Nutr, 145: 1824-34.
Brunner S, Stecher L, Ziebarth S, Nehring I, Rifas-Shiman SL, Sommer C, Hauner H, von Kries R (2015). Excessive gestational weight gain prior to glucose screening and the risk of gestational diabetes: a me-ta-analysis. Diabetologia, 58: 2229-37.
Xiang AH, Black MH, Li BH, Martinez MP, Sacks DA, Lawrence JM, Buchanan TA, Jacobsen SJ (2015). Racial and ethnic dis-parities in extremes of fetal growth after gestational diabetes mellitus. Diabetologia, 58: 272-81.
Ben-Meir A, Burstein E, Borrego-Alvarez A et al (2015). Coenzyme Q10 restores oo-cyte mitochondrial function and fertility during reproductive aging. Aging Cell, 14: 887-95.
Moore SM, Zhang H, Maeda N, Doerschuk CM, Faber JE (2015). Cardiovascular risk factors cause premature rarefaction of the collateral circulation and greater ischemic tissue injury. Angiogenesis, 18: 265-81.
Tanuja Yadav, Mishra S, Das S, Aggarwal S, Rani V (2015). Anticedants and natural prevention of environmental toxicants induced accelerated aging of skin. Environ Toxicol Pharmacol, 39: 384-91.
Tan JK, Tan EL, Kanagalingan D, Tan LK (2015). Rational dissection of a high insti-tutional cesarean section rate: An analysis using the Robson Ten Group Classifica-tion System. J Obstet Gynaecol Res, 41: 534-9.
| Files | ||
| Issue | Vol 47 No 6 (2018) | |
| Section | Original Article(s) | |
| Keywords | ||
| Childbirth Age Pregnancy complications Adverse pregnancy outcomes | ||
| Rights and permissions | |
|
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
