Late motherhood and spatial aspects of late fertility in Slovakia

Šprocha, Branislav; Fitalová, Anna

doi:10.2478/mgr-2022-0006

Cited by 2 publications

(1 citation statement)

References 41 publications

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“…The postponement of the fertility of women to older ages comprises the most significant reproductive trend in developed countries over the last almost three decades [1][2][3][4][5]. Reproductive ageing involves a number of social and personal consequences.…”

Section: Introductionmentioning

confidence: 99%

Does advanced maternal age explain the longer hospitalisation of mothers after childbirth?

et al. 2023

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Background Fertility postponement, which has comprised the most significant reproductive trend in developed countries over the last few decades, involves a number of social, personal and health consequences. The length of stay (LOS) in hospital following childbirth varies considerably between countries. Czechia, where the fertility postponement process has been particularly dynamic, has one of the longest mean LOS of the OECD member countries. Objective We analyse the influence of the age of mothers on the LOS in hospital associated with childbirth. Data and methods We employed anonymised individual data provided by the General Health Insurance Company of the Czech Republic on women who gave birth in 2014. Kaplan-Meier survival plots and binary logistic regression were employed to identify factors associated with long stays (> = 7 days for vaginal births, > = 9 days for CS births). Results The impact of the maternal age on the LOS is U-shaped. A higher risk of a longer hospitalisation period for young mothers was identified for both types of birth (OR = 1.58, 95% CI 1.33–1.87, p˂0.001 for age less than 20, OR = 1.31, 95% CI 1.20–1.44, p˂0.001 for age 20–24 compared to 30–34). The risk of a longer stay in hospital increases with the increasing age of the mother (OR = 1.23, 95% CI 1.13–1.35, p˂0.001 for age 35–39, OR = 2.05, 95% CI 1.73–2.44, p˂0.001 for age 40+ compared to 30–34), especially with concern to vaginal births. Conclusion The probability of a long LOS increases significantly after the age of 35, especially in the case of vaginal births. Thus, the fertility postponement process with the significant change in the age structure of mothers contributes to the increase in health care costs associated with post-birth hospitalisation.

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Section: Introductionmentioning

confidence: 99%

Does advanced maternal age explain the longer hospitalisation of mothers after childbirth?

et al. 2023

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Regional fertility predictors based on socioeconomic determinants in Slovakia

Nestorová Dická,

Lipták

2024

J Pop Research

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The study's primary purpose was to recognise the effects of determinants on the level of fertility and thereby explain the differences in trends in the regions of Slovakia. At the turn of the century, the differences in fertility in regions increased, but the total fertility rate decreased. Multivariate statistical methods clarified the regional effects of the level and nature of fertility. Initial regression surveys indicated weak effects between regions, which led to applying factor and cluster analysis to establish regional types. Comprehensive regression analysis was then applied. The strength and nature of regional relationships differed at the inter- and intra-regional levels. Research has demonstrated significant differences in fertility rates dependent on the socioeconomic environment, as regional types uniquely link to determinants. Moreover, each determinant has specific spatial patterns with unequal regression coefficients at different regional levels, which cannot be evaluated constantly. Knowing how spatial variation in fecundity occurs will enable future studies to elucidate the processes involved. Finally, fertility is vital for social assessment and policy formulation, the study’s findings could inform local decision-makers and planners in identifying the socioeconomic conditions underlying fertility at the regional level and planning appropriate intervention strategies.

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Late motherhood and spatial aspects of late fertility in Slovakia

Cited by 2 publications

References 41 publications

Does advanced maternal age explain the longer hospitalisation of mothers after childbirth?

Does advanced maternal age explain the longer hospitalisation of mothers after childbirth?

Regional fertility predictors based on socioeconomic determinants in Slovakia

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