Pregnancy Late in Life: A Hospital-Based Study of Birth Outcomes

Delpisheh, Ali; Brabin, Loretta; Attia, Eman Zekry; Brabin, Bernard J.

doi:10.1089/jwh.2008.0514

Cited by 28 publications

(47 citation statements)

References 32 publications

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“…A retrospective study carried out in Liverpool, Scotland, that included 9,506 records of births, observed a frequency of low birth weight in pregnant adolescent women and in pregnant late-age women, respectively, which found the presence of low birth weight in the extremes of reproductive life. (19) In an investigation of adolescent mothers, the rates of low-birth-weight deliveries increased consistently with younger maternal age. These rates were higher in newborns of mothers 15 years or younger.…”

Section: Discussionmentioning

confidence: 99%

“…(8) In women with late gestation, more spontaneous and induced abortions have been seen, as well as increased risks for perinatal mortality, low vitality of the newborn, low birth weight, preterm delivery, and a small-for-gestational-age fetus. (9) Gestation of women with advanced maternal age has been considered a high risk factor, mainly for the growing incidence of hypertensive syndromes, premature rupture of membranes, diabetes, and a higher risk for a five-minute Apgar score of less than seven. (10) This study analyzed and compared perinatal results of pregnancy in adolescent women and in women between 20 and 34 years old from data collected from a Live Born Information System.…”

Section: Introductionmentioning

confidence: 99%

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Idade materna e fatores associados a resultados perinatais

et al. 2013

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Objective: To analyze and compare perinatal outcomes of pregnant adolescent women and pregnant women in later age (between 20 and 34 years old) from data of a Live Born Information System. Methods: A cross-sectional study was carried out with data collected retrospectively of 18,009 live born infants from consults of data of a Live Born Information System. Registers of live born infants were distributed in three groups: group I (adolescents) -10 to 19 years old; group II -20 to 34 years old; and group III (later age) -35 years or older. Results: Findings showed that perinatal risks were related to prematurity (OR 1,35) and five-minute Apgar scores of less than seven (OR 1,44) among infants born to adolescent mothers. Conclusion: Results pointed out high indexes of preterm birth in low-birth-weight infants and five-minute Apgar scores of less than seven in pregnancies that occurred in adolescents and in women 35 years and older. ResumoObjetivo: Analisar e comparar os resultados perinatais de gestantes adolescentes e em idade tardia com mulheres entre 20 a 34 anos, a partir dos dados do Sistema de Informação de Nascidos Vivos. Métodos: Foi realizado um estudo transversal, com coleta de dados retrospectiva de 18009 nascidos vivos a partir de consultas aos dados do Sistema de Informação de Nascidos Vivos. Os registros dos nascidos vivos foram distribuídos em três grupos: grupo I (adolescentes) -10 a 19 anos; grupo II -20 a 34 anos e grupo III (idade tardia) -35 anos ou mais. Resultados: Os resultados mostraram riscos perinatais relacionados à prematuridade (OR 1,35) e Apgar quinto minuto menor que sete (OR 1,44) em mães adolescentes. O baixo peso ao nascer apresentou risco de 1,22 e 1,24 vezes entre as gestantes do grupo I e III. Conclusão: Os resultados apontaram elevados índices de nascimento pré-termo, baixo peso ao nascer e Apgar no quinto minuto menor que sete nas gestações ocorridas em adolescentes e em mulheres com idade igual ou superior aos 35 anos.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Idade materna e fatores associados a resultados perinatais

et al. 2013

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“…1,[6][7][8][9][12][13][14] No entanto, a perceção das mães em relação a uma gravidez tardia é pouco conhecida. 3,[13][14][15] Nos quatro meses em que decorreu este estudo verificou-se que 32,2% (n = 237) do total de nascimentos foram de mães com idade igual ou superior a 35 anos, o que está de acordo não só com o que se verificou no total de nascimentos do ano de 2015 no mesmo hospital (32%), 5 mas também a nível nacional.…”

Section: Discussionunclassified

“…1,[6][7][8][9][12][13][14] Tal como descrito na literatura, verificou-se de forma estatisticamente significativa que as mulheres IMA já tinham tido um maior número de abortos espontâneos. Verificou-se ainda um maior número de cesarianas neste grupo, tal como referido em estudos anteriores.…”

Section: Discussionunclassified

Ser Mãe Depois dos 35 Anos: Será Diferente?

et al. 2017

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Results:Of the 736 women admitted to the hospital (32.2% with advanced maternal age), 306 were included in the study (153 in each group). In the non-advanced maternal age group there was a greater number of primiparous women (p < 0.01). In the advanced maternal age group, more previous miscarriages were observed (p < 0.001), as well as a higher use of assisted reproductive techniques (p < 0.01), preformed of amniocentesis (p < 0.001) and dystocia, including caesarean sections (p < 0.001). No association was found regarding the presence of maternal complications in pregnancy, birth defects, need for neonatal resuscitation or prematurity. As for the perception of risk in pregnancy, the non-advanced maternal age group considered it to be superior (p < 0.05). Discussion: Most women of advanced maternal age have term deliveries without complications. Neonatal outcomes seem not to have been influenced by the advanced maternal age. Conclusion:The consequences of an advanced maternal age pregnancy in this sample did not have the same clinical expression as described in the literature. In the future, advanced maternal age will possibly be considered after age 40.

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“…14,17,19 Early booking, close supervision in the antenatal and intrapartum period, appropriately timed obstetric intervention and the advocation of active management of labour may have contributed to good fetal outcome. 9 Obstetric practice presently has moved away from high cavity forceps delivery and unwarranted breech extraction.…”

Section: Perinatal Mortality and Morbiditymentioning

confidence: 99%