Changes in adverse pregnancy outcomes in women with advanced maternal age (AMA) after the enactment of China's universal two-child policy.


Journal

Scientific reports
ISSN: 2045-2322
Titre abrégé: Sci Rep
Pays: England
ID NLM: 101563288

Informations de publication

Date de publication:
23 03 2022
Historique:
received: 24 09 2021
accepted: 17 02 2022
entrez: 24 3 2022
pubmed: 25 3 2022
medline: 6 5 2022
Statut: epublish

Résumé

The universal two-child policy (TCP; 2016) in China has affected many aspects of maternal-neonatal health. A tertiary hospital-based retrospective study (2011-2019) was used to find the association of these policy changes with maternal age and pregnancy outcomes in women with AMA (≥ 35 years) in the Hubei Province, China. The proportion of neonatal births to women with AMA increased by 68.8% from 12.5% in the one-child policy (OCP) period to 21.1% in the universal TCP period [aOR 1.76 (95% CI: 1.60, 1.93)]. In the univariate analysis, the proportion of preterm births (29.4% to 24.1%), low birth weight (LBW) (20.9% to 15.9%), and hypertensive disorders of pregnancy (HDP) (11.5% to 9.2%) significantly (p < 0.05) decreased in women with AMA from the OCP period to universal TCP period. However, the proportion of intrauterine growth restriction (IUGR) (0.2% to 0.7%) and gestational diabetes mellitus (GDM) (1.7% to 15.6%) was significantly (p < 0.05) increased over the policy changes. After adjusting for confounding factors, only the risk of GDM increased [aOR 10.91 (95% CI: 6.05, 19.67)] in women with AMA from the OCP period to the universal TCP period. In conclusion, the risk of GDM increased in women with AMA from the OCP period to the universal TCP period.

Identifiants

pubmed: 35322808
doi: 10.1038/s41598-022-08396-6
pii: 10.1038/s41598-022-08396-6
pmc: PMC8943149
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

5048

Informations de copyright

© 2022. The Author(s).

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Auteurs

Hui Li (H)

Department of Medicine, Taixing People Hospital, Taizhou, Jiangsu, China.
Department of Preventive Medicine, School of Health Sciences, Wuhan University, Wuhan, Hubei, China. nawshermkd177@gmail.com.

Cuifang Fan (C)

Department of Obstetrics and Gynecology, Renmin Hospital, Wuhan University, Wuhan, Hubei, China.

Shanshan Yin (S)

Henan Academy of Medical Sciences, Zhengzhou, Henan, China.

Ijaz Ul Haq (IU)

Department of Public Health and Nutrition, The University of Haripur, Haripur, Pakistan.

Sumaira Mubarik (S)

Department of Epidemiology and Biostatistics, School of Health Sciences, Wuhan University, Wuhan, Hubei, China.

Ghulam Nabi (G)

Institute of Nature Conservation, Polish Academy of Sciences, Krakow, Poland.

Suliman Khan (S)

Advanced Medical Center, The Second Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan, China. Suliman.khan18@gmail.com.

Linlin Hua (L)

Advanced Medical Center, The Second Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan, China. hualinlin2009@126.com.

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