The Impact of Advanced Maternal Age on Pregnancy Outcomes: A Retrospective Multicenter Study.

NICU admission advanced maternal age cesarean delivery mechanical ventilation neonatal asphyxia perinatal outcomes preterm delivery

Journal

Journal of clinical medicine
ISSN: 2077-0383
Titre abrégé: J Clin Med
Pays: Switzerland
ID NLM: 101606588

Informations de publication

Date de publication:
01 Sep 2023
Historique:
received: 20 07 2023
revised: 24 08 2023
accepted: 29 08 2023
medline: 9 9 2023
pubmed: 9 9 2023
entrez: 9 9 2023
Statut: epublish

Résumé

The aim of this multicenter retrospective cohort study was to examine the impact of maternal age on perinatal outcomes in multiparas, stratified according to maternal age in one- and two-year increments. The analysis involved 302,484 multiparas who delivered between the years 2003 and 2021 in four university-affiliated obstetrics departments. Maternal age was considered both as a continuous variable and in two-year intervals, as compared with a comparison group of parturients aged 25-30 years. The study focused on cesarean delivery and neonatal intensive care unit (NICU) admission as primary outcomes. The findings revealed that cesarean delivery rates increased as maternal age advanced, with rates ranging from 6.7% among 25-30 year olds, rising continuously from 13.5% to 19.9% between the age strata of 31 and 42, to exceeding 20% among those aged ≥ 43 years (

Identifiants

pubmed: 37685763
pii: jcm12175696
doi: 10.3390/jcm12175696
pmc: PMC10488955
pii:
doi:

Types de publication

Journal Article

Langues

eng

Références

BJOG. 2017 Jul;124(8):1235-1244
pubmed: 27770495
J Matern Fetal Neonatal Med. 2018 Jan;31(2):209-215
pubmed: 28081642
Am J Obstet Gynecol. 2018 Oct;219(4):390.e1-390.e15
pubmed: 30153431
Am J Obstet Gynecol. 2016 Mar;214(3):362.e1-7
pubmed: 26454124
Isr Med Assoc J. 2005 May;7(5):311-4
pubmed: 15909464
Immunity. 2018 May 15;48(5):951-962.e5
pubmed: 29768178
Am J Obstet Gynecol. 2019 Sep;221(3):183-193
pubmed: 30802436
Am J Obstet Gynecol. 2011 Mar;204(3):193-201
pubmed: 21094932
Natl Vital Stat Rep. 2002 Dec 18;51(2):1-102
pubmed: 12596439
Obstet Gynecol. 2016 Mar;127(3):426-436
pubmed: 26855098
Clin Obstet Gynecol. 1986 Dec;29(4):816-25
pubmed: 3545586
Am J Cardiol. 1997 Dec 1;80(11):1469-73
pubmed: 9399724
BMC Pregnancy Childbirth. 2019 Sep 23;19(1):342
pubmed: 31547808
Natl Vital Stat Rep. 2021 Feb;70(17):1-50
pubmed: 35157571
Birth. 2010 Sep;37(3):219-26
pubmed: 20887538
Cochrane Database Syst Rev. 2013 Jan 31;(1):CD003311
pubmed: 23440789
Clin Perinatol. 2005 Sep;32(3):571-600
pubmed: 16085021
Am J Obstet Gynecol. 2010 Dec;203(6):558.e1-7
pubmed: 20965486
Semin Perinatol. 1977 Jan;1(1):71-7
pubmed: 106471
Ultrasound Obstet Gynecol. 2013 Dec;42(6):634-43
pubmed: 23630102
PLoS One. 2018 Jan 31;13(1):e0191002
pubmed: 29385154
Obstet Gynecol. 1999 Jan;93(1):9-14
pubmed: 9916947
JAMA. 2011 Dec 14;306(22):2469-79
pubmed: 22166606
BMC Pregnancy Childbirth. 2018 Aug 22;18(1):343
pubmed: 30134873
Acta Obstet Gynecol Scand. 2010 Jul;89(7):862-75
pubmed: 20583931
PLoS Med. 2017 May 30;14(5):e1002307
pubmed: 28558024

Auteurs

Hila Hochler (H)

Department of Obstetrics and Gynecology, Hadassah Medical Center Mount-Scopus, Faculty of Medicine, Hebrew University of Jerusalem, Jerusalem 9765422, Israel.

Michal Lipschuetz (M)

Department of Obstetrics and Gynecology, Hadassah Medical Center Mount-Scopus, Faculty of Medicine, Hebrew University of Jerusalem, Jerusalem 9765422, Israel.
Henrietta Szold School of Nursing, Faculty of Medicine, Hadassah and the Hebrew University, Jerusalem 91120, Israel.

Yael Suissa-Cohen (Y)

Department of Obstetrics and Gynecology, Hadassah Medical Center Mount-Scopus, Faculty of Medicine, Hebrew University of Jerusalem, Jerusalem 9765422, Israel.

Ari Weiss (A)

Department of Obstetrics & Gynecology, Shaare Zedek Medical Center, Faculty of Medicine, Affiliated with the Hebrew University School of Medicine, Jerusalem 91031, Israel.

Hen Y Sela (HY)

Department of Obstetrics & Gynecology, Shaare Zedek Medical Center, Faculty of Medicine, Affiliated with the Hebrew University School of Medicine, Jerusalem 91031, Israel.

Simcha Yagel (S)

Department of Obstetrics and Gynecology, Hadassah Medical Center Mount-Scopus, Faculty of Medicine, Hebrew University of Jerusalem, Jerusalem 9765422, Israel.

Joshua I Rosenbloom (JI)

Department of Obstetrics and Gynecology, Hadassah Medical Center Ein-Kerem, Faculty of Medicine, Hebrew University of Jerusalem, Jerusalem 91121, Israel.

Sorina Grisaru-Granovsky (S)

Department of Obstetrics & Gynecology, Shaare Zedek Medical Center, Faculty of Medicine, Affiliated with the Hebrew University School of Medicine, Jerusalem 91031, Israel.

Misgav Rottenstreich (M)

Department of Obstetrics & Gynecology, Shaare Zedek Medical Center, Faculty of Medicine, Affiliated with the Hebrew University School of Medicine, Jerusalem 91031, Israel.
Department of Nursing, Jerusalem College of Technology, Jerusalem 9548301, Israel.

Classifications MeSH