Advanced Maternal Age as an Obstetric Risk Factor: Current Experience in a Hospital from Northwestern Spain

Authors

  • Laura Peteiro-Mahia Delivery Room Service. Lucus Augusti University Hospital. Lugo. https://orcid.org/0000-0003-2830-5001
  • Susana Blanco-López Delivery Room Service. Lucus Augusti University Hospital. Lugo.
  • Noelia López-Castiñeira Delivery Room Service. Lucus Augusti University Hospital. Lugo.
  • Rocío Navas-Arrebola Baena Centro de Salud. Córdoba.
  • Teresa Seoane-Pillado Research Support Unit. Nursing and Healthcare Research Group. Rheumatology and Health Research Group. Instituto de Investigación Biomédica de A Coruña. Coruña.
  • Sonia Pertega-Díaz Research Support Unit. Nursing and Healthcare Research Group. Rheumatology and Health Research Group. Instituto de Investigación Biomédica de A Coruña. Coruña.

DOI:

https://doi.org/10.20344/amp.16550

Keywords:

Cesarean Section, Delivery, Obstetric, Labor, Obstetric/complications, Maternal Age, Pregnancy

Abstract

Introduction: Studies updating the evidence in advanced maternal age as an independent factor of obstetric risk are needed. The aim of this study was to determine the prevalence of ≥ 35-years-old pregnant women who give birth in a Spanish hospital in Northwestern Spain, and to describe the incidence of maternal and perinatal morbidity and mortality.
Material and Methods: Retrospective follow-up observational study including women ≥ 20 years-old who gave birth over one year (n = 1378). Data were collected from medical records, including socio-demographic characteristics, comorbidities, gestational conditions, variables related with the delivery and perinatal outcomes. Multivariable logistic regression analysis was performed to determine the association of advanced maternal age with obstetric and perinatal outcomes.
Results: Forty-two percent of pregnant women were ≥ 35 years old. In the multivariable analysis, advanced maternal age was associated with the likelihood of gestational diabetes (OR = 1.84; 95% CI = 1.10 - 3.07), hypothyroidism (OR = 2.11; 95% CI = 1.17 - 3.80), lower probability of an eutocic delivery (OR = 0.74; 95% CI = 0.56 - 0.98), and a hospital admission > four days (OR = 2.91; 95% CI = 1.95 - 4.35). An association with the rate of C-sections was not found (OR = 1.24; 95% CI = 0.89 - 1.72).
Conclusion: A high prevalence of pregnant women of advanced maternal age was confirmed. There was a higher rate of comorbidities and longer hospital admissions in older women but not a higher rate of higher C-sections and other complications.

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Author Biography

Laura Peteiro-Mahia, Delivery Room Service. Lucus Augusti University Hospital. Lugo.

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Published

2022-07-01

How to Cite

1.
Peteiro-Mahia L, Blanco-López S, López-Castiñeira N, Navas-Arrebola R, Seoane-Pillado T, Pertega-Díaz S. Advanced Maternal Age as an Obstetric Risk Factor: Current Experience in a Hospital from Northwestern Spain. Acta Med Port [Internet]. 2022 Jul. 1 [cited 2024 May 19];35(7-8):550-7. Available from: https://actamedicaportuguesa.com/revista/index.php/amp/article/view/16550