Featured Research

from universities, journals, and other organizations

Link between maternal age, emergency delivery shown

Date:
August 8, 2014
Source:
Oslo University Hospital
Summary:
An increased risk of emergency operative delivery is linked with increasing maternal age, suggests a new study. The study used a sample of 169,583 low risk, first-time mothers in Norway, to examine the association between maternal age and emergency operative delivery, which include emergency caesarean section and operative vaginal delivery (forceps or ventouse).

Norwegian gynecologist Lina Herstad, Norwegian Resource Centre for Women’s Health, Oslo University Hospital.
Credit: Ram Gupta, Oslo University Hospital

An increased risk of emergency operative delivery is linked with increasing maternal age, suggests a new study published today in BJOG: An International Journal of Obstetrics and Gynaecology.

The study used a sample of 169,583 low risk, first-time mothers in Norway, to examine the association between maternal age and emergency operative delivery, which include emergency caesarean section and operative vaginal delivery (forceps or ventouse).

The paper also examined other risk factors for emergency c-section and operative vaginal delivery. These included; in-labour indications (fetal distress and dystocia), birth weight of over 4000g, gestational age of 42 or more weeks, induction of labour and epidural use.

Results show that women over 40 years old had a 22.4% emergency caesarean section rate and 23.7% operative vaginal delivery rate, compared with 6.7% and 13% respectively in women aged between 20 -- 24 and 8.4% and 16.2% respectively in women aged between 25 -- 29.

Dystocia and fetal distress were the main indication for emergency operative delivery among women in the cohort, with the risk increasing with increased maternal age.

Epidural use was associated with a significant increase in emergency operative delivery and this was greater in older mothers. In women aged 20-24 years, the difference in rate of emergency caesarean section between women who had an epidural and those who did not was 5.9%, this figure rose to 12.9% in women over 40 years old.

High birth weight, gestational age of 42 weeks or more and induction of labour were also each associated with a greater risk of emergency operative delivery and all of these factors increased with rising maternal age.

The authors of the study conclude that the absolute increase in risk, taking into account all contributing factors, was greater in older than younger women for emergency operative delivery. They also emphasise the importance of careful attention needed when managing older mothers who may need interventions during labour.

Lina Herstad, from the Norwegian Resource Centre for Women's Health and co-author of the study said:

"Previous research around advanced maternal age has mainly focused on high risk pregnancies. However, most women of advanced maternal age are healthy, of higher socioeconomically status and are low-risk.

"Our results show that the proportion of operative deliveries increased substantially with maternal age in a low-risk, first time mother cohort. These findings are particularly helpful for both healthcare professionals and women of advanced maternal age in decisions regarding the optimal mode of delivery.

"Further research is needed to look at interventions and operative deliveries across all age groups, taking into account other factors which may have an impact, such as rising obesity rates."

Mike Marsh, BJOG Deputy Editor-in-chief said:

"There is existing evidence of an increase in obstetrical interventions in labour in advanced maternal age, for example induction of labour, use of oxytocin and use of epidural. These interventions may be partly responsible for the increase in emergency operative delivery seen in advanced maternal age.

"This study is interesting as it focuses on low-risk pregnancies only so it is able to examine the role of other contributing factors in the risk of emergency operative delivery across the maternal age range."


Story Source:

The above story is based on materials provided by Oslo University Hospital. Note: Materials may be edited for content and length.


Journal Reference:

  1. L Herstad, K Klungsøyr, R Skjaerven, T Tanbo, L Forsén, T Åbyholm, S Vangen. Maternal age and emergency operative deliveries at term: a population−based registry study among low-risk primiparous women. BJOG: An International Journal of Obstetrics & Gynaecology, 2014; DOI: 10.1111/1471-0528.12962

Cite This Page:

Oslo University Hospital. "Link between maternal age, emergency delivery shown." ScienceDaily. ScienceDaily, 8 August 2014. <www.sciencedaily.com/releases/2014/08/140808163408.htm>.
Oslo University Hospital. (2014, August 8). Link between maternal age, emergency delivery shown. ScienceDaily. Retrieved October 21, 2014 from www.sciencedaily.com/releases/2014/08/140808163408.htm
Oslo University Hospital. "Link between maternal age, emergency delivery shown." ScienceDaily. www.sciencedaily.com/releases/2014/08/140808163408.htm (accessed October 21, 2014).

Share This



More Health & Medicine News

Tuesday, October 21, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

CDC Revamps Ebola Guidelines After Criticism

CDC Revamps Ebola Guidelines After Criticism

Newsy (Oct. 21, 2014) — The Centers for Disease Control and Prevention have issued new protocols for healthcare workers interacting with Ebola patients. Video provided by Newsy
Powered by NewsLook.com
WHO: Ebola Vaccine Trials to Start a in January

WHO: Ebola Vaccine Trials to Start a in January

AP (Oct. 21, 2014) — Tens of thousands of doses of experimental Ebola vaccines could be available for "real-world" testing in West Africa as soon as January as long as they are deemed safe in soon to start trials, the World Health Organization said Tuesday. (Oct. 21) Video provided by AP
Powered by NewsLook.com
First-Of-Its-Kind Treatment Gives Man Ability To Walk Again

First-Of-Its-Kind Treatment Gives Man Ability To Walk Again

Newsy (Oct. 21, 2014) — A medical team has for the first time given a man the ability to walk again after transplanting cells from his brain onto his severed spinal cord. Video provided by Newsy
Powered by NewsLook.com
CDC Issues New Ebola Guidelines for Health Workers

CDC Issues New Ebola Guidelines for Health Workers

Reuters - US Online Video (Oct. 21, 2014) — The U.S. Centers for Disease Control and Prevention has set up new guidelines for health workers taking care of patients infected with Ebola. Linda So reports. Video provided by Reuters
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
 
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:  

Breaking News:

Strange & Offbeat Stories

 

Health & Medicine

Mind & Brain

Living & Well

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:  

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile iPhone Android Web
Follow Facebook Twitter Google+
Subscribe RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins