Impact of maternal age on intrapartum caesarean delivery rate in nulliparas with spontaneous labour

Journal of Gynecology Obstetrics and Human Reproduction
Simon CrequitOlivier Sibony

Abstract

The advanced maternal age rate increases in developed countries. Older women have more pre-existing condition than youngest women and develop more frequently obstetrical pathologies responsible for a higher rate of caesarean delivery before labour and labour induction. For aged nulliparous without pathology who experience spontaneous labour, there is few data on the mode of delivery and on physiological labour according to maternal age. To compare the intrapartum caesarean delivery rate according to maternal age, for nulliparous with planned vaginal delivery and spontaneous labour at term. Retrospective cohort in a single academic institution between January 2000 and June 2017. All nulliparous women with planned vaginal delivery with live singleton in cephalic presentation at and after 37 weeks of gestation with spontaneous labour were included (n = 10,611). Two groups were compared: nulliparous women aged 20-34 and nulliparous women aged 35 and over. The main outcome was the intrapartum caesarean delivery rate. A subgroup analysis was performed for nulliparous with more advanced maternal age defined as women over 40. Among the 10,611 women included in this analysis, 8,993 (84.8%) were aged 20-34 and 1,618 (15.2%) were aged ove...Continue Reading

References

Mar 8, 1990·The New England Journal of Medicine·G S BerkowitzR L Berkowitz
Jun 1, 1996·Obstetrics and Gynecology·A BiancoR L Berkowitz
Aug 1, 1997·Obstetrics and Gynecology·B S CrawfordK Harrigill
Jun 28, 2000·American Journal of Obstetrics and Gynecology·D M MainD H Moore
Oct 20, 2001·American Journal of Obstetrics and Gynecology·J L EckerE S Lieberman
Sep 5, 2006·American Journal of Obstetrics and Gynecology·Ann TreacyColm O'Herlihy
Feb 10, 2007·Human Reproduction·Barbara Luke, Morton B Brown
Jul 4, 2008·PLoS Medicine·Gordon C S SmithMichael Fleming
Nov 26, 2010·Obstetrics and Gynecology·Jun ZhangUNKNOWN Consortium on Safe Labor
Aug 3, 2011·American Journal of Perinatology·Daniel H KortMark V Sauer
May 31, 2012·Journal of Muscle Research and Cell Motility·Sarah ArrowsmithSusan Wray
Sep 8, 2012·Journal of Midwifery & Women's Health·Hamideh BayrampourSuzanne Tough
Jun 13, 2013·BJOG : an International Journal of Obstetrics and Gynaecology·D A VaughanD J Murphy
Aug 16, 2013·BJOG : an International Journal of Obstetrics and Gynaecology·R KlemettiE Hemminki
Mar 12, 2015·Reproductive Sciences·Denis J CrankshawJohn J Morrison
Oct 17, 2017·Journal of Gynecology Obstetrics and Human Reproduction·B BlondelUNKNOWN National Coordination Group of the National Perinatal Surveys

❮ Previous
Next ❯

Citations

Sep 21, 2021·American Journal of Obstetrics & Gynecology MFM·Sarah D SmithsonTania F Esakoff

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.