METHOD: We used data on 6,805 live births from the National Maternal and Infant Health Survey to examine the positive association between maternal age and Cesarean delivery. RESULTS: For parous women, the unadjusted risk ratio [RR] for Cesarean, comparing 35 year olds with 20 year olds, was estimated to be 1.40 [95% confidence limits (CL)=1.18, 1.65]; this association disappeared upon adjustment for obstetrical predictors and other factors (adjusted RR=1.04; 95% CL=0.80, 1.35). In contrast, for nulliparous women, the unadjusted risk ratio was 2.16 (95% CL=1.78, 2.63) and remained substantial upon adjustment (RR=1.74; 95% CL=1.25, 2.43). CONCLUSION: These results, along with baseline risk information, suggest that older nulliparous women and their obstetricians should be the target of future efforts to control Cesarean rates.
METHOD: We used data on 6,805 live births from the National Maternal and Infant Health Survey to examine the positive association between maternal age and Cesarean delivery. RESULTS: For parous women, the unadjusted risk ratio [RR] for Cesarean, comparing 35 year olds with 20 year olds, was estimated to be 1.40 [95% confidence limits (CL)=1.18, 1.65]; this association disappeared upon adjustment for obstetrical predictors and other factors (adjusted RR=1.04; 95% CL=0.80, 1.35). In contrast, for nulliparous women, the unadjusted risk ratio was 2.16 (95% CL=1.78, 2.63) and remained substantial upon adjustment (RR=1.74; 95% CL=1.25, 2.43). CONCLUSION: These results, along with baseline risk information, suggest that older nulliparous women and their obstetricians should be the target of future efforts to control Cesarean rates.
Authors: Oluwarotimi Ireti Akinola; Adetokunbo O Fabamwo; Adetokunbo O Tayo; Kabiru A Rabiu; Yusuf A Oshodi; Mercy E Alokha Journal: BMC Pregnancy Childbirth Date: 2014-06-30 Impact factor: 3.007
Authors: Gordon C S Smith; Yolande Cordeaux; Ian R White; Dharmintra Pasupathy; Hannah Missfelder-Lobos; Jill P Pell; D Stephen Charnock-Jones; Michael Fleming Journal: PLoS Med Date: 2008-07-01 Impact factor: 11.069