Impact of Maternal Age on Obstetric Complications among Women
Keywords:
Teenage Pregnancy, Advanced Maternal Age, Maternal Age, Pregnancy Outcomes, Obstetric ComplicationsAbstract
This retrospective research aimed to study the impact of maternal age on obstetric complications among women. The obstetric complications of 1,117 mothers aged 19 years or younger were analyzed and compared with those of 584 mothers aged 35 or older. Data were collected regarding women delivering in Khon Kaen hospital and retrieved from the electronic database of the hospital. The information was obtained from each record regarding characteristics, maternal and neonatal complications. The demographic data were analyzed by using frequency and percentage. The relationship between age and complications were analyzed using odd ratio.
The results showed that advanced maternal aged was correlated with severe pregnancy induced hypertension, hyperthyroidism, previous cesarean section, gestational diabetes mellitus class A1 and A2, placenta previa and breech presentation during pregnancy, but lower risk of thalassemia and premature rupture of membrane when compared to teenage group. During intrapartum, advanced maternal aged was correlated with fetal distress; however, thick meconium stained aspiration, nuchal cord and low birth weight constituted low risk. Moreover, advanced maternal aged was associated with uterine atony and hypoglycemia, but odds ratios were significantly decreased the risk of retained placenta in postpartum period.
Monitoring and screening obstetric complications in both teenage and advanced maternal age groups are importance and necessary to prevent high risks.
References
Ates, S., Batmaz, G., Sevket, O., Molla, T., Dane, C., & Dane, B. (2013). Pregnancy Outcome of Multiparous Women Aged Over 40 Years. International Journal of Reproductive Medicine. 1-5. doi.org/10.1155/2013/287519
Azevedo, W. F., Diniz, M. B., Fonseca, E. S., Azevedo, L. M., & Evangelista, C. B. (2015). Complications in Adolescent Pregnancy: Systematic Review of The Literature. Einstein, 13(4), 618-26. doi: 10.1590/S1679-45082015RW3127.
Blomberg, M., Tyrberg, R. B., & Kjølhede, P. (2014). Impact of Maternal Age on Obstetric and Neonatal Outcome with Emphasis on Primiparous Adolescents and Older Women: A Swedish Medical Birth Register Study. British Medical Journal, 4, e005840. doi:10.1136/bmjopen-2014-005840
Gaillard, R., Bakker, R., Steegers, E. A., Hofman, A., & Jaddoe, V. W. (2011). Maternal Age During Pregnancy is Associated with Third Trimester Blood Pressure Level: The Generation R Study. American Journal of Hypertension, 24(9), 1046-59.
Khalil, A., Syngelaki, A., Maiz, N., Zinevich, Y., & Nicolaides, K. H. (2013). Maternal Age and Adverse Pregnancy Outcome: A Cohort Study. Ultrasound Obstetrics and Gynecology, 42, 634–643. doi: 10.1002/uog.12494
Kittipiboon, S. (2010). Teenage Pregnancy in Trad Hospital, Thailand. The Journal of Prapokklao Hospital Clinical Medical Education, 27(2), 107-114 (in Thai).
Koo, Y-J., Ryu, H-M., Yang, J-H., Lim J-H., Lee, J-E., Kim, M-Y., et al. (2012). Pregnancy Outcomes According to Increasing Maternal age. Taiwanese Journal of Obstetrics & Gynecology, 51, 60-65. Retrieved January 20, 2015 from http://www.tjog-online.com/article/S1028-4559(12)00013-7/pdf
Lao, T. T., Sahota, D. S., Cheng, Y. K. Y., Law, L. W., & Leung, T. Y. (2014) Advanced Maternal Age and Postpartum Hemorrhage-Risk Factor or Red Herring?. The Journal of Maternal-Fetal & Neonatal Medicine, 27(3), 243-246, doi:10.3109/ 14767058.2013.807240
Lawaratanakorn, B. (2012). Maternal Age and Neonatal Outcomes, In Pregnant Women and Child Who Gave Birth at Kanthaluk Hospital. Journal of the Office of DPC 7 Khon Kaen. 7, 11(1), 1-9. Retrieved January 13, 2015 from file:///C:/Users/asus%20pc/ Downloads/2628-2812-1-PB.pdf (in Thai)
Lisonkova, S., Potts, J., Muraca, G. M., Razaz, N., Sabr, Y., Chan, W. S., & Kramer, M. S. (2017). Maternal Age and Severe Maternal Morbidity: A Population-Based Retrospective Cohort Study. Public Library of Science Medicine, 14(5), 1-19. Retrieved December 22, 2017 from e1002307.https://doi.org/10.1371/journal. pmed.1002307
Marx, H., Amin, P., & Lazarus, J. H. (2008). Hyperthyroidism and Pregnancy. British Medical Journal, 336(7645), 663-667. doi:10.1136/bmj.39462.709005.AE
Mattson, S., & Smith, J. E. (2016). Core Curriculum for Maternal-Newborn Nursing. (5th ed.). St. Louis, M0: Elsevier Inc.
Narukhutrpichai, P., Khrutmuang, D., & Chattrapiban, T. (2016). The Obstetrics and Neonatal Outcomes of Teenage Pregnancy in Naresuan University Hospital. Journal of the Medical Association of Thailand, 99(4), 361-7. Retrieved December 2, 2016 from https://www.ncbi.nlm.nih.gov/pubmed/?term=Narukhutrpichai%20P%5B Author% 5D&cauthor=true&cauthoruid=27396218
Obstetrics and Gynecology Department, Khon Kaen Hospital. (2015). Annual Statistical Report. Khon Kaen: Obstetrics and Gynecology Department, Khon Kaen Hospital. (in Thai)
Perry, S. E., Hockenberry, M. J., Lowdermilk, D. L., Wilson, D., Alden, K. R., & Cashion, M. C. (2018). Maternal Child Nursing Care. 6th ed. St. Louis, Missouri: Elsevier.
Phupong, V. (Editor). (2012). Management of Common Problems in Obstetrics. Samutsakorn, Thailand: Pimdee. (in Thai)
Promlungka, K., Boonyatarp, K., Khamsripon, P., Laohawat, W., Kovjiriyapan, K., & Chandeying, V. (2014). Pregnancy Outcomes of Elderly and Adult Gravidarum at Phayao Hospital. Journal of Prapokklao Hospital Clinical Medicine and Education Center, 31, 148-155. Retrieved December 12, 2016 from https://www.tci-thaijo.org/index.php/ppkjournal/article/ view/68448/55728. (in Thai)
Rendtorff, R., Hinkson, L., Kiver, V., Dröge, L. A., & Henrich, W. (2017). Pregnancies in Women Aged 45 Years and Older - A 10-Year Retrospective Analysis in Berlin. Geburtshilfe Frauenheilkd, 77(3), 268-275. doi: 10.1055/s-0043-100105.
Sananpanichkul, S., & Leaungsomnapa, Y. (2015). Adolescent Pregnancy: Maternal Factors Effect on Fetal Outcomes. Journal of Prapokklao Hospital Clinical Medicine and Education Center, 32:147-156. Retrieved December 12, 2016 from https://tci-thaijo. org/index.php/ppkjournal /article/view/ 67866/ 55348. (in Thai)
Thaewpia, S., Howland L. C., Clark M. R., & James K. S., (2013). Relationships among Health Promoting Behaviors and Maternal and Infant Birth Outcomes in Older Pregnant Thais. Pacific Rim International Journal of Nursing Research, 17(1), 28-38. Retrieved May 28, 2015 from file:///C:/Users/asus%20pc/Downloads/6359-Article%20Text-12344-1-10-20130227.pdf
Thaewpia, S., & Tanglakmankhong, K. (2017). Advanced Maternal Age Pregnancy: Nursing Concern for Nurse-Midwifery. Journal of Nursing Science & Health, 40(1), 144-152. Retrieved November 2, 2017 from https://www.tci-thaijo.org/index.php/nah/article/ view/91983. (in Thai)
Traisrisilp, K., Jaiprom, J., Luewan, S., & Tongsong, T. (2015). Pregnancy Outcomes among Mothers Aged 15 Years or Less. The Journal of Obstetrics and Gynaecology Research. 41(11), 1726-1731. Retrieved December 22, 2017 from https://doi.org/ 10.1111/jog.12789
Unicef Thailand. (2015). The Report of Synthesis and Analysis of Teenage Pregnancy Situation in Thailand. Retrieved November 2, 2017 from https://www.unicef.org/ thailand/tha/160705_SAAP_ in_Thailand_ report_TH.pdf. (in Thai)
Unicef. (2015). Conceptual Framework for Maternal and Neonatal Mortality and Morbidity. Retrieved April 18, 2015 from https://www.unicef.org/sowc09/docs/SOWC09-Figure-1.7-EN.pdf
Wanakosit, S. (2012). Pregnancy Outcomes Between Teenage Pregnancy and Adult Pregnancy at Lahansai Hospital, Thailand. Journal of Prapokklao Hospital Clinical Medicine and Education Center, 29, 283-292. Retrieved December 22, 2017 from file:///C:/Users/ asus%20pc/Downloads/70760-166138-1-PB.pdf. (Thai edition)
Downloads
Published
Issue
Section
License
1. บทความหรือข้อคิดเห็นใด ๆ ที่ปรากฏในวารสารเครือข่าย วิทยาลัยพยาบาลและการสาธารณสุขภาคใต้ ที่เป็นวรรณกรรมของผู้เขียน บรรณาธิการหรือเครือข่ายวิทยาลัยพยาบาลและวิทยาลัยการสาธารณสุขภาคใต้ ไม่จำเป็นต้องเห็นด้วย
2. บทความที่ได้รับการตีพิมพ์ถือเป็นลิขสิทธิ์ของ วารสารเครือข่ายวิทยาลัยพยาบาลและการสาธารณสุขภาคใต้
