Cargando…

Age, mode of conception, health service use and pregnancy health: a prospective cohort study of Australian women

BACKGROUND: There is limited evidence about the ways in which maternal age and mode of conception interact with psychological, sociodemographic, health and health service factors in governing pregnancy health. The aim of this study was to establish in what ways maternal age and mode of conception ar...

Descripción completa

Detalles Bibliográficos
Autores principales: Fisher, Jane, Wynter, Karen, Hammarberg, Karin, McBain, John, Gibson, Frances, Boivin, Jacky, McMahon, Catherine
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3622566/
https://www.ncbi.nlm.nih.gov/pubmed/23565589
http://dx.doi.org/10.1186/1471-2393-13-88
_version_ 1782265844198277120
author Fisher, Jane
Wynter, Karen
Hammarberg, Karin
McBain, John
Gibson, Frances
Boivin, Jacky
McMahon, Catherine
author_facet Fisher, Jane
Wynter, Karen
Hammarberg, Karin
McBain, John
Gibson, Frances
Boivin, Jacky
McMahon, Catherine
author_sort Fisher, Jane
collection PubMed
description BACKGROUND: There is limited evidence about the ways in which maternal age and mode of conception interact with psychological, sociodemographic, health and health service factors in governing pregnancy health. The aim of this study was to establish in what ways maternal age and mode of conception are associated with, health behaviours, health service use and self-rated physical and mental health during pregnancy. METHOD: A prospective cohort study was conducted in a collaboration between universities, infertility treatment services and public and private obstetric hospitals in Melbourne and Sydney, Australia,. Consecutive cohorts of nulliparous English-literate women at least 28 weeks pregnant who had conceived through ART (ARTC) or spontaneously (SC) in three age-groups: 20–30; 31–36 and at least 37 years were recruited. Data were obtained via structured individual telephone interviews and self-report postal questionnaires at recruitment and four months postpartum. Study-specific questions assessed: sociodemographic characteristics; reproductive health; health behaviours and health service use. Standardized instruments assessed physical health: SF 12 Physical Component Score (PCS) and mental health: SF12 Mental Component Score (MCS); State Trait Anxiety Inventory and Edinburgh Postnatal Depression Scale. The main outcome measures were the SF 12 PCS, SF12 MCS scores and pregnancy-related hospital admissions. RESULTS: Of 1179 eligible women 791 (67%) participated, 27 had fertility treatment without oocyte retrieval and were excluded and 592/764 (78%) completed all pregnancy assessments. When other factors were controlled speaking a language other than English, having private health insurance and multiple gestation were associated with worse physical health and having private health insurance and better physical health were associated with better mental health. Pregnancy-related hospital admissions were associated with worse physical health and multiple gestation. CONCLUSIONS: Maternal age and mode of conception are not associated with pregnancy health and health service use when sociodemographic factors are considered.
format Online
Article
Text
id pubmed-3622566
institution National Center for Biotechnology Information
language English
publishDate 2013
publisher BioMed Central
record_format MEDLINE/PubMed
spelling pubmed-36225662013-04-11 Age, mode of conception, health service use and pregnancy health: a prospective cohort study of Australian women Fisher, Jane Wynter, Karen Hammarberg, Karin McBain, John Gibson, Frances Boivin, Jacky McMahon, Catherine BMC Pregnancy Childbirth Research Article BACKGROUND: There is limited evidence about the ways in which maternal age and mode of conception interact with psychological, sociodemographic, health and health service factors in governing pregnancy health. The aim of this study was to establish in what ways maternal age and mode of conception are associated with, health behaviours, health service use and self-rated physical and mental health during pregnancy. METHOD: A prospective cohort study was conducted in a collaboration between universities, infertility treatment services and public and private obstetric hospitals in Melbourne and Sydney, Australia,. Consecutive cohorts of nulliparous English-literate women at least 28 weeks pregnant who had conceived through ART (ARTC) or spontaneously (SC) in three age-groups: 20–30; 31–36 and at least 37 years were recruited. Data were obtained via structured individual telephone interviews and self-report postal questionnaires at recruitment and four months postpartum. Study-specific questions assessed: sociodemographic characteristics; reproductive health; health behaviours and health service use. Standardized instruments assessed physical health: SF 12 Physical Component Score (PCS) and mental health: SF12 Mental Component Score (MCS); State Trait Anxiety Inventory and Edinburgh Postnatal Depression Scale. The main outcome measures were the SF 12 PCS, SF12 MCS scores and pregnancy-related hospital admissions. RESULTS: Of 1179 eligible women 791 (67%) participated, 27 had fertility treatment without oocyte retrieval and were excluded and 592/764 (78%) completed all pregnancy assessments. When other factors were controlled speaking a language other than English, having private health insurance and multiple gestation were associated with worse physical health and having private health insurance and better physical health were associated with better mental health. Pregnancy-related hospital admissions were associated with worse physical health and multiple gestation. CONCLUSIONS: Maternal age and mode of conception are not associated with pregnancy health and health service use when sociodemographic factors are considered. BioMed Central 2013-04-08 /pmc/articles/PMC3622566/ /pubmed/23565589 http://dx.doi.org/10.1186/1471-2393-13-88 Text en Copyright © 2013 Fisher et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Fisher, Jane
Wynter, Karen
Hammarberg, Karin
McBain, John
Gibson, Frances
Boivin, Jacky
McMahon, Catherine
Age, mode of conception, health service use and pregnancy health: a prospective cohort study of Australian women
title Age, mode of conception, health service use and pregnancy health: a prospective cohort study of Australian women
title_full Age, mode of conception, health service use and pregnancy health: a prospective cohort study of Australian women
title_fullStr Age, mode of conception, health service use and pregnancy health: a prospective cohort study of Australian women
title_full_unstemmed Age, mode of conception, health service use and pregnancy health: a prospective cohort study of Australian women
title_short Age, mode of conception, health service use and pregnancy health: a prospective cohort study of Australian women
title_sort age, mode of conception, health service use and pregnancy health: a prospective cohort study of australian women
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3622566/
https://www.ncbi.nlm.nih.gov/pubmed/23565589
http://dx.doi.org/10.1186/1471-2393-13-88
work_keys_str_mv AT fisherjane agemodeofconceptionhealthserviceuseandpregnancyhealthaprospectivecohortstudyofaustralianwomen
AT wynterkaren agemodeofconceptionhealthserviceuseandpregnancyhealthaprospectivecohortstudyofaustralianwomen
AT hammarbergkarin agemodeofconceptionhealthserviceuseandpregnancyhealthaprospectivecohortstudyofaustralianwomen
AT mcbainjohn agemodeofconceptionhealthserviceuseandpregnancyhealthaprospectivecohortstudyofaustralianwomen
AT gibsonfrances agemodeofconceptionhealthserviceuseandpregnancyhealthaprospectivecohortstudyofaustralianwomen
AT boivinjacky agemodeofconceptionhealthserviceuseandpregnancyhealthaprospectivecohortstudyofaustralianwomen
AT mcmahoncatherine agemodeofconceptionhealthserviceuseandpregnancyhealthaprospectivecohortstudyofaustralianwomen