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Does Advanced Maternal Age Comprise an Independent Risk Factor for Caesarean Section? A Population-Wide Study
Objective: To investigate the association between a mother’s age and the risk of caesarean section (CS) when controlling for health factors and selected sociodemographic characteristics. Methods: Binary logistic regression models for all women who gave birth in Czechia in 2018 (N = 111,749 mothers w...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9819592/ https://www.ncbi.nlm.nih.gov/pubmed/36612987 http://dx.doi.org/10.3390/ijerph20010668 |
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author | Šťastná, Anna Fait, Tomáš Kocourková, Jiřina Waldaufová, Eva |
author_facet | Šťastná, Anna Fait, Tomáš Kocourková, Jiřina Waldaufová, Eva |
author_sort | Šťastná, Anna |
collection | PubMed |
description | Objective: To investigate the association between a mother’s age and the risk of caesarean section (CS) when controlling for health factors and selected sociodemographic characteristics. Methods: Binary logistic regression models for all women who gave birth in Czechia in 2018 (N = 111,749 mothers who gave birth to 113,234 children). Results: An increase in the age of a mother significantly increases the odds of a CS birth according to all of the models; depending on the model, OR: 1.62 (95% CI 1.54–1.71) to 1.84 (95% CI 1.70–1.99) for age group 35–39 and OR: 2.83 (95% CI 2.60–3.08) to 3.71 (95% CI 3.23–4.27) for age group 40+ compared to age group 25–29. This strong association between the age of a mother and the risk of CS is further reinforced for primiparas (probability of a CS: 11% for age category ≤ 19, 23% for age category 35–39, and 38% for age category 40+). However, the increasing educational attainment of young women appears to have weakened the influence of increasing maternal age on the overall share of CS births; depending on the model, OR: 0.86 (95% CI 0.80–0.91) to 0.87 (95% CI 0.83–0.91) for tertiary-educated compared to secondary-educated women. Conclusions: The age of a mother comprises an independent risk factor for a CS birth when the influence of health, socioeconomic, and demographic characteristics is considered. |
format | Online Article Text |
id | pubmed-9819592 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-98195922023-01-07 Does Advanced Maternal Age Comprise an Independent Risk Factor for Caesarean Section? A Population-Wide Study Šťastná, Anna Fait, Tomáš Kocourková, Jiřina Waldaufová, Eva Int J Environ Res Public Health Article Objective: To investigate the association between a mother’s age and the risk of caesarean section (CS) when controlling for health factors and selected sociodemographic characteristics. Methods: Binary logistic regression models for all women who gave birth in Czechia in 2018 (N = 111,749 mothers who gave birth to 113,234 children). Results: An increase in the age of a mother significantly increases the odds of a CS birth according to all of the models; depending on the model, OR: 1.62 (95% CI 1.54–1.71) to 1.84 (95% CI 1.70–1.99) for age group 35–39 and OR: 2.83 (95% CI 2.60–3.08) to 3.71 (95% CI 3.23–4.27) for age group 40+ compared to age group 25–29. This strong association between the age of a mother and the risk of CS is further reinforced for primiparas (probability of a CS: 11% for age category ≤ 19, 23% for age category 35–39, and 38% for age category 40+). However, the increasing educational attainment of young women appears to have weakened the influence of increasing maternal age on the overall share of CS births; depending on the model, OR: 0.86 (95% CI 0.80–0.91) to 0.87 (95% CI 0.83–0.91) for tertiary-educated compared to secondary-educated women. Conclusions: The age of a mother comprises an independent risk factor for a CS birth when the influence of health, socioeconomic, and demographic characteristics is considered. MDPI 2022-12-30 /pmc/articles/PMC9819592/ /pubmed/36612987 http://dx.doi.org/10.3390/ijerph20010668 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Šťastná, Anna Fait, Tomáš Kocourková, Jiřina Waldaufová, Eva Does Advanced Maternal Age Comprise an Independent Risk Factor for Caesarean Section? A Population-Wide Study |
title | Does Advanced Maternal Age Comprise an Independent Risk Factor for Caesarean Section? A Population-Wide Study |
title_full | Does Advanced Maternal Age Comprise an Independent Risk Factor for Caesarean Section? A Population-Wide Study |
title_fullStr | Does Advanced Maternal Age Comprise an Independent Risk Factor for Caesarean Section? A Population-Wide Study |
title_full_unstemmed | Does Advanced Maternal Age Comprise an Independent Risk Factor for Caesarean Section? A Population-Wide Study |
title_short | Does Advanced Maternal Age Comprise an Independent Risk Factor for Caesarean Section? A Population-Wide Study |
title_sort | does advanced maternal age comprise an independent risk factor for caesarean section? a population-wide study |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9819592/ https://www.ncbi.nlm.nih.gov/pubmed/36612987 http://dx.doi.org/10.3390/ijerph20010668 |
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