Impact of Maternal Age on The Rate of Caesarean Section in Induced and Spontaneous Labour

Authors

DOI:

https://doi.org/10.36283/ziun-pjmd14-2/006

Keywords:

Maternal Age, Induction of Labour, Caesarean Section

Abstract

Background: Maternal age at childbirth is increasing due to expanded educational and career opportunities for women. The objective of this study was to determine the impact of maternal age on caesarean section rate in induced and spontaneous labor.

Methods: A Parallel Arm Quasi-Experimental study was conducted at the Gynaecology and Obstetrics Department of Zia Uddin University Hospital from July to December 2022, with a sample of 284 pregnant females, aged 17-41 years, with 37-42 completed gestational weeks. Non-probability consecutive sampling technique was used. The spontaneous group was comprised of patients with a natural onset of labor, while those who were induced were included in the induced group. The mode of delivery in both groups was assessed and the association of caesarean section rate with the mode of onset of delivery was analysed by chi-square test.  Data was entered and analysed in SPSS version 21. Effect modification was assessed through stratification of age. Binary logistic regression was applied on caesarean section to address the effect modifiers. P-value ≤ 0.05 was considered statistically significant.

Results: The mean maternal age of women were 28.47 ± 4.868 years. No statistical significance of maternal age was seen with caesarean section in induced and spontaneous labor (p-value = 0.696 and 0.055 respectively).

Conclusion: Maternal age is not associated with an increased rate of caesarean section in induced as well as spontaneous labor.

 

 

 

Author Biographies

  • Syeda Uzma Quadri, CLMO, Teaching Hospital Turbat And Ziauddin University

    Department of Gynaecology,

  • Sumbul Sohail, Zaiuddin University and Hospital, Karachi, Pakistan.

    Department of Gynaecology

  • Ome Kulsoom, Zaiuddin University and Hospital, Karachi, Pakistan.

    Department of Gynaecology

  • Rehana Yasmeen, Zaiuddin University and Hospital, Karachi, Pakistan.

    Department of Gynaecology,

  • Erum Gul Sheikh, Zaiuddin University and Hospital, Karachi, Pakistan

    Department of Gynaecology,

References

Azevedo A, Módenes JA, López-Colás J. Changes In The Relationship Between First-Child Birth And Homeownership: New Evidence From Spain, 2000-2008. In Southern European Housing 2019 Jan 1 (Pp. 109-134). Pisa University Press. Http://Hdl.Handle.Net/10451/39853

Juneja SK, Tandon P, Kaur G. To Evaluate The Effect Of Increasing Maternal Age On Maternal And Neonatal Outcomes In Pregnancies At Advanced Maternal Age. International Journal Of Applied And Basic Medical Research. 2022 Oct 1;12(4):239-42. Doi: 10.4103/Ijabmr.Ijabmr_193_22. Epub 2022 Dec 19.

Marconi AM. Recent Advances In The Induction Of Labor. F1000Research. 2019 Oct 30;8:F1000-Aculty. Https://Doi.Org/10.12688/F1000research.17587.1. PMID: 31723412; PMCID: PMC6823899. Doi: 10.12688/F1000research.17587.1. PMID: 31723412; PMCID: PMC6823899.

World Health Organization. Guidelines For The Management Of Pregnant And Breastfeeding Women In The Context Of Ebola Virus Disease. World Health Organization; 2021 Feb 26. Https://Www.Ncbi.Nlm.Nih.Gov/Books/NBK554101/

Alshammari RF, Khan FH, Alkwai HM, Alenazi F, Alshammari KF, Sogeir EK, Batool A, Khalid AA. Role Of Parity And Age In Cesarean Section Rate Among Women: A Retrospective Cohort Study In Hail, Saudi Arabia. International Journal Of Environmental Research And Public Health. 2023 Jan 13;20(2):1486. Https://Doi.Org/10.3390/Ijerph20021486. PMID: 36674239; PMCID: PMC9865448.

Veenstra J, Cohen Z, Korteweg FJ, Van Der Ham DP, Kuppens SM, Kroese JA, Hermsen BB, Kamphuis MM, Vanhommerig JW, Van Pampus MG. Unplanned Cesarean Sections In Advanced Maternal Age: A Predictive Model. Acta Obstetricia Et Gynecologica Scandinavica. 2024 May;103(5):927-37. Epub 2024 Jan 12. PMID: 38217302; PMCID: PMC11019528. Https://Doi.Org/10.1111/Aogs.14765

Raja A, Andleeb M, Sohail N, Subuktageen B. Comparative Analysis Of Fetomaternal Outcome In Induced Vs Spontaneous Labor In Nulliparous Women At Term. Pakistan Armed Forces Med J. 2021 Jun 1;71(3). Https://Pafmj.Org/PAFMJ/Article/View/6980

Braggion A, Favre G, Lepigeon K, Sichitiu J, Baud D, Desseauve D. Advanced Maternal Age Among Nulliparous At Term And Risk Of Unscheduled Cesarean Delivery. American Journal Of Obstetrics & Gynecology MFM. 2023 Aug 1;5(8):100972. Doi: 10.1016/J.Ajogmf.2023.100972. Epub 2023 Apr 14. PMID: 37062508. Https://Doi.Org/10.1016/J.Ajogmf.2023.100972

Gabbai D, Gilboa I, Reichman Y, Reicher L, Maslovitz S, Lavie A, Yogev Y, Attali E. Establishing A Risk Score For Prediction Of Intrapartum Cesarean Delivery Among Older Women: A Retrospective Cohort Study. Maturitas. 2024 Oct 1;188:108072. Epub 2024 Jul 24. PMID: 39068690. Https://Doi.Org/10.1016/J.Maturitas.2024.108072

Claramonte Nieto M, Mula Used R, Castellet Roig C, Rodríguez I, Rodríguez Melcon A, Serra Zantop B, Prats Rodríguez P. Maternal And Perinatal Outcomes In Women≥ 40 Years Undergoing Induction Of Labor Compared With Women< 35 Years: Results From 4027 Mothers. Journal Of Obstetrics And Gynaecology Research. 2022 Sep;48(9):2377-84. Https://Doi.Org/10.1111/Jog.15339

Johal D, Kale M, Brar S. Maternal And Fetal Outcomes In Pregnancy In The Fifth Decade Of Life And Beyond. Journal Of Obstetrics And Gynaecology Canada. 2024 Jun 1;46(6):102418. Epub 2022 Jun 25. PMID: 35751564. Https://Doi.Org/10.1016/J.Jogc.2024.102418

Machado-Gédéon A, Badeghiesh A, Baghlaf H, Dahan MH. Adverse Pregnancy, Delivery And Neonatal Outcomes Across Different Advanced Maternal Ages: A Population-Based Retrospective Cohort Study. European Journal Of Obstetrics & Gynecology And Reproductive Biology: X. 2023 Mar 1;17:100180. PMID: 36846599; PMCID: PMC9945696. Https://Doi.Org/10.1016/J.Eurox.2023.100180

Shekari M, Shirzadfardjahromi M, Ranjbar A, Mehrnoush V, Darsareh F, Roozbeh N. Advanced Maternal Age And Adverse Obstetrical And Neonatal Outcomes Of Singleton Pregnancies. Gynecology And Obstetrics Clinical Medicine. 2022 Dec 1;2(4):175-80. Https://Doi.Org/10.1016/J.Gocm.2022.10.004

Braggion A, Favre G, Lepigeon K, Sichitiu J, Baud D, Desseauve D. Advanced Maternal Age Among Nulliparous At Term And Risk Of Unscheduled Cesarean Delivery. American Journal Of Obstetrics & Gynecology MFM. 2023 Aug 1;5(8):100972Epub 2023 Apr 14. PMID: 37062508. Https://Doi.Org/10.1016/J.Ajogmf.2023.100972

Smithson SD, Greene NH, Esakoff TF. Pregnancy Outcomes In Very Advanced Maternal Age Women. American Journal Of Obstetrics & Gynecology MFM. 2022 Jan 1;4(1):100491Epub 2021 Sep 17. PMID: 34543752. Https://Doi.Org/10.1016/J.Ajogmf.2021.100491

Kwayke-Ackah G, Burger A, De La Vega G, Kainz G, Rochon M, Quiñones JN. Influence Of Maternal Age In Mode Of Delivery After Term Induction Of Labor. The Journal Of Maternal-Fetal & Neonatal Medicine. 2022 Apr 3;35(7):1258-63Epub 2020 Mar 29. PMID: 32223475. Https://Doi.Org/10.1080/14767058.2020.1745180

Sharami SH, Kabodmehri R, Hosseinzadeh F, Montazeri S, Ghalandari M, Dalil Heirati SF, Ershadi S. Effects Of Maternal Age On The Mode Of Delivery Following Induction Of Labor In Nulliparous Term Pregnancies: A Retrospective Cohort Study. Health Science Reports. 2022 May;5(3):E651.PMID: 35601032; PMCID: PMC9117967. Https://Doi.Org/10.1002/Hsr2.651

Pettersson ML, Nedstrand E, Bladh M, Svanberg AS, Lampic C, Sydsjö G. Mothers Who Have Given Birth At An Advanced Age-Health Status Before And After Childbirth. Scientific Reports. 2020 Jun 16;10(1):9739 Https://Doi.Org/10.1038/S41598-020-66774-4 .

Bergholt T, Skjeldestad FE, Pyykönen A, Rasmussen SC, Tapper AM, Bjarnadóttir RI, Smárason A, Másdóttir BB, Klungsøyr K, Albrechtsen S, Källén K. Maternal Age And Risk Of Cesarean Section In Women With Induced Labor At Term—A Nordic Register‐Based Study. Acta Obstetricia Et Gynecologica Scandinavica. 2020 Feb;99(2):283-9. Epub 2019 Nov 25. PMID: 31583694. Https://Doi.Org/10.1111/Aogs.13743

. Machado-Gédéon A, Badeghiesh A, Baghlaf H, Dahan MH. Adverse Pregnancy, Delivery And Neonatal Outcomes Across Different Advanced Maternal Ages: A Population-Based Retrospective Cohort Study. European Journal Of Obstetrics & Gynecology And Reproductive Biology: X. 2023 Mar 1. PMID: 36846599; PMCID: PMC9945696. Https://Doi.Org/10.1016/J.Eurox.2023.100180.

Walker KF, Thornton JG. Timing And Mode Of Delivery With Advancing Maternal Age. Best Practice & Research Clinical Obstetrics & Gynaecology. 2021 Jan 1;70:101-11. Epub 2020 Jun 29. PMID: 32739289. . Https://Doi.Org/10.1016/J.Bpobgyn.2020.06.005

Hersh AR, Urbanowicz E, Garg B, Schmidt EM, Packer CH, Caughey AB. Outcomes Among Nulliparous Women Undergoing Nonmedically Indicated Induction Of Labor At 39 Weeks Compared With Expectant Management Differ By Maternal Age. American Journal Of Perinatology. 2023 Mar 31;29. Epub 2022 Nov 30. PMID: 36452970. DOI: Https://Doi.Org/ 10.1055/A-1990-8411

Cao J, Xu W, Liu Y, Zhang B, Zhang Y, Yu T, Huang T, Zou Y. Trends In Maternal Age And The Relationship Between Advanced Age And Adverse Pregnancy Outcomes: A Population-Based Register Study In Wuhan, China, 2010–2017. Public Health. 2022 May 1;206:8-14. Epub 2022 Mar 17. PMID: 35306195. . Https://Doi.Org/10.1016/J.Puhe.2022.02.015

Consensus OC. Pregnancy At Age 35 Years Or Older. Obstet Gynecol. 2022 Aug 1;140(2):348-366. PMID: 35852294. Https://Doi.Org/10.1093/Humrep/15.11.2433

Fonseca MJ, Santos F, Afreixo V, Silva IS, Do Céu Almeida M. Does Induction Of Labor At Term Increase The Risk Of Cesarean Section In Advanced Maternal Age? A Systematic Review And Meta-Analysis. European Journal Of Obstetrics & Gynecology And Reproductive Biology. 2020 Oct 1; 253:213-9. Epub 2020 Aug 25. PMID: 32889327.Https://Doi.Org/10.1016/J.Ejogrb.2020.08.022

Teal EN, Gaw SL, Has P, Lewkowitz AK. Relationship Between Maternal Age And Labor Induction Duration And Outcomes In Nulliparous Women. The Journal Of Maternal-Fetal & Neonatal Medicine. 2022 Dec 12;35(25):6973-80. Epub 2021 Jun 8. PMID: 34102937.Https://Doi.Org/10.1080/14767058.2021.1932807

Downloads

Published

2025-04-13

How to Cite

1.
Quadri SU, Sohail S, Kulsoom O, Yasmeen R, Sheikh EG. Impact of Maternal Age on The Rate of Caesarean Section in Induced and Spontaneous Labour. PJMD [Internet]. 2025 Apr. 13 [cited 2025 Jul. 10];14(2):30-5. Available from: https://ojs.zu.edu.pk/pjmd/article/view/2711

Similar Articles

1-10 of 355

You may also start an advanced similarity search for this article.