From: Maternal and neonatal outcomes at delivery in nulliparous women with advanced maternal age
Whole population (elective c-section and trial of labor populations) | |||||
Maternal outcomes | < 35 years (n = 39,496) $$ | ≥ 35 years (n = 4,799) | RR | 95% CI | Pvalue |
N (%) | N (%) | ||||
Cesarean sections | 4472 (11.3) | 1116 (23.3) | 2.05 | 1.94–2.18 | < 0.0001 |
Postpartum hemorrhage@ | 2720 (9.22) | 271 (7.92) | 0.86 | 0.76–0.97 | < 0.0001 |
Maternal length of stay, days (for c-sections) Mean (SD) | 5.87 (6.76) | 5.52 (2.56) | Mean difference -0.35 | -0.63- -0.07 | 0.014 |
Maternal length of stay, days (for vaginal deliveries) Mean (SD) | 3.82 (2.92) | 3.98 (1.75) | Mean difference 0.17 | 0.06–0.27 | 0.0018 |
Trial of labor population (excluding cases of elective c-sections) | |||||
< 35 years (n = 38,595)$$ | ≥ 35 years (n = 4,261) | RR | 95% CI | P value | |
Cesarean sections | 3571 (9.3) | 578 (13.6) | 1.47 | 1.35–1.59 | < 0.0001 |
Prolonged Second stage # | 3906(11.01) | 317 (8.55) | 0.78 | 0.70–0.87 | < 0.0001 |
Population of vaginal delivery | |||||
< 35 years (n = 35,024)$$ | ≥ 35 years (n = 3,683) | RR | 95% CI | P value | |
Instrumental Delivery | 5751 (16.4) | 500 (13.6) | 0.83 | 0.76–0.90 | < 0.0001 |
Tears (3rd -and 4th - degree tears) | 248 (7.1) | 13 (3.5) | 0.50 | 0.29–0.87 | 0.0122 |
Induced population | |||||
< 35 years (n = 7,526) | ≥ 35 years (n = 982) | RR | 95% CI | P value | |
Cesarean sections | 1064 (14.1) | 189 (19.2) | 1.36 | 1.18–1.57 | < 0.0001 |