Impact of Maternal Age, Parity, and Birth Weight Distribution on Primary Cesarean | ||
| IRAQI JOURNALOF COMMUNITY MEDICINE | ||
| Article 1, Volume 25, Issue 2, June 2012, Pages 97-102 | ||
| Author | ||
| Hadeel KH. Naeef | ||
| Abstract | ||
| Background: The effect of maternal characteristics including age, parity, and birth weight on cesarean delivery rates were shown to be important factors which determine the pregnancy and neonatal outcome. Objective: To examine the effect of maternal age, birth weight on cesarean delivery rates in primiparous and multiparous women. Study design: A cross-sectional study. Patients and Methods: The sample was collected from Al-Yermouk teaching hospital in Baghdad from January 2009 through January 2010. The study population included 500 pregnant women were randomly selected (primiparous and multiparous women) who delivered by cesarean section, maternal age range from 15 to ≥40 years old. Women who had prior cesarean delivery, breech or other mal-presentation, placenta previa, prolapsed cord, fetal anomalies and maternal medical diseases like hypertension, preeclampsia, diabetes mellitus were excluded, The risk for primary cesarean delivery stratified by parity, maternal age and birth weight. Results: Primary cesarean section rates in primiparous women of teenage are 23.2% and older age group is 28.4%, especially in those who delivered infants of ≥4000 gm is 14.4%. For multigravida the rate of cesarean delivery increases for women 40 years and older (28.4%) mainly those with infant birth weight of ≥4000gm which is 12%. Both results are statistically highly significant (P-value 0.0005). Conclusion: The overall primary cesarean delivery rates are high among adolescent and older primiparous women, while in multiparous women higher rates in older ones. These findings suggest the importance of using maternal age, birth weight, and parity when comparing primary cesarean delivery rates across population and over time. Keyword: maternal age, cesarean delivery, parity, birth weight. | ||
| Keywords | ||
| maternal age; cesarean delivery; parity; birth weight | ||
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