Maternal-Fetal Medicine

Archives of Gynecology and Obstetrics

, Volume 285, Issue 4, pp 951-957

First online:

Perinatal correlates of delayed childbearing in a developing country

  • B. O. OlusanyaAffiliated withDepartment of Community Health and Primary Care, College of Medicine, University of LagosInstitute of Child Health and Great Ormond Street Hospital for Children NHS Trust, University College London Email author 
  • , O. A. SolankeAffiliated withConsultant Obstetrician and Gynecologist, Lagos Island Maternity Hospital

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Abstract

Objective

To evaluate women with delayed childbearing after 35 years and the perinatal profile of their surviving offspring in a low-income country.

Method

A matched case–control study of advanced maternal age (AMA) parturients above 35 years was compared to younger mothers (20–35 years) in an inner-city maternity hospital in southwest Nigeria using conditional logistic regression analysis.

Results

A total of 513 were enlisted as cases matched with 1,539 controls. AMA was associated with marital status, occupation, parity, antenatal care and elective cesarean delivery but significantly less likely to be associated with human-immunodeficiency-virus infection and cephalopelvic disproportion. After adjusting for these maternal factors, AMA was not associated with any adverse perinatal outcomes.

Conclusion

Delayed childbearing after 35 years was generally not associated with adverse pregnancy outcomes in this setting and may be indicative of an appreciable awareness of the potential pregnancy risks resulting in higher uptake of obstetric services by AMA mothers.

Keywords

Delayed childbearing Pregnancy outcomes Elective cesarean delivery Antenatal care Sub-Saharan Africa