The Association between Advanced Maternal Age and Stillbirth Risk

Authors

  • Thora Naissa Tishreen University
  • Ahmad Youssef Tishreen University
  • Amna Al-Fadel Tishreen University

Abstract

Background: The number of women who delay childbirth to their late 30s and beyond has increased significantly over the past several decades.

Objective: The aim of the study was to evaluate the association between fetal stillbirth and advanced maternal age.   

Materials and Methods: This prospective observational descriptive study analyzed a total of 1560 singleton gestations without reported congenital anomalies admitted to the Department of Obstetrics and Gynecology in Tishreen university Hospital, Lattakia, Syria, during the period between November 2019 and November 2020.

Hazard rates (risk) of stillbirth (fetal death 28 weeks or longer) were calculated for maternal age, parity, medical conditions, pregnancy complications, smoking and neonate gender.

Results: The overall rate of stillbirth was 20.5 per 1000 total births (32 stillbirth out of 1560 deliveries).

Maternal age was a significant independent risk factor for stillbirth (35 – 39 years HR 2.01), (≥ 40 years HR 2.73). Other significant risk factors were smoking (HR 2.46), nulliparity (HR 3.61), pre-existing hypertension (HR 2.87), and pre-existing diabetes (HR 4.6).

The relationship with maternal age for increased antepartum stillbirth risk was seen for both nulliparous and multiparous women but with slightly larger effect sizes in the nulliparous women.

Conclusion: Women aged 35 or older in a first pregnancy should be counseled regarding stillbirth risk to assist with informed decision making regarding delivery.

Author Biographies

Thora Naissa, Tishreen University

Assistant Professor - Department of Obstetrics and Gynecology, Faculty of Medicine

Ahmad Youssef, Tishreen University

Professor - Department of Obstetrics and Gynecology, Faculty of Medicine

Amna Al-Fadel, Tishreen University

Postgraduate Student (MSc) - Department of Obstetrics and Gynecology, Faculty of Medicine

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Published

2021-03-09

How to Cite

1.
نعيسة ث, يوسف أ, الفضل آ. The Association between Advanced Maternal Age and Stillbirth Risk. Tuj-hlth [Internet]. 2021Mar.9 [cited 2024Nov.24];43(1). Available from: https://journal.tishreen.edu.sy/index.php/hlthscnc/article/view/10437

Issue

Vol. 43 No. 1 (2021): Tishreen University Journal for Research and Scientific Studies - Health Sciences Series

Section

Articles

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