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The graying of the obstetric population: implications for the older mother

Carolan, Mary (2006) The graying of the obstetric population: implications for the older mother. Journal of Obstetric, Gynecologic, & Neonatal Nursing, 32 (1). pp. 19-27. ISSN 0884-2175

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Abstract

Objective: To review the literature on the relationship between advanced maternal age and pregnancy outcomes and to discuss social trends in childbearing. Data Sources: Computerized searches on CINAHL, MEDLINE, National Institutes of Health, and published birth statistics. Keywords used in this search were the following: advanced maternal age, pregnancy outcomes for older primiparae and older mothers, and pregnancy risks. Study Selection: Relevant articles published between 1978 and 2001 were reviewed. Data Extraction: Data were extracted and organized under the following headings: childbearing trends in developed countries, maternal morbidity for older mothers, preeclampsia, preterm delivery, operative and assisted delivery, and infant mortality and morbidity. Data Synthesis: The existing literature is concentrated on the medical aspects of the risks associated with childbearing at an advanced maternal age. Few systematic investigations have been undertaken of healthy older mothers, an increasingly common obstetric population. Conclusions: Lifestyle influences, such as weight, general health, and smoking habits in older mothers, have not been addressed. Little is known about the actual risks of pregnancy complications for healthy older mothers. No clear guidelines exist to direct the obstetric and nursing care of the healthy older mother.

Item Type: Article
Uncontrolled Keywords: advanced maternal age, assisted vaginal delivery, cesarean section, gestational diabetes, infant morbidity, low birth weight, macrosomia, obstetric management, preeclampsia, pregnancy risks
Subjects: RFCD Classification > 320000 Medical and Health Sciences
Faculty/School/Research Centre/Department > School of Nursing and Midwifery
Depositing User: Ms Phung T Tran
Date Deposited: 16 Feb 2009 17:30
Last Modified: 26 Jul 2011 00:36
URI: http://vuir.vu.edu.au/id/eprint/1747
DOI: 10.1177/0884217502239797
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