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Delayed childbearing and maternal mortality.

M Temmerman¹, H Verstraelen, G Martens

¹Department of OB/GYN, Faculty of Medicine and Health Sciences, Ghent University, Belgium. marleen.temmerman@rug.ac.be

European Journal of Obstetrics, Gynecology, and Reproductive Biology

|April 22, 2004

Summary

Maternal age is increasing in Flanders, Belgium. Older pregnant women face significantly higher maternal mortality risks, especially those aged 40 and above.

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Area of Science:

Reproductive Health
Perinatal Epidemiology
Maternal Health Trends

Background:

Rising maternal age is a global trend impacting obstetric outcomes.
Understanding regional variations in maternal age is crucial for public health.
Previous studies highlight increased risks associated with advanced maternal age.

Purpose of the Study:

To analyze trends in maternal age among pregnant women in Flanders, Belgium.
To investigate the relationship between maternal age and maternal mortality.
To identify specific age groups at higher risk.

Main Methods:

Retrospective analysis of a population-based regional perinatal database.
Data collected over a ten-year period (1991-2000).

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Statistical examination of maternal age trends and mortality ratios.

Main Results:

A significant increase in maternal age was observed for both primiparous and multiparous women between 1991 and 2000.
The overall maternal mortality ratio was 5.8.
Advanced maternal age significantly elevated mortality risk: RR 7.0 from age 35, and RR 30.0 from age 40.

Conclusions:

The findings underscore the need for targeted interventions and support for older pregnant women.
Further research is recommended to explore factors facilitating career and reproduction for women.
Specialized care strategies for pregnant women of advanced maternal age are warranted.