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Maternal age and the likelihood of a maternal request for cesarean delivery: a 5-year population-based study
Herng-Ching Lin1, Sudha Xirasagar
1Taipei Medical University, School of Health Care Administration, Taipei, Taiwan. henry11111@tmu.edu.tw
Objective:
The purpose of this study was to examine associations between maternal age and maternal request cesarean deliveries.
Study Design:
Five-year population-based data from Taiwan (1997-2001) that covered 904,657 singleton deliveries without a clinical indication for cesarean delivery that were judged by the attending physician were subjected to multiple logistic regression, year-wise, to examine the association of maternal age with request cesarean delivery, adjusted for health care institutional characteristics.
Results:
Request cesarean delivery rates steadily increased over the study period within each age group, disproportionately so among the 34+ age group. Women aged < 25 years were less likely than women aged 25 to 34 years (reference group) to request a cesarean delivery (odds ratio range, 0.67-0.88) and women aged 34+ were more likely than the reference group to have a request cesarean delivery (odds ratio range, 1.96-2.01), adjusted for health care institutional characteristics.
Conclusion:
Population-based data confirms the expectancy that request cesarean delivery propensity increases with maternal age.
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