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Published on: April 2, 2021
Retinopathy of prematurity and maternal age
Wei-Chi Wu1, Frank Shih-Chang Ong, Jane Zea-Chin Kuo
1Department of Ophthalmology, Chang Gung Memorial Hospital, Kwei-Shan, Taoyuan, Taiwan. weichi666@gmail.com
Insights
Older maternal age is a newly identified risk factor for retinopathy of prematurity (ROP) in premature infants. Lower birth weight also increases ROP risk.
Area of Science:
- Neonatal Medicine
- Ophthalmology
- Public Health
Background:
- Retinopathy of prematurity (ROP) is a significant cause of visual impairment in premature infants.
- Identifying modifiable and non-modifiable risk factors is crucial for ROP prevention and management.
Purpose of the Study:
- To investigate risk factors, particularly maternal factors, associated with the development of ROP in premature infants.
- To identify key demographic and maternal characteristics that predict ROP development.
Main Methods:
- A retrospective, matched case-control study was conducted.
- Premature infants who developed ROP (cases) were compared with gestational age- and sex-matched controls who did not develop ROP.
- Demographic and maternal risk factors were analyzed between the groups.
Main Results:
- The study included 144 premature infants (72 cases, 72 controls).
- Significantly lower birth weight (1,248.7g vs. 1,335.5g) and older maternal age (31.2 years vs. 28.2 years) were identified as significant risk factors for ROP.
- Maternal age over 30 years was associated with an odds ratio of 2.9 for developing ROP.
Conclusions:
- Older maternal age is a novel risk factor for ROP in premature infants.
- Both low birth weight and advanced maternal age are critical factors to consider in ROP risk assessment.
Purpose:
To determine the risk factors, especially maternal risk factors, associated with the development of retinopathy of prematurity (ROP) in premature babies.
Methods:
A matched case-control study involving premature patients was undertaken retrospectively. The case group consisted of premature babies with the subsequent development of ROP. The control group consisted of gestational age-matched and sex-matched premature babies that did not develop ROP during the follow-up period. Risk factors involving patient demographics and maternal characteristics were compared between the case and control groups.
Results:
A total of 144 patients were included in this study (72 patients in the case group and 72 patients in the control group). Among the 66 possible risk factors compared, only birth weight and maternal age were found to be significant risk factors. Birth weight was significantly lower in the case group (1,248.7 +/- 257.8 g vs. 1,335.5 +/- 297.2 g, P = 0.01), and maternal age was significantly older in the case group compared with that in the control group (31.2 +/- 5.1 years vs. 28.2 +/- 5.3 years, P < 0.001). The odds ratio of having babies with ROP was 2.9 when the maternal age was >30 years.
Conclusion:
Older maternal age is a newly identified risk factor for the development of ROP in premature babies.
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