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Updated: May 21, 2026
08:49
External Cephalic Version: Is it an Effective and Safe Procedure?
Published on: June 6, 2020
Paternal age and risk for cesarean delivery
Revital Faro1, Joaquin Santolaya-Forgas, Joseph C Canterino
1Division of Maternal-Fetal Medicine, Department of Obstetrics, Gynecology, and Reproductive Sciences, UMDNJ-Robert Wood Johnson Medical School, New Brunswick, NJ 08901-1977, USA.
Summary
Advanced paternal age is linked to a higher risk of cesarean delivery in first-time mothers. This association holds true across different racial groups and after accounting for other risk factors.
Area of Science:
- Obstetrics and Gynecology
- Reproductive Health
- Epidemiology
Background:
- Paternal age is an emerging factor in reproductive outcomes.
- Previous research has explored various risks associated with advanced paternal age.
- The specific link between paternal age and cesarean delivery requires further investigation.
Purpose of the Study:
- To investigate the association between advanced paternal age and the likelihood of cesarean delivery.
- To analyze this relationship in a large cohort of primiparous women.
Main Methods:
- Utilized US linked birth and infant death data from 1990-2002.
- Included 12.5 million singleton births to Caucasian and African-American primiparous women.
- Examined cesarean birth rates in relation to paternal age, adjusting for confounders.
Main Results:
- Cesarean delivery rates increased with paternal age in both Caucasian and African-American groups.
- For fathers aged ≥40, cesarean rates were 31.8% (Caucasians) and 38.1% (African-Americans).
- These trends remained significant after adjusting for maternal age and other known risk factors.
Conclusions:
- Increasing paternal age appears to be associated with an elevated risk of cesarean delivery.
- This finding highlights paternal age as a potential factor in obstetric outcomes.
- Further research may explore the mechanisms underlying this association.
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