Elderly nulliparae in midwifery care in Amsterdam
Related Experiment Video
Updated: Oct 21, 2026
State of the Art Cranial Ultrasound Imaging in Neonates
Published on: February 2, 2015
Y Smit1, S A Scherjon, P E Treffers
1Department of Obstetrics & Gynaecology, University of Amsterdam, The Netherlands.
Objective:
to compare labour complications, after an uncomplicated pregnancy, of first births in women 35 years and older with women 20-30 years old.
Design:
an explorative prospective cohort study.
Setting:
four independent midwives' practices in Amsterdam.
Participants:
a group of 49 elderly nulliparae was compared with a group of 99 younger nulliparae.
Measurements And Findings:
percentage of referrals and reasons for referral during pregnancy and labour, mode of delivery and obstetric outcome.
Key Conclusions:
no significant differences in referrals were found between the two compared groups. Obstetric-outcome was not different between the groups, except for a lower birthweight in the elderly group. A trend is seen for a raised percentage of referrals during labour in the older group. This is almost completely explained by a failure to progress during first and second stages of labour. Related to this was a trend for an increased incidence of caesarean section in the older group of women.
Implications For Practice:
after selection, the elderly nullipara, under the care of a midwife, does not have an increased risk of fetal distress or other emergency factors compared to the younger nullipara. However, the referral rates during labour, both of younger and older women, are high.
Related Concept Videos
01:37Parental Care
01:25Continuing Care
01:30Specialized Care Centers and Settings-I
Daycare centers
They provide several functions. Some facilities care for healthy newborns and children whose parents work, while others are medically focused and care for...
01:30Specialized Care Centers and Settings-II
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
01:29Documentation in Long-Term and Home Healthcare Setting
Long-Term Care Facilities
01:16Nurses' Legal Responsibilities III
Cultivating a culture of collaboration and mutual respect among nurses transcends mere enhancement...