Does extreme maternal age still act as a risk factor for adverse perinatal outcome? Evidence from Poland 20 years after the social and economic transformation

Authors

  • Magdalena Kosińska Department of Human Developmental Biology, Institute of Anthropology, Faculty of Biology, Adam Mickiewicz University in Poznań, Poland
  • Tomasz Hadada Department of Human Developmental Biology, Institute of Anthropology, Faculty of Biology, Adam Mickiewicz University in Poznań, Poland
  • Grażyna Liczbińska Department of Human Evolutionary Ecology, Institute of Anthropology, Faculty of Biology, Adam Mickiewicz University in Poznań, Poland

DOI:

https://doi.org/10.2478/anre-2019-0009

Keywords:

birth weight, gestational age, infant mortality, maternal SES, preterm birth

Abstract

It was examined whether positive changes in maternal SES and medical facilities in Poland 20 years after social and economic transformation weakened the role of maternal age in shaping perinatal outcome. Data comprised of 2,979 children born in 2000 and 2,992 – born in 2015. To test the differences between the frequency of indicators of adverse perinatal outcome the chi-square test was applied. The influence of maternal age on the perinatal outcome was estimated using Generalized Linear Models (GLMs), with binomial error distribution and the logit link function. The infants survival was examined using survival analysis. Gestational age and birth weight were influenced by mother’s age and the year of survey. Infants of adolescent and older mothers represented the groups with a risk of adverse perinatal outcome: an increase of preterm births and higher risk of having children with LBW in the group of adolescent mothers than in mothers aged >35, infants born SGA and LGA found in both adolescent and adult mothers. GLMs confirmed the impact of maternal age and the year of survey on perinatal outcome. The Cox proportional hazard models showed that the year of survey was the only factor affecting the risk of infants’ death. The impact of maternal age on adverse perinatal outcome can be counterbalanced by positive changes in social and economic standard of living of women, improvement in neonatal medical care and better equipment of hospital wards in 2015 as compared to 2000.

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References

Antinori S, Gholami GH, Versaci C, Cerusico F, Dani L, Antinori M, Panci C, Nauman N. 2003. Obstetric and prenatal outcome in menopausal women: a 12-year clinical study. Reprod Biomed Online 6:257–261.
View in Google Scholar

Astolfi P, Zonta LA. 2002. Delayed maternity and risk at delivery. Paediatric Perinat Epidemiol 16:67–72.
View in Google Scholar

Ballard JL, Khoury JC, Wedig K, Wang L, Eilers-Walsman B, Lipp R.1991. New ballard score, expanded to include extremely premature infants. J Pediatr 119:417–23.
View in Google Scholar

Barclay K, Myrskylä M. 2016. Advanced maternal age and offspring outcomes: Reproductive aging and counterbalancing period trends. Popul Dev Rev 42:69–94.
View in Google Scholar

Bateman BT, Simpson LL. 2006. Higher rate of stillbirth at the extremes of reproductive age: a large nationwide sample of deliveries in the United States. Am J Obstet Gynecol 194:840–45.
View in Google Scholar

Billari FC, Goisis A, Liefbroer AC, Settersten RA, Aassve A, Hagestad G, Speder Z. 2011. Social age deadlines for the child bearing of women and men. Hum Reprod 26:616–22.
View in Google Scholar

Bobak M, Pikhart H, Rose R, Hertzman C, Marmot M. 2000. Socioeconomic factors, material inequalities, and perceived control in self-rated health: cross-sectional data from seven post-communist countries. Soc Sci Med 51:1343–50.
View in Google Scholar

Bottomley C, Daemen A, Mukri F, Papageorghiou AT, Kirk E, Pexsters A, De Moor B, Timmerman D, Bourne T. 2009. Assessing first trimester growth: the influence of ethnic background and maternal age. Hum Reprod 24:284–90.
View in Google Scholar

Carolan M, Frankowska D. 2011. Advanced maternal age and adverse perinatal outcome: a review of the evidence. Midwifery 27:793–801.
View in Google Scholar

Cavazos-Rehg PA, Krauss MJ, Spitznagel EL, Bommarito K, Madden T, Olsen MA, Subramaniam H, Peipert JF, Bierut LJ. 2015. Maternal age and risk of labor and delivery complications. Matern Child Health J 19:1202–11.
View in Google Scholar

Chen X-K, Wen SW, Fleming N, Demissie K, Rhoads GG, Walker M. 2007. Teenage pregnancy and adverse birth outcomes: a large population based retrospective cohort study. Internat J Epidemiol 36:368–73.
View in Google Scholar

Delbaere I, Verstraelen H, Goetgeluk S, Martens G, De Backer G, Temmerman M. 2007. Pregnancy outcome in primiparae of advanced maternal age. Eur J Obstet Gynecol Reprod Biol 135:41–46.
View in Google Scholar

Demographic Yearbook of Poland. 2001. Warszawa: Główny Urząd Statystyczny.
View in Google Scholar

Demographic Yearbook of Poland. 2016. Warszawa: Główny Urząd Statystyczny.
View in Google Scholar

Dougall KM, Beyene Y, Nachtigall RD. 2012. Inconvenient biology: advantages and disadvantages of first-time parenting after age 40 using in vitro fertilization. Hum Reprod 27:1058–65.
View in Google Scholar

Gadzinowski J, Kaliszewska-Drozdowska MD, Kosińska M, Mazela J, Stoińska B. 2003. Urodzeniowa masa ciała a wiek płodowy noworodków regionu Wielkopolski i Ziemi Lubuskiej. Ginekologia Polska 74:186–92.
View in Google Scholar

Hassold T, Chiu D. 1985. Maternal age-specific rates of numerical chromosome abnormalities with special reference to trisomy. Hum Genet 70:11–17.
View in Google Scholar

Heffner LJ. 2004. Advanced maternal age-how old is too old?. N Engl Med 351:1927–29.
View in Google Scholar

Huang L, Sauve R, Birkett N, Fergusson D, van Walraven C. 2008. Maternal age and risk of stillbirth: a systematic review. Canadian Med Assoc J 178:165–72.
View in Google Scholar

Jacobsson B, Ladfors L, Milsom I. 2004. Advanced maternal age and adverse perinatal outcome. Obstet Gynecol 104:727–33.
View in Google Scholar

Jolly M, Sebire N, Harris J, Robinson S, Regan L. 2000. The risks associated with pregnancy in women aged 35 years or older. Hum Reprod 15:2433–37.
View in Google Scholar

Joseph KS, Allen AC, Dodds L, Turner LA, Scott H, Liston R. 2005.The perinatal effects of delayed childbearing. Obstet Gynecol 105:1410–18.
View in Google Scholar

Kaczmarek M. 2013. Assessing social status effects on age of primiparity in Polish women. Anthropol Rev 76:229–40.
View in Google Scholar

Kanungo J, James A, McMillan D, Lodha A, Faucher D, Lee SK, Shah PS, 2011. Advanced maternal age and the outcomes of preterm neonates: a social paradox? Obstet Gynecol 118:872–77.
View in Google Scholar

Khashan AS, Baker PN, Kenny LC. 2010. Preterm birth and reduced birth weight in first and second teenage pregnancies: a register-based cohort study. BMC Pregnancy and Childbirth 10:36.
View in Google Scholar

Kosińska M. 2006. Two methods for estimating age of newborns in catch-up growth studies. Early Hum Dev 82:575–82.
View in Google Scholar

Kosińska M. 2011. Stan okołourodzeniowy potomstwa jako efekt interakcji układu płód-matka-środowisko. Poznań: Wydawnictwo UAM.
View in Google Scholar

Kozuki N, Lee ACC, Silveira MF, Victora CG, Adair L, Humphrey J, Ntozini R, Black RE, Katz J. 2013. The associations of birth intervals with small-for-gestational-age, preterm, and neonatal and infant mortality: a meta-analysis. BMC Public Health 13 Suppl 3:S3.
View in Google Scholar

Lee KS, Ferguson RM, Corpuz M, Gartner LM. 1988. Maternal age and incidence of low birth weight at term: a population study. Am J Obstet Gynecol 158:84–89.
View in Google Scholar

Luke B, Brown MB. 2007. Elevated risks of pregnancy complications and adverse outcomes with increasing maternal age. Hum Reprod 22:1264–72.
View in Google Scholar

Łaska-Mierzejewska T, Dobosz J, Nowacka-Dobosz S, Olszewska E, Wilczewski A. 2016. Social distances dicrease of body height and the maturation rate of Polish girsl in urban and rural population in the period 1967–2009. Anthropol Rev 79: 281–99.
View in Google Scholar

Mathews TJ, Hamilton BE. 2016. Mean age of mothers is on the rise: United States, 2000–2014. NCHS Data Brief 232:1–8.
View in Google Scholar

Mirowsky J. 2002. Parenthood and health: the pivotal and optimal age at first birth. Soc Forces 81:315–49.
View in Google Scholar

Mirowsky J. 2005. Age at first birth, health, and mortality. J Health Soc Behav 46:32–50.
View in Google Scholar

Myrskylä M, Barclay KJ, Goisis A. 2017. Advantages of later motherhood. Der Gynäkologe 50:767–72.
View in Google Scholar

Myrskylä M, Elo IT, Kohler IV, Martikainen, P. 2014. The association between advanced maternal and paternal ages and increased adult mortality is explained by early parental loss. Soc Sc Med 119:215–23.
View in Google Scholar

Nieczuja-Dwojacka J, Borowska-Strugińska B, Janiszewska A, Kozieł S. 2019. Influence of socioeconomic factors during adolescence on the menarcheal age in Central Poland girsl. Anthropol Anz 71: 29–35.
View in Google Scholar

Odibo A, Nelson D, Stamilio D, Sehdev H, Macones G. 2006. Advanced maternal age is an independent risk factor for intrauterine growth restriction. Am J Perinat 23:325–28.
View in Google Scholar

Olausson PO, Haglund B, Weitoft GR, Cnattingius S. 2001. Teenage childbearing and long-term socioeconomic consequences: a case study in Sweden. Family Plan Perspect 33:70–74.
View in Google Scholar

Polska 1989–2014. 2014. Warszawa: Główny Urząd Statystyczny.
View in Google Scholar

Reddy UM, Ko Ch-W, Willinger M. 2006. Maternal age and the risk of stillbirth throughout pregnancy in the United States. Am J Obstet Gynecol 195:764–70.
View in Google Scholar

Sass A, Gravena AAF, Pelloso SA, Marcon SS. 2011. Perinatal outcomes in the extremes of reproductive age and factors associated with low weight at birth. Revista Gaucha de Enfermagem 32:352–58.
View in Google Scholar

Schempf AH, Branum AM, Lukacs SL, Schoendorf KC. 2007. Maternal age and parity-associated risks of preterm birth: differences by race/ethnicity. Paediatr Perinat Epidemiol 21:34–43.
View in Google Scholar

Schoen C, Rosen T. 2009. Maternal and perinatal risks for women over 44—a review. Maturitas 64:109–13.
View in Google Scholar

Szwed A, Kosińska M. 2012. Biological maturity at birth, the course of the subsequent ontogenetic stages and age at menarche. HOMO – Journal of Comparative Human Biology 63:292–300.
View in Google Scholar

Wang Y, Tanbo T, Åbyholm T, Henriksen T. 2011. The impact of advanced maternal age and parity on obstetric and perinatal outcomes in singleton gestations. Arch Gynecol Obstet 284:31–37.
View in Google Scholar

Ziadeh SM. 2002. Maternal and perinatal outcome in nulliparous women aged 35 and older. Gynecol Obstetric Investi 54:6–10.
View in Google Scholar

Zīle I, Villeruša A. 2013. Maternal age-associated congenital anomalies among newborns: a retrospective study in Latvia. Medicina 49:29–35.
View in Google Scholar

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Published

2019-06-30

How to Cite

Kosińska, M., Hadada, T., & Liczbińska, G. (2019). Does extreme maternal age still act as a risk factor for adverse perinatal outcome? Evidence from Poland 20 years after the social and economic transformation. Anthropological Review, 82(2), 125–137. https://doi.org/10.2478/anre-2019-0009

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