Maternal age is a risk factor for cesarean delivery with induction of labor
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- Women with advanced maternal age (AMA) have an increased risk for cesarean delivery (CD) with induction of labor (IOL).
- Parity does not affect risk.
Why this matters
- More women with AMA are becoming pregnant and giving birth.
- AMA is associated with increased risks for adverse pregnancy outcome, including preeclampsia, placental abruption, preterm births, and stillbirths.
- Rate of IOL have increased in women with AMA.
- There may be a gradual decrease in myometrial dysfunction with advancing maternal age.
- AMA was associated with a 2-fold increase risk for CD after IOL (adjusted OR [aOR], 2.31; P≤.001).
- Parity did not reduce the risk for CD in AMA women (nulliparous aOR, 2.62; P=.006 vs multiparous aOR, 2.78; P=.001).
- Analyzing data using different age cut-offs (...