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SAN FRANCISCO -- As maternal age rises, so does the chance of cesarean section in both nulliparous women and candidates for vaginal birth after a previous C-section with term singletons in low-risk pregnancies, Dr. Anna McKeown said.
The likelihood of C-section in 8,715 low-risk nulliparous patients with term singletons delivered at a community hospital over an 8-year period increased with maternal age regardless of spontaneous labor, Pitocin augmentation, or induction, she said in a poster presentation at the annual meeting of the Society for Maternal-Fetal Medicine.
The investigators divided patients into four age groups: younger than 25 years, 25-29 years, 30-34 years, or over 34 years old. Overall, the rate of C-section increased from 9% in the youngest age group to 28% in the oldest age group.
"We have to realize that there is a difference in terms of the C-section risk for older patients than for younger patients" and counsel women accordingly said Dr. McKeown of Long Beach Memorial Medical Center.
Older women were less likely to have spontaneous labor and more likely ...
Source: HighBeam Research, C-section rate rises with age--from 9% to 28%. (Study Over 8-Year...