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Different rates of unscheduled C-sections: outcomes of first pregnancies similar in younger, older blacks.(Obstetrics)
PHILADELPHIA -- The prognosis for a successful pregnancy among first-time black mothers aged 35 years and older is similar to that of their younger counterparts aged 25-29, according to a study of 216 women.
Pregnancy outcomes were comparable among the two groups, with one notable exception: 50% of the older women had an unscheduled cesarean section vs. 24% of the younger women--a significantly higher rate. Dr. Emmanuella Cherisme said at the annual meeting of the American College of Obstetricians and Gynecologists.
The older and younger women otherwise had similar outcomes for NICU admissions (40% vs. 41%, respectively), mean Apgar scores (8.8 vs. 8.9), and mean birth weight (3.103 g vs. 3,148 g), noted Dr. Cherisme of the department of ob.gyn. at the State University of New York, Brooklyn.
"No comorbidities were factored into the study analysis because the two groups had comparable problems," she said. The mothers all had reproductively unassisted pregnancies.
Dr. Cherisme undertook the retrospective analysis of live births at University Hospital of Brooklyn after noticing an increase in the number of older black women becoming pregnant. "Due to the increased socioeconomic status of black women in America, [they] are delaying childbirth at the same rates as white women," she said.
The absence of preexisting maternal disease and the presence of proper prenatal care, especially in the third trimester, contributed to the study's results, she added.
The study's "big surprise" was that the leading indications for unscheduled cesarean sections among the older women were fetal and not maternal, Dr. Cherisme said. Repetitive late decelerations on fetal heart rate monitoring ...
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Source: HighBeam Research, Different rates of unscheduled C-sections: outcomes of first...