International Journal of Medical and Health Research

International Journal of Medical and Health Research


International Journal of Medical and Health Research
International Journal of Medical and Health Research
Vol. 7, Issue 11 (2021)

Perinatal outcomes of induction of labour for advanced maternal age


Elena Marín Ortiz, Vanesa Rodríguez Fernández, Laura González Rodríguez, Carlos N López Ramón Y Cajal

Background: The decision to delay childbearing until age 40 or older in developed countries has been a relatively common social trend since the second half of the 20th century. Advanced maternal age is associated with several adverse maternal and neonatal outcomes like stillbirth. Induction of labor at 39 weeks’ gestation in older mothers is widely practiced as an intervention perceived to reduce the risk of late stillbirth. Objective: The objective of this study was to compare neonatal outcomes of non medically indicated induction at term to those of expectant management in women over 40 years old. Study design: This is a retrospective cohort study of all women delivering at ³ 39 weeks’ gestation in the city of Vigo from Jan 1, 2012 to Dec. 31, 2017. Data were derived from the Hospital Álvaro Cunqueiro birth cohort. We compared expectant management (women who delivered from Jan 1, 2012 to Dec 31, 2014) to non medically indicated induction of labor (women who delivered from Jan 1, 2015 to Dec 31, 2017). The primary outcome was the perinatal results. Results: There was a total of 603 pregnant women in the expectant management group compared to 634 women in the induction group. The women in the expectant management group were more likely to require neonatal intensive care unit admission and need pediatric support. Conclusion: Induction of labor at 39 weeks of gestation, compared to expectant management, results in significantly better neonatal outcomes.
Download  |  Pages : 16-19
How to cite this article:
Elena Marín Ortiz, Vanesa Rodríguez Fernández, Laura González Rodríguez, Carlos N López Ramón Y Cajal. Perinatal outcomes of induction of labour for advanced maternal age. International Journal of Medical and Health Research, Volume 7, Issue 11, 2021, Pages 16-19
International Journal of Medical and Health Research International Journal of Medical and Health Research