Maternal age and the likelihood of a maternal request for cesarean delivery: a 5-year population-based study

Am J Obstet Gynecol. 2005 Mar;192(3):848-55. doi: 10.1016/j.ajog.2004.09.133.

Abstract

Objective: The purpose of this study was to examine associations between maternal age and maternal request cesarean deliveries.

Study design: Five-year population-based data from Taiwan (1997-2001) that covered 904,657 singleton deliveries without a clinical indication for cesarean delivery that were judged by the attending physician were subjected to multiple logistic regression, year-wise, to examine the association of maternal age with request cesarean delivery, adjusted for health care institutional characteristics.

Results: Request cesarean delivery rates steadily increased over the study period within each age group, disproportionately so among the 34+ age group. Women aged < 25 years were less likely than women aged 25 to 34 years (reference group) to request a cesarean delivery (odds ratio range, 0.67-0.88) and women aged 34+ were more likely than the reference group to have a request cesarean delivery (odds ratio range, 1.96-2.01), adjusted for health care institutional characteristics.

Conclusion: Population-based data confirms the expectancy that request cesarean delivery propensity increases with maternal age.

MeSH terms

  • Adult
  • Cesarean Section / psychology*
  • Female
  • Humans
  • Maternal Age*
  • Mothers / psychology*
  • Pregnancy
  • Regression Analysis
  • Taiwan