It is well established in the history of the United States that more people will have babies in later years than at any other time.
This increase in the number of people giving birth after the age of 35, called “elderly” in clinical obstetrics, began in the mid-1970s and began.According to the Centers for Disease Control and Prevention, it continued to rise.
According to federal reports, 18% of pregnancies were over 35 years old in 2018, up from 15% in 2013, 11% in 2002 and 8% in 1990.
According to the American College of Obstetricians and Gynecologists, pregnant people in this age group are at increased risk of gestational diabetes and high blood pressure. In addition, there is a high possibility of low birth weight infants and premature birth, and a caesarean section is required.
Despite these risks, a study published at the JAMA Health Forum on Friday found that patients slightly over the age of 35 were prenatal compared to those who were shy at the cutoff age for several months. The results of care and pregnancy were excellent.
“There are many of these arbitrary guidelines and cutoffs in medicine,” said Jessica Cohen, an associate professor at Harvard TH Chan School of Public Health and a senior author of the study. You are only 35 years old. ”
Cohen’s personal experience influenced the study. She had her first child at the age of 34. She said she received great care, but there was a difference in her second pregnancy at the age of 36.
“When I saw the second time, when I realized how carefully I was being watched, I thought,’Wow, I wish this was my first time,'” Cohen said.
The author studied more than 50,000 births between 2008 and 2019. About half of those who give birth were between the ages of 34.7 and 34.9, and the other half were between the ages of 35 and 35.3.
Patients over the age of 35 all had increased prenatal care, including ultrasonography, maternal-fetal medicine specialist consultation, and special fetal monitoring. The authors also found that stillbirth and premature mortality in newborns were reduced.
“Sure, sure, the risk increases with the age of the mom,” Cohen said. “But there is no risk of jumping as soon as you turn 35.”
“Obstetrics Desert” Amplifies maternal mortality in rural Indiana, threatening the lives of pregnant people
COVID during pregnancy:Babies born to mothers with COVID-19 during pregnancy need to be aware of long-term effects, researchers say.
After managing underlying disorders such as pre-pregnancy diabetes, chronic hypertension, and obesity, researchers find a strong link between older age, increased prenatal care services, and lower perinatal mortality. Did.
Prenatal services can partially affect stillbirth and postnatal infant mortality, but studies have ruled out important information that affects pregnancy outcomes, Northwestern University Fine. Dr. Priyarajan, Associate Professor of Maternal-Fetal Medicine at Berg School of Medicine and Chief of Diagnostic Ultrasound, said Northwestern Medicine.
“The timing of childbirth and the number of pregnancies you have are also a big part of it,” she said. “They tried to control ethnic change and racial data a bit, but not having it is really limiting.”
In addition, the data from this study came from a major nationwide commercial insurance company, so it did not include people in Medicaid, Medicare, or who were not insured at all, Rajan said.
The study also showed that increased antenatal care did not appear to reduce maternal mortality in pregnant women over the age of 35.
“That’s what we want to make sure we’re really paying attention to,” Rajan said.
Despite its limitations, she said the study increased awareness and care received during pregnancy for older mothers. More data is needed to understand which aspects of antenatal care make the greatest difference between pregnant women with traditional risk factors.
“We really need to rethink how to care for pregnant women,” Rajan said. “All pregnant people need to improve their care universally, regardless of age, race or socio-economic status.”
Follow Adrianna Rodriguez on Twitter: @AdriannaUSAT.
Health and patient safety coverage at USA TODAY was partially made possible by grants from the Masimo Foundation for Ethics, Innovation and Competition in Healthcare. The Masimo Foundation does not provide editorial input.
Research Discovers Better Prenatal Care, Better Results
Source link Research Discovers Better Prenatal Care, Better Results