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An assessment of the effects of maternal age and parity in different components of perinatal mortality.

Abstract：

:Perinatal mortality has several components which may have distinct epidemiologic features. In an investigation of the total singleton birth population of New York City in 1976-1978 (n = 320,726), the authors divided perinatal mortality into four components: late fetal deaths that occurred before labor (late antepartum fetal deaths), fetal deaths during labor (intrapartum fetal deaths), neonatal deaths, and perinatal deaths attributed to congenital anomalies, and they assessed the relation of each of these to maternal age and parity, controlling for relevant confounding factors. In analyses which controlled for prior fetal loss, type of service (public vs. private), race, marital status, and mother's educational attainment in a multiple logistic regression model, the authors found that: 1) increasing maternal age was strongly associated with antepartum fetal deaths but not with intrapartum fetal deaths, while older maternal age was also associated with perinatal deaths attributed to congenital anomalies; 2) high parity bore a strong relationship to intrapartum fetal deaths, but none to antepartum fetal deaths, neonatal deaths, or congenital anomaly deaths; and 3) for neonatal death, there was a statistically significant (p less than 0.001) interaction between parity and age such that mothers over 34 years old having their first birth were at especially high risk.

journal_name

Am J Epidemiol

journal_title

American journal of epidemiology

authors

Kiely JL,Paneth N,Susser M

doi

10.1093/oxfordjournals.aje.a114259

subject

Has Abstract

pub_date

1986-03-01 00:00:00

pages

444-54

issue

3

eissn

0002-9262

issn

1476-6256

journal_volume

123

pub_type

杂志文章

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