Impact of Maternal Age on The Rate of Caesarean Section in Induced and Spontaneous Labour

Abstract

Background: Maternal age at childbirth is increasing due to expanded educational and career opportunities for women. The objective of this study was to determine the impact of maternal age on caesarean section rate in induced and spontaneous labor. Methods: A Parallel Arm Quasi-Experimental study was conducted at the Gynaecology and Obstetrics Department of Zia Uddin University Hospital from July to December 2022, with a sample of 284 pregnant females, aged 17-41 years, with 37-42 completed gestational weeks. Non-probability consecutive sampling technique was used. The spontaneous group was comprised of patients with a natural onset of labor, while those who were induced were included in the induced group. The mode of delivery in both groups was assessed and the association of caesarean section rate with the mode of onset of delivery was analysed by chi-square test. Data was entered and analysed in SPSS version 21. Effect modification was assessed through stratification of age. Binary logistic regression was applied on caesarean section to address the effect modifiers. P-value ≤ 0.05 was considered statistically significant. Results: The mean maternal age of women were 28.47 ± 4.868 years. No statistical significance of maternal age was seen with caesarean section in induced and spontaneous labor (p-value = 0.696 and 0.055 respectively). Conclusion: Maternal age is not associated with an increased rate of caesarean section in induced as well as spontaneous labor.

Keywords

• Maternal Age
• Induction of Labour
• Caesarean Section