Pregnancy outcomes in women greater than 45 years: a cohort control study in a multi-ethnic inner city population. (Record no. 75816)

MARC details
000 -LEADER
fixed length control field 04764cam a2200217 4500
001 - CONTROL NUMBER
control field NMDX6660
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION
fixed length control field 120401t2014 xxu||||| |||| 00| 0 eng d
022 ## - INTERNATIONAL STANDARD SERIAL NUMBER
International Standard Serial Number 09320067
100 ## - MAIN ENTRY--PERSONAL NAME
Personal name Mehta, S.
240 ## - UNIFORM TITLE
Uniform title <a href="Archives of gynecology and obstetrics.">Archives of gynecology and obstetrics.</a>
245 ## - TITLE STATEMENT
Title Pregnancy outcomes in women greater than 45 years: a cohort control study in a multi-ethnic inner city population.
260 ## - PUBLICATION, DISTRIBUTION, ETC. (IMPRINT)
Date of publication, distribution, etc. 2014
500 ## - GENERAL NOTE
General note NMUH Staff Publications
500 ## - GENERAL NOTE
General note 289
520 ## - SUMMARY, ETC.
Summary, etc. &lt;div style="line-height: 17.999801635742188px;"&gt;&lt;h4 style="font-size: 1em; font-family: arial, helvetica, clean, sans-serif; margin: 0px 0.25em 0px 0px; text-transform: uppercase; float: left;"&gt;OBJECTIVE:&lt;/h4&gt;&lt;p style="margin: 0px 0px 0.5em;"&gt;&lt;span style="font-size: 8pt;"&gt;To examine the&amp;nbsp;&lt;span class="highlight"&gt;pregnancy&lt;/span&gt;&amp;nbsp;&lt;span class="highlight"&gt;outcomes&lt;/span&gt;&amp;nbsp;of&amp;nbsp;&lt;span class="highlight"&gt;women&lt;/span&gt;&amp;nbsp;&amp;gt;&lt;span class="highlight"&gt;45&lt;/span&gt;&amp;nbsp;&lt;span class="highlight"&gt;years&lt;/span&gt;&amp;nbsp;in a&amp;nbsp;&lt;span class="highlight"&gt;multi-ethnic&lt;/span&gt;&amp;nbsp;&lt;span class="highlight"&gt;population&lt;/span&gt;&amp;nbsp;when compared to controls and to reflect on socio-demographic details of the older mothers.&lt;/span&gt;&lt;/p&gt;&lt;h4 style="margin: 0px 0.25em 0px 0px; text-transform: uppercase; float: left;"&gt;&lt;span style="font-size: 8pt;"&gt;DESIGN:&lt;/span&gt;&lt;/h4&gt;&lt;p style="margin: 0px 0px 0.5em;"&gt;&lt;span style="font-size: 8pt;"&gt;A retrospective&amp;nbsp;&lt;span class="highlight"&gt;cohort&lt;/span&gt;&amp;nbsp;&lt;span class="highlight"&gt;control&lt;/span&gt;&amp;nbsp;&lt;span class="highlight"&gt;study&lt;/span&gt;&amp;nbsp;over an 8-year period in an&amp;nbsp;&lt;span class="highlight"&gt;inner&lt;/span&gt;&amp;nbsp;&lt;span class="highlight"&gt;city&lt;/span&gt;&amp;nbsp;London hospital with&amp;nbsp;&lt;span class="highlight"&gt;multi-ethnic&lt;/span&gt;&amp;nbsp;&lt;span class="highlight"&gt;population&lt;/span&gt;. The influence of advanced maternal age (&amp;gt;&lt;span class="highlight"&gt;45&lt;/span&gt;&amp;nbsp;&lt;span class="highlight"&gt;years&lt;/span&gt;&amp;nbsp;at time of delivery) on fetal and maternal&amp;nbsp;&lt;span class="highlight"&gt;outcomes&lt;/span&gt;&amp;nbsp;was assessed by comparing these&amp;nbsp;&lt;span class="highlight"&gt;women&lt;/span&gt;&amp;nbsp;to controls (aged 20-30&amp;nbsp;&lt;span class="highlight"&gt;years&lt;/span&gt;) matched for ethnicity, country of origin and parity.&lt;/span&gt;&lt;/p&gt;&lt;h4 style="margin: 0px 0.25em 0px 0px; text-transform: uppercase; float: left;"&gt;&lt;span style="font-size: 8pt;"&gt;RESULTS:&lt;/span&gt;&lt;/h4&gt;&lt;p style="margin: 0px 0px 0.5em;"&gt;&lt;span style="font-size: 8pt;"&gt;Data from 64 cases and 64 controls were compared. Ninety percent of the index group had undergone assisted conception. Mothers &amp;gt;&lt;span class="highlight"&gt;45&lt;/span&gt;&lt;span class="highlight"&gt;years&lt;/span&gt;&amp;nbsp;had a fourfold increase in cesarean section (35/64 vs 8/64), a threefold increase in blood loss (669.2 vs 272.4 ml) (both p &amp;lt; 0.001) and were more likely to have preterm birth (12/64 vs 3/64) (p &amp;lt; 0.05). Only 5 % of the 64&amp;nbsp;&lt;span class="highlight"&gt;women&lt;/span&gt;&amp;nbsp;were born in the United Kingdom, 52 % were unemployed and 50 % were not fluent in English. Seventy-five percent of the&amp;nbsp;&lt;span class="highlight"&gt;study&lt;/span&gt;&amp;nbsp;&lt;span class="highlight"&gt;population&lt;/span&gt;&amp;nbsp;were multiparous, 52 % of the pregnancies were unplanned and 90 % had conceived spontaneously.&lt;/span&gt;&lt;/p&gt;&lt;h4 style="margin: 0px 0.25em 0px 0px; text-transform: uppercase; float: left;"&gt;&lt;span style="font-size: 8pt;"&gt;CONCLUSION:&lt;/span&gt;&lt;/h4&gt;&lt;p style="margin: 0px 0px 0.5em;"&gt;&lt;span style="font-size: 8pt;"&gt;In an&amp;nbsp;&lt;span class="highlight"&gt;inner&lt;/span&gt;&amp;nbsp;&lt;span class="highlight"&gt;city&lt;/span&gt;&amp;nbsp;immigrant&amp;nbsp;&lt;span class="highlight"&gt;population&lt;/span&gt;, older mothers &amp;gt;&lt;span class="highlight"&gt;45&lt;/span&gt;&amp;nbsp;&lt;span class="highlight"&gt;years&lt;/span&gt;&amp;nbsp;were more likely to have cesarean sections, postpartum hemorrhage and premature deliveries. Moreover, social and demographic factors suggest that late child bearing is influenced by cultural factors such as acceptance of large families and lack of contraception.&lt;/span&gt;&lt;/p&gt;&lt;/div&gt;
700 ## - ADDED ENTRY--PERSONAL NAME
Personal name Tran, K.
700 ## - ADDED ENTRY--PERSONAL NAME
Personal name Stewart, L.
700 ## - ADDED ENTRY--PERSONAL NAME
Personal name Soutte, E.
700 ## - ADDED ENTRY--PERSONAL NAME
Personal name Nauta, M.
700 ## - ADDED ENTRY--PERSONAL NAME
Personal name Yoong, W.
Holdings
Withdrawn status Lost status Damaged status Not for loan Collection code Home library Current library Shelving location Date acquired Total Checkouts Date last seen Price effective from Koha item type
        Staff publications for NMDX Ferriman information and Library Service (North Middlesex) Ferriman information and Library Service (North Middlesex) Shelves 07/06/2022   07/06/2022 07/06/2022 Book
London Health Libraries Koha Consortium privacy notice