{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,16]],"date-time":"2025-12-16T12:16:39Z","timestamp":1765887399960},"reference-count":27,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2012,4,13]],"date-time":"2012-04-13T00:00:00Z","timestamp":1334275200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Aust NZ J Obst Gynaeco"],"published-print":{"date-parts":[[2012,6]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>As the proportions of older women giving birth increase, there is a growing body of evidence on the increased risks of poorer maternal and perinatal outcomes for this group. However, the associations are not completely understood. This study aimed to establish the prevalence of selected maternal morbidities and examine whether advanced maternal age is associated with a higher risk of morbidity for women giving birth in <jats:styled-content style=\"fixed-case\">V<\/jats:styled-content>ictoria.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>Data on all births over 20\u00a0weeks\u2027 gestation for 2005 and 2006 were obtained from the <jats:styled-content style=\"fixed-case\">V<\/jats:styled-content>ictorian <jats:styled-content style=\"fixed-case\">P<\/jats:styled-content>erinatal <jats:styled-content style=\"fixed-case\">D<\/jats:styled-content>ata <jats:styled-content style=\"fixed-case\">C<\/jats:styled-content>ollection. Unadjusted and adjusted analyses were undertaken using logistic regression to examine and quantify the association between advanced maternal age (35\u00a0years and older) and selected obstetric morbidities and complications.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There was evidence of an association between older maternal age and selected morbidities and complications. Older nulliparous women were at highest odds of gestational diabetes (Adj<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>, 1.83; 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>, 1.67\u20132.02), placenta praevia (Adj<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>, 2.02; 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>, 1.68\u20132.44), multiple birth (Adj<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>, 1.80; 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>, 1.58\u20132.06) and caesarean delivery (Adj<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>, 1.93; 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>, 1.84\u20132.02). Older multiparous women were at highest odds of gestational diabetes (Adj<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>, 2.01; 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>, 1.88\u20132.15) and placenta praevia (Adj<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>, 2.11; 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>, 1.83\u20132.44).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Older women giving birth in <jats:styled-content style=\"fixed-case\">V<\/jats:styled-content>ictoria are at an increased risk of a range of obstetric morbidities. Delayed childbearing for an increasing number of women has societal and public health ramifications and will potentially place greater demand on healthcare services.<\/jats:p><\/jats:sec>","DOI":"10.1111\/j.1479-828x.2012.01427.x","type":"journal-article","created":{"date-parts":[[2012,4,13]],"date-time":"2012-04-13T10:25:26Z","timestamp":1334312726000},"page":"229-234","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":36,"title":["Advanced maternal age and obstetric morbidity for women giving birth in <scp>V<\/scp>ictoria, <scp>A<\/scp>ustralia: A population\u2010based study"],"prefix":"10.1111","volume":"52","author":[{"given":"Mary Anne","family":"Biro","sequence":"first","affiliation":[{"name":"School of Nursing and Midwifery Clayton Campus Monash University Clayton"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mary\u2010Ann","family":"Davey","sequence":"additional","affiliation":[{"name":"Consultative Council on Obstetric and Paediatric Mortality and Morbidity Department of Health Melbourne"},{"name":"Mother &amp; Child Health Research La Trobe University Melbourne"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mary","family":"Carolan","sequence":"additional","affiliation":[{"name":"School of Nursing and Midwifery St Albans Campus Victoria University St Albans Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michelle","family":"Kealy","sequence":"additional","affiliation":[{"name":"Mother &amp; Child Health Research La Trobe University Melbourne"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2012,4,13]]},"reference":[{"key":"e_1_2_6_2_1","volume-title":"Births in Victoria 2005 and 2006","author":"Davey MA","year":"2008"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1523-536X.2010.00439.x"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1503\/cmaj.070150"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-3016.2002.00409.x"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1479-828X.2005.00333.x"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-3016.2007.00849.x"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.AOG.0000140682.63746.be"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1093\/humrep\/del522"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2009.08.022"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1447-0756.2011.01552.x"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.AOG.0000163256.83313.36"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1093\/humrep\/15.11.2433"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.AOG.0000158118.75532.51"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2006.10.030"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1523-536X.2010.00409.x"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00404-010-1587-x"},{"key":"e_1_2_6_18_1","volume-title":"Stata Statistical Software: release 11","author":"StataCorp","year":"2007"},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.320.7251.1708"},{"key":"e_1_2_6_20_1","volume-title":"Gestational Diabetes Mellitus in Australia, 2005\u201306","author":"Templeton M","year":"2008"},{"key":"e_1_2_6_21_1","doi-asserted-by":"publisher","DOI":"10.1172\/JCI200524531"},{"key":"e_1_2_6_22_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11296-006-0046-5"},{"key":"e_1_2_6_23_1","volume-title":"Births in Victoria 2007 and 2008","author":"Consultative Council on Obstetric and Paediatric Mortality and Morbidity","year":"2010"},{"key":"e_1_2_6_24_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.1998.tb09937.x"},{"key":"e_1_2_6_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1472-6483(10)62251-1"},{"key":"e_1_2_6_26_1","volume-title":"Annual Report for the Year 2007 Incorporating the 46th Survey of Perinatal Deaths in Victoria","author":"Consultative Council on Obstetric and Paediatric Mortality and Morbidity","year":"2010"},{"key":"e_1_2_6_27_1","unstructured":"WaltersB.The pregnancy reality. 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