Abstract
The term ‘elderly primigravida was first used in 1958 by the International Council of Obstetricians and Gynecologists to refer to women aged over 35 years who were embarking upon their first pregnancy (Tuck et al 1988). Such a rigid cut off point has been criticised by Kane (1967) who demonstrated that risk increases (and outcomes worsen) from a maternal age of 25 years onwards. A review of the literature, however, indicates that a wider range of definition is used. Some authors are interested in primiparous women aged over 30 (Vessey et al 1986; Barkan & Bracken 1987), whilst others have only followed up those women aged over 40 (Berryman & Windridge 1991a, 1991b). For this reason, this chapter has not adopted a rigid definition but states the range of ages examined in each particular circumstance.
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References
Adams M M, Oakley G P, Marks J S 1982 Maternal age and births in the 1980s. Journal of the American Medical Association 247: 493–4
Ales K L, Druzin M L, Santini D L1990 Impact of maternal age on the outcome of pregnancy. Surgery, Gynecology and Obstetrics 171 (171): 3–209
Baird P A, Sadovnick A D, Yee I M L 1991 Maternal age and birth defects: a population study. Lancet 337: 527–30
Barkan S E, Bracken M B1987 Delayed childbearing: no evidence for increased risk of low birthweight and preterm delivery. American Journal of Epidemiology 125 (125): 1–101
Berkowitz G S, Skovron M L, Lapinski R H, Berkowitz R L1990 Delayed childbearing and the outcome of pregnancy. New England Journal of Medicine 322 (322): 10–659
Berryman J C and Windridge K 1991a Having a baby after 40: I. A preliminary investigation of women’s experience of pregnancy. Journal of Reproductive and Infant Psychology 9 (1): 3–18
Berryman J C and Windridge K 1991b Having a baby after 40: II. A preliminary investigation of women’s experience of motherhood. Journal of Reproductive and Infant Psychology 9 (1): 19–33
Bound J P, Francis B J, Harvey P W1991 Neural tube defects, maternal cohorts and age: a pointer to aetiology. Archives of Disease in Childhood 66 (66): 10–1223
Bracken M B1987 Incidence and aetiology of hydatidiform mole: an epidemiological review. British Journal of Obstetrics and Gynaecology 94 (94): 12–1123
Brandenburg H, Van Der Zwan L, Jahoda M G J1991 Prenatal diagnosis in advanced maternal age. Amniocentesis or CVS, a patient’s choice or lack of information? Prenatal Diagnosis 11 (11): 9–685
Bureau of Census 1989 Fertility of American Women: June 1988. Current Population Reports, Series P-20, No 436. US Government Printing Office, Washington DC
Cario G M, Fray R E, Morris N F 1985 The obstetric performance of the elderly primigravida. Journal of Obstetrics and Gynaecology 5: 237–40
Chalmers B 1982 Psychological aspects of pregnancy: Some thought for the eighties. Social Science and Medicine 16: 323–31
Cuckle H S, Wald N J, Thompson S G1987 Estimating a woman’s risk of having a pregnancy associated with Down’s syndrome using her age and serum alpha-fetoprotein level. British Journal of Obstetrics and Gynaecology 94 (94): 5–387
Daniels P, Weingarten K 1982 Sooner or later: the timing of parenthood in adult lives. Norton, New York
Davidson E, Fukushima T1986 The age extremes for reproduction: current implications for policy change. American Journal of Obstetrics and Gynecology 152 (152): 4–467
Davie R, Butler N, Goldstein H 1972 From birth to seven: a report of the National Child Development Study. Longman, London.
Department of Health 1991 Report on confidential enquiries into maternal deaths in the United Kingdom 1985–7. HMSO, London
Edwards R G, Steptoe P C 1983 Current state of in vitro fertilisation and implantation of embryos. Lancet ii: 1265–9
Friedman E, Sachtleben M 1965 Relation of maternal age to the course of labor. American Journal of Obstetrics and Gynecology 9: 915–24
Gaskin I M1986 Late-bloomers: giving birth after 35. The Birth Gazette 3 (3): 1–16
Gordon D, Milberg J, Daling J, Hickok D1991 Advanced maternal age as a risk factor for cesarean delivery. Obstetrics and Gynecology 77 (77): 4–493
Harlap S, Shiono P 1980 Alcohol, smoking and incidence of spontaneous abortion in the first and second trimester. Lancet ii: 173–6
Holz K, Cooney C, Marchese T1989 Outcomes of mature primiparas in an outof-hospital birth center. Journal of Nurse-Midwifery 34 (34): 4–185
Ingermarsson J, Westgren M, Svenningsen N W 1978 Long term follow-up of pre-term infants and breech presentation delivered by Caesarean section. Lancet ii: 172–5
Jahoda M G J, Pijpers L, Vosters R P L 1987 Role of maternal age in assessment of risk of abortion-after prenatal diagnosis during first trimester. British Medical Journal 295: 1237
Jonas O, Chan A, Roder D, Macharper T 1991 Pregnancy outcomes in primigravid women aged 35 years and over in South Australia 1986–88. Medical Journal of Australia 154 (154): 4–246
Kane S H 1967 Advancing age and the primigravida. Obstetrics and Gynecology 29: 409–14
Kirz D S, Dorchester W, Freeman R K1985 Advanced maternal age: the mature gravida. American Journal of Obstetrics and Gynecology 152 (152): 1–7
Kitzinger S 1982 Birth over thirty. Sheldon Press, London
Kline J, Stein Z A, Susser M W 1977 Smoking: a risk factor for spontaneous abortion. New England Journal of Medicine 297: 793–6
Kline J, Shrout P, Stein Z A 1980 Drinking during pregnancy and spontaneous abortion. Lancet ii: 176–80
Kuhnert B R, Kuhnert P M, Zaelingon T J1988 Associations between placental cadmium and zinc and age and parity in pregnant women who smoke. Obstetrics and Gynecology 71 (71): 1–67
Lee K, Ferguson R M, Corpuz M1988 Maternal age and incidence of low birthweight at term: a population study. American Journal of Obstetrics and Gynecology 158 (158): 1–84
Lehmann D, Chism J 1987 Pregnancy outcome in medically complicated and uncomplicated patients age 40 years or over. American Journal of Obstetrics and Gynecology 157 (157): 3–738
MacDonald A, Grant A, Pereira M 1985 The Dublin randomised controlled trial of intrapartum electronic fetal heart rate monitoring. American Journal of Obstetrics and Gynecology 154: 524–39
Mansfield P 1986 Reevaluating the medical risks of late childbearing. Women and Health 11 (11): 2–37
Mansfield P K1988 Midlife childbearing: strategies for informed decision making. Psychology of Women Quarterly 12 (12): 4–445
Mansfield P K, Cohn M D1986 Stress and later-life childbearing: important implications for nursing. Maternal and Child Nursing 15 (15): 3–139
Martel M, Wacholder S, Lippman A1987 Maternal age and primary cesarean section rates: a multivariate analysis. American Journal of Obstetrics and Gynecology 156 (156): 2–305
Michelson J, Gee S 1984 Coming late to motherhood. Thorsons, Wellingborough
Naeye R L 1983 Maternal age, obstetric complications and the outcome of pregnancy. Obstetrics and Gynecology 61: 210–16
Naeye R L, Ladis B, Drage J S 1976 Sudden infant death syndrome: a prospective study. American Journal of Disease in Childhood 130: 1207–10
National Center for Health Statistics 1989 Vital and health statistics. Trends and variations in births to older women, 1970–1976. DHHS Publication No. (PHS) 89–1925 NCHS. Hyattsville, Maryland
Office of Population Censuses and Surveys 1992 Population Trends No. 66, Winter 1991. OPCS, London
Petti D 1985 Maternal mortality and morbidity in cesarean section. Clinical Obstetrics and Gynecology 28: 763–8
Plant M 1990 Maternal alcohol and tobacco use during pregnancy. In Alexander J, Levy V, Roch S (eds) Antenatal Care: A research-based approach (Midwifery Practice, Vol. I) Macmillan, Basingstoke
Poland B J, Miller J R, Jones D C 1977 Reproductive counselling in patients who have had a spontaneous abortion. American Journal of Obstetrics and Gynecology 127: 685–91
Price J 1977 You’re not too old to have a baby. Farrar Strauss Giroux, New York
Robinson G E, Garner D M, Gare D J, Crawford B 1987 Psychological adaptation to pregnancy in childless women over 35 years of age. American Journal of Obstetrics and Gynecology 156: 328–33
Robinson.G E, Olmsted M, Garner D M, Gare D J 1988 Transition to parenthood in elderly primiparas. Journal of Psychosomatic Obstetrics and Gynaecology 9: 89–101
Sheldon T A, Simpson J 1991 Appraisal of a new scheme for prenatal screening for Down’s syndrome. British Medical Journal 302: 1133–6
Spellacy W M, Miller S J, Winegar A 1986 Pregnancy after 40 years of age. Obstetrics and Gynecology 4 (4): 10–452
Stein Z A 1985 A woman’s age: childbearing and childrearing. American Journal of Epidemiology 121 (3): 327–42
Stein Z A, Kline J, and Susser E 1980 Maternal age and spontaneous abortion. In Porter I H, Hook E B (eds) Human embryonic and fetal death. Academic Press, New York
Tuck S M, Yudkin P L, Turnbull A C1988 Pregnancy outcome in elderly primigravidae with and without a history of infertility. British Journal of Obstetrics and Gynaecology 95 (95): 3–230
van Noord-Zaadstra B. M, Looman C. W. N., Alsbach H., Habbema J. D. F., te Velde E. R, Karbaat J. 1991 Delaying childbearing: effect of age on fecundity and outcome of pregnancy. British Medical Journal 302: 1361–5
Ventura S 1982 Trends in first births to older mothers 1970–79. National Center for Health Statistics 31 (31): 2–1
Vessey M P, Smith M A, Yeates D 1986 Return of fertility after discontinuation of oral contraceptives: influence of age and parity. British Journal of Family Planning 11: 120–24
Wald N J, Kennard A, Densem W, Cuckle H, Chard T, Butler L 1992 Antenatal maternal serum screening for Down’s syndrome: results of a demonstration project. British Medical Journal 305: 391–4
Waters S, Wager H 1950 Pregnancy and labor experiences of elderly primigravidas. American Journal of Obstetrics and Gynecology 59: 296–304
Suggested further reading
West C P 1987 Age and infertility. British Medical Journal 294: 853–4
Zybert P, Belmont L, Stein Z 1978 Maternal age and children’s ability. Perception and Motor Skills 47: 815–18.
Harker L, Thorpe E1992 ‘The last egg in the basket?’ Elderly primiparity — a review of findings. Birth 19 (19): 1–23
Mansfield P 1986 Reevaluating the medical risks of late childbearing. Women and Health 11 (11): 2–37
Tuck S M, Yudkin P L, Turnbull A C 1988 Pregnancy outcome in elderly primigravidae with and without a history of subfertility. British Journal of Obstetrics and Gynaecology 95 (95): 3–230
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© 1993 Louise Silverton
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Silverton, L. (1993). The elderly primigravida. In: Alexander, J., Levy, V., Roch, S. (eds) Midwifery Practice. Midwifery Practice. Palgrave, London. https://doi.org/10.1007/978-1-349-12936-2_5
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DOI: https://doi.org/10.1007/978-1-349-12936-2_5
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