ArticleInternational journal of environmental research and public health2022
Does Advanced Maternal Age Comprise an Independent Risk Factor for Caesarean Section? A Population-Wide Study.
Article in International journal of environmental research and public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed.
- Assessment of prevalence, perceptions, and factors associated with reported history of caesarean section among women in the United Arab Emirates: a cross-sectional study.BMC pregnancy and childbirth · 2026Article
- Disparities in primary Cesarean birth by sexual orientation: a population-based analysis across three longitudinal cohorts.Lancet regional health. Americas · 2026Article
- Prevalence, urban-rural disparity and determinants of caesarean section delivery among women delivering at health facilities in 48 low- and middle-income countries: a multilevel and decomposition analysis.BMJ global health · 2025Article
- Health system drivers of caesarean deliveries in south Asia: a scoping review.The Lancet regional health. Southeast Asia · 2025Review
- Prevalence and predictors of caesarean deliveries at the Tamale teaching hospital in Northern Ghana.BMC pregnancy and childbirth · 2025Article
- Machine Learning Approach to Predict Emergency Cesarean Sections Among Nulliparous Women.Cureus · 2025Article
- Comparative study of pregnancy risks in different maternal age groups.Saudi medical journal · 2025Article
- Patients preference for mode of delivery in a Middle Eastern society: a cross-sectional study.Frontiers in medicine · 2025Article
- Recent Status of Pregnancies at an Advanced Maternal Age at a Japanese Perinatal Center.Cureus · 2023Article
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Authors and funding
4 authors.
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Abstract
objectiveTo investigate the association between a mother's age and the risk of caesarean section (CS) when controlling for health factors and selected sociodemographic characteristics.
methodsBinary logistic regression models for all women who gave birth in Czechia in 2018 (N = 111,749 mothers who gave birth to 113,234 children).
resultsAn increase in the age of a mother significantly increases the odds of a CS birth according to all of the models; depending on the model, OR: 1.62 (95% CI 1.54-1.71) to 1.84 (95% CI 1.70-1.99) for age group 35-39 and OR: 2.83 (95% CI 2.60-3.08) to 3.71 (95% CI 3.23-4.27) for age group 40+ compared to age group 25-29. This strong association between the age of a mother and the risk of CS is further reinforced for primiparas (probability of a CS: 11% for age category ≤ 19, 23% for age category 35-39, and 38% for age category 40+). However, the increasing educational attainment of young women appears to have weakened the influence of increasing maternal age on the overall share of CS births; depending on the model, OR: 0.86 (95% CI 0.80-0.91) to 0.87 (95% CI 0.83-0.91) for tertiary-educated compared to secondary-educated women.
conclusionsThe age of a mother comprises an independent risk factor for a CS birth when the influence of health, socioeconomic, and demographic characteristics is considered.
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