Maternal Age Flashcards
(20 cards)
Statistics for adolescents pregnancy
-12 million every year
-3.9 million abortions in this age range are unsafe
-complications in pregnancy are the leading cause of death in this age range
-higher risk of PET, preterm, low BW
(WHO, 2020)
Risk factors for pregnancy >18 years
-free school meals (poverty)
-persistent school absence and slow academic progress
-looked after children: 3X
-CSA
(PHE 2018)
Risk factors for young men experiencing parenthood
-victims of abuse
-mental disorders
-poor nutrition and substance abuse
Statistics for >20 pregnancy
- 30% higher rate of stillbirth
- 60% higher infant mortality rate
- higher rates of poor maternal mental health and child developmental delay
(PHE, 2018)
Risks child of adolescence pregnancy
-low income
-low education level
-have parents not in education, training, etc
Tools to reduce teenage pregnancy
-sex education
-accessible contraception
Care recommendations for women with complex social factors
-multi agency assessment
-respect confidentiality
-share age suitable services
NICE, 2010
Gillick competence
- if 16+, ability to accept or decline treatment is assumed however they should be encouraged to involve parents and carers
NICE, 2010
Age of consent in England
16
Age defined as ‘older maternal age’
35 or 40
Why are more women having children at an older age
-change in societal standards
-more women working
- contraception available
Stats about older maternal pregnancy
- 1:25 babies born to women over 40 which is 3 fold increase in 30 years
BPAS, 2015
Risk with older pregnancy
-miscarriage and IUFD
-placental issues (abruption/Previn)
-PPH
-multiple pregnancy due to use of fertility treatments
-more medical complications affecting pregnancy
Down syndrome and older pregnancy
1:100 by 40
Stillbirth and older pregnancy
2.5:1000 aged 40+
5X higher chance than younger women
Aetiology unknown
Recommendation for older women and IOL
IOL at 39 weeks especially if comorbidities, BAME present as higher rate of still birth
(RCOG, 2013)
Gillick competence
-age 16+, capacity to accept/decline treatment is assumed
-young people should be encouraged to involve parents in decision making (NICE, 2010)
Age of consent
16 years old
Why are women having babies at an older age?
-societal standards have changed
-women are prioritising their careers
-4X increase in women having babies over 40 over 30 years (BPAS, 2015)
