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Age, mode of conception, health service use and pregnancy health: a prospective cohort study of Australian women

Fisher, Jane, Wynter, Karen, Hammarberg, Karin, McBain, John, Gibson, Frances, Boivin, Jacky and McMahon, Catherine 2013, Age, mode of conception, health service use and pregnancy health: a prospective cohort study of Australian women, BMC pregnancy and childbirth, vol. 13, doi: 10.1186/1471-2393-13-88.

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Title Age, mode of conception, health service use and pregnancy health: a prospective cohort study of Australian women
Author(s) Fisher, Jane
Wynter, KarenORCID iD for Wynter, Karen orcid.org/0000-0003-4620-7691
Hammarberg, Karin
McBain, John
Gibson, Frances
Boivin, Jacky
McMahon, Catherine
Journal name BMC pregnancy and childbirth
Volume number 13
Article ID 88
Total pages 13
Publisher BioMed Central
Place of publication London, Eng.
Publication date 2013-04-08
ISSN 1471-2393
Keyword(s) Science & Technology
Life Sciences & Biomedicine
Obstetrics & Gynecology
POSTNATAL DEPRESSION SCALE
ASSISTED CONCEPTION
OLDER
MOOD
CHILDBEARING
ADJUSTMENT
CHILDBIRTH
PARENTHOOD
TRANSITION
SCORES
Summary Background: There is limited evidence about the ways in which maternal age and mode of conception interact with psychological, sociodemographic, health and health service factors in governing pregnancy health. The aim of this study was to establish in what ways maternal age and mode of conception are associated with, health behaviours, health service use and self-rated physical and mental health during pregnancy.Method: A prospective cohort study was conducted in a collaboration between universities, infertility treatment services and public and private obstetric hospitals in Melbourne and Sydney, Australia,. Consecutive cohorts of nulliparous English-literate women at least 28 weeks pregnant who had conceived through ART (ARTC) or spontaneously (SC) in three age-groups: 20-30; 31-36 and at least 37 years were recruited. Data were obtained via structured individual telephone interviews and self-report postal questionnaires at recruitment and four months postpartum. Study-specific questions assessed: sociodemographic characteristics; reproductive health; health behaviours and health service use. Standardized instruments assessed physical health: SF 12 Physical Component Score (PCS) and mental health: SF12 Mental Component Score (MCS); State Trait Anxiety Inventory and Edinburgh Postnatal Depression Scale. The main outcome measures were the SF 12 PCS, SF12 MCS scores and pregnancy-related hospital admissions.Results: Of 1179 eligible women 791 (67%) participated, 27 had fertility treatment without oocyte retrieval and were excluded and 592/764 (78%) completed all pregnancy assessments. When other factors were controlled speaking a language other than English, having private health insurance and multiple gestation were associated with worse physical health and having private health insurance and better physical health were associated with better mental health. Pregnancy-related hospital admissions were associated with worse physical health and multiple gestation.Conclusions: Maternal age and mode of conception are not associated with pregnancy health and health service use when sociodemographic factors are considered. © 2013 Fisher et al.; licensee BioMed Central Ltd.
Language eng
DOI 10.1186/1471-2393-13-88
Indigenous content off
Field of Research 1114 Paediatrics and Reproductive Medicine
1117 Public Health and Health Services
1110 Nursing
HERDC Research category C1 Refereed article in a scholarly journal
Copyright notice ©2013, Fisher et al.
Free to Read? Yes
Persistent URL http://hdl.handle.net/10536/DRO/DU:30129889

Document type: Journal Article
Collections: Faculty of Health
School of Nursing and Midwifery
Open Access Collection
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Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.