Association between Maternal Age and Birth Defects of Unknown Etiology - United States, 1997–2007
Published Date:Jul 23 2012
Source:Birth Defects Res A Clin Mol Teratol. 94(12):1010-1018.
Corporate Authors:The National Birth Defects Prevention Study
Pubmed Central ID:PMC4532312
Funding:AVU3/Intramural CDC HHS/United States
FOA DD09-001/DD/NCBDD CDC HHS/United States
PA 02081/PHS HHS/United States
PA 96043/PHS HHS/United States
Birth defects affect 3% of babies born, and are one of the leading causes of infant mortality. Both younger and older maternal age may pose increased risks for certain birth defects. This study assessed the relationship between maternal age at the estimated delivery date and the risk for birth defects.
Data were obtained from the National Birth Defects Prevention Study, a population-based case-control study including mothers across 10 states. Maternal age was stratified into six categories: <20, 20 to 24, 25 to 29, 30 to 34, 35 to 39, and ≥40 years, and also analyzed as a continuous variable. Logistic regression models adjusted for maternal race/ethnicity, education, body mass index (BMI), folic acid use, smoking, gravidity, and parental age difference were used to estimate adjusted odds ratios (aORs) and 95% confidence intervals (CIs).
For maternal age <20 years, associations with total anomalous pulmonary venous return (aOR, 2.3; 95% CI, 1.3–4.0), amniotic band sequence (aOR, 2.4; 95% CI, 1.5–3.8), and gastroschisis (aOR, 6.1; 95% CI, 4.8–8.0) were observed. For the ≥40 year age group, associations with several cardiac defects, esophageal atresia (aOR, 2.9; 95% CI, 1.7–4.9), hypospadias (aOR, 2.0; 95% CI, 1.4–3.0), and craniosynostosis (aOR, 1.6; 95% CI, 1.1–2.4) were observed. Results using maternal age as a continuous variable were consistent with those that used categorized maternal age.
Elucidating risk factors specific to women at either extreme of maternal age may offer prevention opportunities. All women should be made aware of prevention opportunities, such as folic acid supplementation, to reduce the occurrence of birth defects.
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