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  • Title: How are older maternal age and grand multiparity related to infant health?
    Author: Haaga JG.
    Journal: Malays J Reprod Health; 1989 Dec; 7(2):147-58. PubMed ID: 12283074.
    Abstract:
    Most of the studies that have shown excess risks of morbidity and mortality for infants born to older mothers or those at very high parity have used data from countries with low infant mortality rates, mainly in Europe and North America. In these countries, increasing numbers of women are delaying childbearing into their thirties and early forties, making the consequences of older maternal age for the infant an important public health concern. Grand multiparity, by contrast, is now exceedingly rare in those countries. In many developing countries, however, childbearing typically continues, even if it does not start, at older maternal ages, and grand multiparity is not at all uncommon, It is thus important for the design and targeting of maternal and child health and family planning programs to distinguish the effects of infant health of high parity from those of older maternal age, and of maternal age as such from those of primiparity at older ages. This review uses data from countries that now have low fertility and infant mortality rates as well as from countries where both rates are higher to assess the evidence for different mechanisms through which maternal age and parity affect infant health.
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