To determine if advanced maternal age independently increases the risk of perineal and anal sphincter injuries in first-time mothers.
Observational study design
Focus on nulliparous women giving birth
Comparison of injury rates by maternal age
Counseling recommendations based on findings
Advanced maternal age is not an independent predictor of perineal injury.
No significant link found between age and obstetric anal sphincter injury (OASI).
Emphasis should be placed on modifiable risk factors rather than age alone.
Abstract
Advanced maternal age is not an independent predictor of perineal injury or OASI. Clinical counseling should emphasize modifiable risk factors rather than maternal age.