Experiences regarding maternal age‐specific risks and prenatal testing of women of advanced maternal age in <scp>J</scp>apan

Murakami, Kyoko; Turale, Sue; Skirton, Heather; Doris, Faye; Tsujino, Kumiko; Ito, Misae; Kutsunugi, Saeko

doi:10.1111/nhs.12209

Cited by 11 publications

(9 citation statements)

References 27 publications

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“…Finally, the woman decided not to undergo prenatal testing, and she gave birth to a baby without disability. Therefore, the findings of the present study are similar to those of Murakami et al (2016), except that the participants in my study gave birth to babies with disabilities-thus the consequences of the doctors' comments were more serious. Furthermore, participants in the present study reported on some doctors who did not provide information about the babies' disabilities despite having diagnosed them.…”

Section: Discussionsupporting

confidence: 81%

“…Moreover, one mother reported that she was "accused" by the doctor for asking about prenatal testing. A very similar case was reported by Murakami et al (2016), who investigated the experiences of prenatal testing among Japanese women who gave birth to babies without disability at age 35 years or older. In that study, a 37-year-old woman asked the doctor about prenatal testing, and the doctor actively discouraged the woman from having the test.…”

Section: Discussionsupporting

confidence: 66%

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Experiences Related to Prenatal Testing Among Japanese Mothers of Children With Disabilities

Kimura

2018

Women's Reproductive Health

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This study investigated experiences related to prenatal testing among mothers of children with disabilities in Japan. Nearly one third (31.2%) of the mothers gave birth at !35 years, and 16.8% of them underwent prenatal testing. As for mothers of children with Down syndrome, 60.5% of them gave birth at !35 years, and 14.6% of them underwent prenatal testing. Qualitative data also revealed that, even though women 35 years of age or older wanted to undergo amniocentesis, their doctors did not always actively recommend this. A more woman-centered approach, based on the woman's desire to be informed regarding prenatal testing, is required.

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Section: Discussionsupporting

confidence: 81%

Section: Discussionsupporting

confidence: 66%

Experiences Related to Prenatal Testing Among Japanese Mothers of Children With Disabilities

Kimura

2018

Women's Reproductive Health

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“…Zunächst löst die Konfrontation mit dem Altersrisiko insbesondere aufgrund der fehlenden Kenntnisse Emotionen aus. Überraschung und Besorgnis oder auch stärkere Gefühle, wie Schock und Angst werden beschrieben [35,38,39]. Strategien, um diese Bedrohung zu handhaben, bestehen in einem individuellen Informationsmanagement, dem Bedürfnis nach Kontrolle, guter Vorbereitung, Ablenkung von Gedanken über Risiken, emotionaler Distanz zur Schwangerschaft und der Relativierung von Risikozuschreibungen [30,32,35,[37][38][39][40].…”

Section: Strategien Im Umgang Mit Der Altersrisikozuschreibungunclassified

“…Sie werden zu Expertinnen in eigener Sache und erleben, wie sich mit der Suche nach Informationen Gefühle der Überforderung ein-stellen, die das emotionale Wohlbefinden beeinträchtigen. Das japanische Sample bei Murakami et al [38], welches zu ihrem Erleben der pränatalen Diagnostik befragt wurde, beschreibt Ambivalenzen gegenüber der Beschaffung von Informationen, da diese die Sorgen verstärken können. Sie verlassen sich darauf, dass ihre Ärztinnen notwendige Themen ansprechen, wobei in Japan keine ärztliche Informationspflicht über die pränatale Diagnostik besteht.…”

Section: Strategien Im Umgang Mit Der Altersrisikozuschreibungunclassified

Mutterschaft ab 35 Jahren: Das Altersrisiko in der Wahrnehmung von Frauen – eine Literaturstudie

Niessen

Werner-Bierwisch

Metzing

et al. 2017

Z Geburtshilfe Neonatol

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Delaying motherhood is an ongoing trend in industrialized countries worldwide. The higher the mother´s age, the greater the risks for fertility, pregnancy, childbearing, and for the newborn. The psychosocial situation of women who are conscious of pregnancy risks is thus negatively affected. This paper aims to answer the question as to how women experience the risks of age. An systematic search of the international literature was carried out between December 2015 and March 2016, using the electronic databases PubMed, CINAHL, PsycINFO, Sowiport, as well as a manual search. The inclusion criterion was the perception of reproductive age risks of motherhood at an advanced age, defined as ≥ 35 years. Eleven studies with different designs were evaluated. The participants were sufficiently informed about decreasing fertility rates and the increasing risk of trisomy 21, but less knowledge was shown about the remaining age-associated risks. The awareness of these risks made women feel anxious and scared. They showed various strategies for dealing with their concern: information management, associated with problems of overand misinformation and, in contrast, information avoidance. Other strategies were distraction from thinking about the risks, the need for control and good preparation, or emotional distancing from the pregnancy. The women´s personal risk assessment was complex. They related their social circumstances and their lifestyle and thought about the medical attributions in relative terms. By focusing on giving birth to a healthy child, the mothers often neglected to prepare themselves for living with the newborn. Postpartum they were overwhelmed by the care needed by the newborn child. The age risk cannot be assessed adequately by those affected. Various phenomena determined through risk research may also appear. There was a meaningful difference between the medically assessed risk and the women's perceived risk. Taking the women´s experience with ageassociated risks and the consequences of motherhood into consideration, it seems necessary to discuss the concept of age risk. Healthcare professionals should focus on health support and encourage older pregnant women to familiarize themselves with family-orientated care of a newborn family member.

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“…Information has been identified as a vital tool in combatting health challenges facing women in the developing-world (Nwagwu & Ajama, 2011;Ezema & Ugwuanyi, 2014;Murakami et al, 2015) and in improving women's reproductive health (Martin, 1996;Thapa, 1996). Martin (1996, p. 181) found that "most of the unnecessary deaths and disease burden could be prevented through application of low-cost effective technologies in medical care and provision of health information to parents and child care-takers".…”

Section: Reproductive Health Information Access Among Rural Women In mentioning

confidence: 99%

Reproductive Health Information Needs and Access Among Rural Women in Nigeria: A Study of Nsukka Zone in Enugu State

Ezema¹

2016

Afr. j. inf. commun. (Online)

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This article presents a study of the reproductive health information needs and access practices of rural women in Nsukka Cultural Zone, Enugu State, South East Nigeria. Three hundred and fifty women from 14 rural Nsukka communities were surveyed and 335 responses analysed. It was found that the main reproductive health information needs of the women were related to infertility; use of contraception; abortion; prevention of sexually transmitted diseases; antenatal care; and postnatal care. The main existing sources of reproductive health information were found to be: friends and relations; hospitals and health centres; churches; women's organisations; and radio and television. Fewer than half (46%) of the women participants were found to be accessing reproductive health information using their mobile phones. The author recommends enhanced rural development approaches that include: information provision through mobile communications; opening of rural libraries and information centres with Internet hubs; and sustainable adult literacy campaigns focused on reproductive health information. The study outlined in this article examined the reproductive health information needs of rural women in the Nsukka Cultural Zone of Enugu State in South East Nigeria. Specifically, the study sought to: identify the major reproductive health information needs of women; find out what were the existing governmental and/ or non-governmental information access structures in the women's localities that could meet these information needs; determine the women's existing sources of reproductive health information; determine the challenges faced by women in accessing reproductive health information; and recommend strategies for improved access to reproductive health information. Keywords

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Experiences regarding maternal age‐specific risks and prenatal testing of women of advanced maternal age in Japan

Cited by 11 publications

References 27 publications

Experiences Related to Prenatal Testing Among Japanese Mothers of Children With Disabilities

Experiences Related to Prenatal Testing Among Japanese Mothers of Children With Disabilities

Mutterschaft ab 35 Jahren: Das Altersrisiko in der Wahrnehmung von Frauen – eine Literaturstudie

Reproductive Health Information Needs and Access Among Rural Women in Nigeria: A Study of Nsukka Zone in Enugu State

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