‘Informed and uninformed decision making’—Women's reasoning, experiences and perceptions with regard to advanced maternal age and delayed childbearing: A meta-synthesis

Cooke, Alison; Mills, Thomas M.; Lavender, Tina

doi:10.1016/j.ijnurstu.2010.06.001

Cited by 163 publications

(135 citation statements)

References 48 publications

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“…Fifteen of them are international scientific articles from the United States (3), Australia (3), the United Kingdom (3), Japan (2), Canada (2), and Taiwan (2). Of the three Brazilian studies found, there was one scientific article and two master's theses.…”

Section: Resultsmentioning

confidence: 99%

“…Currently, postponing motherhood can be considered a worldwide phenomenon: over the last the 30 years, although birth rates have been decreasing, the average mother's age has been gradually increasing (1)(2) . Numerous factors contribute to this scenario, such as women's stronger presence in the job market, an increase in education and career opportunities for women, and the development of reproductive medicine with regards to family planning and contraceptive methods (3)(4) .…”

Section: Introductionmentioning

confidence: 99%

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The experiences of pregnant women at an advanced maternal age: an integrative review

Aldrighi

Wall

Souza

et al. 2016

Rev. esc. enferm. USP

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Objective:To identify in the literature how the experiences of women age 35 or above are described in terms of pregnancy. Method: Integrative review based on MEDLINE/ PubMed, CINAHL, LILACS, and SciELO databases, with no time period constraint. Results: Eighteen studies that dealt with the experiences of pregnant women at an advanced maternal age were selected and analyzed. The studies evidenced four theme categories: the search for information, which pointed to a deficit of information supplied by health care professionals; perceiving the risks, which pointed to women's concerns about their own health and their children's; the ideal moment for motherhood, with different reasons for postponing it; and adjusting to a new routine, showing a concern regarding changes in daily life. Conclusion: From the results, it was possible to understand that other factors, in addition to those that include risks, are present in the experiences of older pregnant women and point to a need to involve such aspects in nursing care to create comprehensive strategies that are aligned with these women's needs. DESCRIPTORSMaternal Age; Pregnancy; Nursing Care; Obstetric Nursing; Review.The experiences of pregnant women at an advanced maternal age: an integrative review* As experiências das mulheres na gestação em idade materna avançada: revisão integrativa Las experiencias de las mujeres en la gestión en edad materna avanzada: revisión integradora

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Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The experiences of pregnant women at an advanced maternal age: an integrative review

Aldrighi

Wall

Souza

et al. 2016

Rev. esc. enferm. USP

View full text Add to dashboard Cite

show abstract

“…Indeed, the inability to find a suitable and willing partner with whom to have and raise a child, has been repeatedly cited as one of the most common reasons women delay childbearing past the time they would prefer to start their families, and often past the age when their fertility is declining and the maternal and fetal risks of childbearing are increasing. [3][4][5][6][7][8]38] This underscores women's awareness of the very real demands of childrearing, and the value women place on trying to ensure their future children have two loving parents who are equally invested in their care. Given that most women of the current generation will be faced with the task of balancing childrearing and periods of full-or part-time employment outside the home, finding a partner who will be an involved and loving parent may be a way of distributing the childrearing responsibilities and managing the demands and responsibilities of work and family.…”

Section: Discussionmentioning

confidence: 99%

“…These include changing social norms about the timing of parenthood, the rising costs of raising children, women's educational and career desires and personal readiness, and challenges in finding an appropriate and willing partner with whom to share the responsibilities of parenting. [3][4][5][6][7][8][9] The increasing availability and acceptability of assisted reproductive treatments (ART) such as in vitro fertilization (IVF) and egg freezing have also been identified as contributing to women's beliefs that they can safely extend their childbearing years, [10][11][12][13] as have gaps in women's knowledge about the risks associated with delaying childbearing. [3,[14][15][16][17][18][19][20][21] Despite significant increases in the last 20 years in the number of mothers of advanced maternal age (AMA), typically defined as 35 years of age or older, [10] pronatalistic values still appear to be pervasive in reference to women who "choose" to delay motherhood.…”

Section: Introductionmentioning

confidence: 99%

Between a rock and a hard place: The reasons why women delay childbearing

Daniluk

Koert

2017

IJH

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The increasing trend for women to delay childbearing is often met with harsh criticism and judgment, based on the assumption that women are prioritizing their careers over having children. An on-line survey of 500 currently childless Canadian women between the ages of 18 and 38 (M = 28) assessed participants' childbearing intentions and beliefs, and the factors they felt were most important in the timing of childbearing. Although the respondents felt women should ideally have their first child in their late 20s, most expected that they would begin their families in their 30s. The ability to financially support a child was the most strongly endorsed factor in the timing of childbearing, followed by good health, being with a partner who would be an involved and loving parent, and having a proper home in which to raise a child. These findings highlight the values and beliefs that were most salient in participants' decisions about the timing of childbearing.

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“…Cooke et al в своей мета-этнографии определили три группы женщин по степени принятия решений о сроках деторождения: (i) те, кто был неосведомлен, (ii) те, кто считал, что они были проинформированы, но имеют неполную информацию и (iii) те, кто был проинформирован, но тем не менее задерживал деторождение [6]. В наших исследованиях, подобно первой группе Кука, 39% участников сообщали о том, что они совершенно не проинформированы о возрасте и рождаемости.…”

Section: Discussionunclassified

Pregnancy after 40 years old - is a realized reality?

Utepova

2017

J CLIN MED KAZ

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Introduction: An increase in a woman's age at her first birth has occurred across all age groups but has been most pronounced in relatively older women, such that one out of every five women in the world has her first child after the age of 35, an 8-fold increase over the previous generation. Objective: What do infertile women in Каzakhstan over the age 40 understand of the relationship between age and fertility?Methods: 82 medical card women over the 40 years old, who had consultation in IVF department of National research Center of Maternity & Child Care, were retrospectively analyzed. The data include responses to the interview questions 'What information did you have about fertility and age before you started trying to get pregnant?' and 'What did you learn once you proceeded with fertility treatment?', as well as any discussion of these topics.Results: 31.7% of women in our cohort first attempted conception at an average age more than 35 and 61% stated that they had some awareness that fertility declined after age 40. Yet 90.2% of women expected their fertility to decline gradually until menopause at around 50 years and 30.5% reported that they expected to get pregnant without difficulty at age 40. When entering into the medical realm, very few participants had considered the possibility that they would need IVF and 53.7% reported being 'shocked' and 'alarmed' to discover that their understandings of the rapidity of age-related reproductive decline were inaccurate.There were 97.6% of women who advocated better fertility education earlier in life so that men and women could make more informed childbearing decisions and 80.5% who indicated that with more information about declining fertility they might have attempted conception at an earlier age.Conclusion: We found that women in our country did not have a clear understanding of the age at which fertility begins to decline. Over half of participants were 'shocked' to discover that the chances of conception at their ages were much lower than they had anticipated. As a result, we conclude that while the failure to appreciate the true biological relationship between aging and fertility may reflect inaccessibility or misinterpretation of information, it is not sufficient to explain the decades-long socio-demographic phenomenon of delayed childbearing.Keywords: age and fertility, delayed childbearing, fertility education. Бүгінгі күнде әрбір бесінші әйел өзінің алғашқы баласын 35 жастан кейін туады, бұрынғы буынмен салыстырғанда бұл көрсеткіш 8 есе жоғары. Казақстандық әйелдердің жүктілігінен саналы түрде бас тарту фактісі бар ма? Әйелдер жүктілікті кейінге қалдыру бедеулік қауіпіне әкелетіндігін түсінеді ме? Осы сұрақтарға жауап іздеу біздің зерттеуімізге бастама болды. Pregnancy after 40 years old -is a realized reality?Зерттеу мақсаты: Қазақстанда 40 жастан асқан бедеу әйелдержас пен ұрықтылық арасындағы өзара байланысты қалай түсінетінін зерттеу.Материалдар және әдістер: Қазақстанның әр аймағынан АБҰҒО (Астана) ЭКҰ бөлімшесінде кеңестенуге келуші 40-49...

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‘Informed and uninformed decision making’—Women's reasoning, experiences and perceptions with regard to advanced maternal age and delayed childbearing: A meta-synthesis

Cited by 163 publications

References 48 publications

The experiences of pregnant women at an advanced maternal age: an integrative review

The experiences of pregnant women at an advanced maternal age: an integrative review

Between a rock and a hard place: The reasons why women delay childbearing

Pregnancy after 40 years old - is a realized reality?

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