Factors Influencing Childbearing Decisions and Knowledge of Perinatal Risks among Canadian Men and Women

Tough, Suzanne; Tofflemire, Karen; Benzies, Karen; Fraser-Lee, Nonie; Newburn‐Cook, Christine

doi:10.1007/s10995-006-0156-1

Cited by 148 publications

(140 citation statements)

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“…5 Although many men and women are aware of the impact age can have on their fertility, they appear to be less aware of the influence advanced age can have on birth outcomes as well as the costs and variable success rates of fertility treatments. 6 Women of advancing age are at greater risk of developing chronic medical conditions, such as obesity and diabetes, which may impact both fertility and fetal health outcomes. 8 They are also at higher risk for miscarriage and prenatal complications, which may increase the need for caesarean section.…”

Section: Health Impacts Of Delayed Parenthoodmentioning

confidence: 99%

“…4 Reasons for the trend towards delayed parenthood are complex and may include a greater societal emphasis on attaining higher education, career advancement and financial security before starting (or enlarging) a family. 5,6 As well, improvements in contraception enable people to have more control over timing of parenthood. 5 Absence of supportive work-family policies and environments, such as maternity and paternity benefits and affordable and accessible childcare, may also have an impact.…”

mentioning

confidence: 99%

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Delayed parenthood on the rise: A call for upstream preconception health promotion in Canada

Mill

Enders

Montanaro

et al. 2016

Can J Public Health

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The trend toward delayed parenthood is on the rise across Canada. Societal emphasis on attaining higher education, career advancement and financial security may be some reasons why individuals delay becoming a parent; whatever the reason, this trend is linked to significant health and economic impacts. Many Canadians are unaware of the impact this may have on their fertility and potential birth outcomes. It is important that health care professionals apprise individuals in their reproductive years about these issues and the steps they can take to mitigate these risks. Implementing a health equity and broader determinants of health approach through social policy development may also prove beneficial. Such upstream approaches could enhance maternal and child health outcomes, and also help ensure that people of reproductive age are making an informed decision about delaying parenthood. This article calls for developing a comprehensive preconception health promotion and care strategy encompassing individual, community and population level approaches.KEY WORDS: Preconception care; health promotion; public health; Canada; fertility; health knowledge; attitudes; practices La traduction du résumé se trouve à la fin de l'article.

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Section: Health Impacts Of Delayed Parenthoodmentioning

confidence: 99%

mentioning

confidence: 99%

Delayed parenthood on the rise: A call for upstream preconception health promotion in Canada

Mill

Enders

Montanaro

et al. 2016

Can J Public Health

View full text Add to dashboard Cite

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“…For example, in Finland the rate of women giving birth after the age of 35 increased Delaying childbearing may be attributed to several reasons, beginning with the longer life span, greater accessibility to education and career opportunities for women, and the existence of effective means of birth control (Stein, 1985;Berkowitz, Skovron et al, 1990). Men and women recognized the direct relationship between older maternal age and the declined in fertility (Tough, Benzies et al, 2006;Tough, Benzies et al, 2007), however, there is a popular concept that IVF treatment can reverse the effects of age (Maheshwari, Porter et al, 2008). Interestingly, along with acknowledgment in the success of ART there is a lack of awareness regarding the effect of maternal age over perinatal complications during pregnancy.…”

Section: The Effect Of Maternal Age On Reproduction and Pregnancy Outmentioning

confidence: 99%

Assisted Reproduction and Preterm Birth

Erez¹,

Beer-Weisel²,

Rafaeli-Yehudai³

et al. 2012

Preterm Birth - Mother and Child

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“…Например, если в возрасте моложе 35 лет эффективность ЭКО составляет 41%, то у женщин старше 42 лет -всего 4% [3,4,5]. Какова истинная причина позднего рождения первого ребенка в Казахстане: осознанный ли это отказ от беременности или существуют медицинские проблемы?…”

Section: Introductionunclassified

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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Factors Influencing Childbearing Decisions and Knowledge of Perinatal Risks among Canadian Men and Women

Abstract: Poor understanding of the links between childbearing after age 35, pregnancy complications and increased risk of adverse infant outcomes limits adults' ability to make informed decisions about timing of childbearing.

Cited by 148 publications

References 46 publications

Delayed parenthood on the rise: A call for upstream preconception health promotion in Canada

Delayed parenthood on the rise: A call for upstream preconception health promotion in Canada

Assisted Reproduction and Preterm Birth

Pregnancy after 40 years old - is a realized reality?

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