Reproduction at an advanced maternal age and maternal health

Sauer, Mark V.

doi:10.1016/j.fertnstert.2015.03.004

Cited by 263 publications

(168 citation statements)

References 35 publications

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“…Although this is an advance in communications in the scope of health and illness, this raises a concern for the veracity and exactness of this information (42) . As for the second category, the risks associated with maternal age were described by both Brazilian and international studies (1,(7)(8)(9)(10)(13)(14) . Even though the results of the previous category evidenced a lack of information, pregnant women realize the risks they are taking during a pregnancy at a late age.…”

Section: Discussionmentioning

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: Discussionmentioning

confidence: 99%

“…The studies that deal with advanced maternal age have focused primarily on the relation between the risks and adverse results associated with age (1,(13)(14) . There are few studies that highlight the experiences of older pregnant women.…”

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

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“…Advanced maternal age, compared with maternal age under 35, is associated with worse pregnancy outcomes and maternal morbidity, with a higher incidence of GDM, gestational hypertension, and preterm labor [296]. Pregnancies resulting from ART conferred further additional risk with advancing maternal age [297].…”

Section: Consensus Recommendationsmentioning

confidence: 99%

The Impact of Kidney Development on the Life Course: A Consensus Document for Action

Brenner

Charlton

Luyckx

et al. 2017

Nephron

117

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Hypertension and chronic kidney disease (CKD) have a significant impact on global morbidity and mortality. The Low Birth Weight and Nephron Number Working Group has prepared a consensus document aimed to address the relatively neglected issue for the developmental programming of hypertension and CKD. It emerged from a workshop held on April 2, 2016, including eminent internationally recognized experts in the field of obstetrics, neonatology, and nephrology. Through multidisciplinary engagement, the goal of the workshop was to highlight the association between fetal and childhood development and an increased risk of adult diseases, focusing on hypertension and CKD, and to suggest possible practical solutions for the future. The recommendations for action of the consensus workshop are the results of combined clinical experience, shared research expertise, and a review of the literature. They highlight the need to act early to prevent CKD and other related noncommunicable diseases later in life by reducing low birth weight, small for gestational age, prematurity, and low nephron numbers at birth through coordinated interventions. Meeting the current unmet needs would help to define the most cost-effective strategies and to optimize interventions to limit or interrupt the developmental programming cycle of CKD later in life, especially in the poorest part of the world.

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“…Irrespective of the initial infertility aetiology, maternal age affects oocyte quality and quantity, and age is the most important factor influencing the success or failure of ART (Damario, Davis, & Rosenwaks, 1999;Handyside et al, 2012;Harton et al, 2013;Krey, Zhang, & Gfiro, 2001;Sauer, 2015).…”

Section: Barriers To Conceptionmentioning

confidence: 99%

“…Some participants suggested the myth that women 'can have it all' indicated that family, career, and relationships were all possible. Sauer (2015) suggests this myth be condemned and women should not delay their childbearing until a convenient time.…”

Section: Expectations Of Artmentioning

confidence: 99%

Expectations and experiences of midlife intending mothers engaging with Assisted Reproductive Technology

Hayward¹

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The age for optimal women's childbearing, with the best chance of delivering a healthy baby, is generally considered to be when aged in their 20s years. Some researchers propose that fertility declines occurs from 32 years of age. After this age women have a decreasing chance of conception attributed primarily to age-related chromosomal changes in their oocytes. Midlife intending mothers (women aged 35 and older) This research investigates perceptions of women's fertility decline and ART success from a group of women who had used ART, and from men and women in the community who may not have used ART. Women who had used ART and a community cohort were surveyed. Responses from these two groups were analysed separately and compared.Women who had used ART were asked about their experiences at their clinic, and if treatment had social or psychological repercussions. Participants asked about their perceptions of media portrayal of ART success for women aged 35 and older. The concept that ART has become commodified, where commodification is the transformation of services or entities into a commodity, is explored. Those who had used ART suggested recommendations for younger women about childbearing.A mixed-methods approach was utilised. Data were gathered from three cohorts of participants. Quantitative and qualitative data were gathered from an in-vitro fertilisation (IVF) support group (N = 68) and qualitative data from an interview group of IVF users (N=6) who had engaged with ART treatment either currently or recently. Some had conceived and some were still having treatment. The community group (N= 1243) comprised men and women over 18 years of age who participated in a Queensland-wide telephone survey. Quantitative data gathered from the support group and the community were analysed using SPSS. Qualitative data were explored via thematic analysis.Thematic findings from the interview group supported findings of the support group. Most women knew the benefits and risks of delaying childbearing and made an informed choice ii to use ART. Most were aware that fertility declined from the age of 35, yet this age group is the major consumer of ART. Most women younger than 40 years believed they would get pregnant and have a healthy baby. Only half of the women aged 40 years and older had that confidence. However, this insight may have been gained after using ART. Women found their experience physiologically and psychologically challenging and those who didn't conceive, found making the decision to stop treatment confronting. Some were confused on the published success rates, and expectations elevated from overall rather than age specific pregnancy not birth rates.Support group and interview participants felt delayed childbearing was mainly due to lack of a relationship partner whereas community members believed career or work aspirations. Both he support group and community group agreed that women's fertility declined from the age of 35 years but significantly more community members, and significantly more men th...

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Reproduction at an advanced maternal age and maternal health

Cited by 263 publications

References 35 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

The Impact of Kidney Development on the Life Course: A Consensus Document for Action

Expectations and experiences of midlife intending mothers engaging with Assisted Reproductive Technology

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