Tailoring Peripartum Nursing Care for Women of Advanced Maternal Age

Understanding the Health Beliefs of First Time Mothers Who Request Elective Cesarean Versus Mothers who Request Vaginal Delivery

“…They also expressed fear of childbirth, a desire for their partner to be supportive, and a desire for childbirth to be a pleasant and satisfying experience (Bryanton, Gagnon, Johnson, & Hatem, 2008;McCourt, Weaver, Statham, Beake, Gamble, & Creddy, 2007;Miesnik & Reale, 2007;Soet, Brack, & Diloria, 2003;Suplee, Dawley, & Block, 2007;Weaver, Statham, Richards, 2007;Wiklund, 2007). Women planning a cesarean have consistently expressed the belief that a cesarean delivery was safe or safer for themselves and their baby than a vaginal delivery (Bryanton et al2008;McCourt et al, 2007;Miesnik & Reale, 2007;Soet et al, 2003;Weaver et al;Suplee et al, 2007;Wiklund, 2007). No studies have examined the complex relationships among individual, interpersonal, and societal factors which may be contributing to the phenomenon of maternal request.…”

“…The variance in rates is partly explained by differing perceptions of healthcare providers and women regarding the benefits and risks of cesarean delivery (McCourt et al, 2007;Suplee et al, 2007;Weaver et al, 2007;Women's Health Care Physicians, 2000). This increased acceptance of cesarean delivery, as a reasonable elective option for childbirth, may be attributed to the relative safety of cesarean delivery combined with a change in perceptions regarding the risks and benefits of vaginal delivery (American Journal of Obstetricians and…”

Determinants of caesarian birth on maternal demand in the Islamic Republic of Iran: a review

“…Advanced maternal age places women in a risk category in which screening and diagnostic tests for chromosomal abnormalities are routinely offered and is associated with infertility and assisted reproductive technology (16). These factors may contribute to a maternal viewpoint of the pregnancy as being high risk and requiring additional medical intervention, which leads to elective caesarean section (17).…”

Pregnancy after 35

“…Despite the perceptions of increased risks related to advanced maternal age, it has been suggested that the risks are manageable and positive outcomes can be expected 5 . In recent years, several reviews concerning pregnant women aged 35 years or older have been conducted, which have focused on: the risks associated with Advanced maternal age ; the relationship between advanced maternal age and pregnancy outcomes 5,6 ; the evidence of risks faced by women of advanced maternal age 7 ; and the association between maternal age and still-birth 8 . Fewer studies have focused on women's own experiences of later childbearing and age-related pregnancy risks.As women reach their thirties, they experience a decline in fertility.…”

“…Nevertheless, these women also experience positive feelings. One of the major difficulties to address is that while these women want to be as wellinformed and prepared as possible, the information they receive can cause more anxiety rather than alleviate their concerns 3,14,15,19 .There are, therefore, challenges for maternity care workers to understand the importance of a holistic approach, which takes into consideration the individual, physical, emotional, and social needs of older childbearing women 7 . Included in the present review are studies that were conducted using both qualitative and quantitative methods.…”