Waldenström Ulla
a Department of Women's and Children's Health, Division of Reproductive Health , Karolinska Institutet , Stockholm , Sweden.
Ups J Med Sci. 2016 Nov;121(4):235-243. doi: 10.1080/03009734.2016.1201553. Epub 2016 Jul 6.
The aim of the Postponing Parenthood project was to investigate several aspects of the delaying of childbearing phenomenon in Sweden and Norway, such as medical risks and parental experiences. Data were retrieved from the Swedish and Norwegian Medical Birth Registers and three different cohorts: the Swedish Young Adult Panel Study, the Norwegian Mother and Child Cohort, and the Swedish Women's Experiences of Childbirth cohort. Postponing childbirth to age 35 years and later increased the risk of rare but serious pregnancy outcomes, such as stillbirth and very preterm birth. Older first-time parents were slightly more anxious during pregnancy, and childbirth overall was experienced as more difficult, compared with younger age groups. First-time mothers' satisfaction with life decreased from about age 28 years, both when measured during pregnancy and early parenthood. Delaying parenthood to mid-30 or later was more related to lifestyle than socioeconomic factors, suggesting that much could be done in terms of informing young persons about the limitations of fertility and assisted reproductive techniques, and the risks associated with advanced parental age.
“推迟生育”项目的目的是调查瑞典和挪威生育推迟现象的几个方面，如医疗风险和父母的经历。数据取自瑞典和挪威的医疗出生登记册以及三个不同的队列：瑞典青年成人小组研究、挪威母婴队列和瑞典妇女分娩经历队列。将分娩推迟到35岁及以后会增加罕见但严重的妊娠结局的风险，如死产和极早产。与年轻群体相比，年龄较大的初为人父母者在孕期会略显焦虑，总体上分娩也更困难。初为人母者对生活的满意度从大约28岁开始下降，无论是在孕期还是在育儿早期进行测量时都是如此。将生育推迟到35岁中期或更晚与生活方式的关系比与社会经济因素的关系更大，这表明在向年轻人宣传生育能力和辅助生殖技术的局限性以及与高龄父母相关的风险方面还有很多工作要做。
