Southby Clara, Cooke Alison, Lavender Tina
University Hospitals Plymouth NHS Trust, Derriford Hospital, Derriford Road, Plymouth, Devon, PL6 8DH, UK.
University of Manchester, School of Health Sciences, Faculty of Biology, Medicine and Health, Jean McFarlane Building, Oxford Road, Manchester, M13 9PL, UK.
Midwifery. 2019 Jan;68:1-8. doi: 10.1016/j.midw.2018.09.006. Epub 2018 Sep 11.
Delayed pregnancy is increasingly common in many countries including the UK. There has been international interest in providing maternity care which aims to improve outcomes for mothers and babies when pregnancy occurs after the age of 35. Despite this, there is a lack of understanding of the experience of pregnancy at advanced maternal age from the woman's perspective.
To explore the experience of uncomplicated pregnancy for nulliparous women aged 35 and over and determine key processes involved in their pregnancy journey.
A two phase constructivist grounded theory study.
South West of England, United Kingdom.
15 nulliparous women aged 35 and over, in their third trimester of pregnancy.
Data were collected through semi-structured, in depth interviews which were transcribed and analysed using coding, constant comparison and memo-writing.
The core category 'It's now or never' reflects how women may experience their pregnancy. This appears to influence feelings of readiness to become a mother, anxieties about the pregnancy and their care choices. This was felt more acutely as maternal age advances towards 40 years and beyond.
Women's understanding that their future chances to have a baby may be limited can impact upon the way pregnancy is experienced. Despite having an uncomplicated pregnancy, older pregnant women may experience considerable worry throughout their pregnancy. Further research is required on how health care providers can better support women in early pregnancy and in making decisions regarding childbirth choices which are related to age.
在包括英国在内的许多国家，高龄怀孕越来越普遍。国际社会一直关注提供旨在改善35岁及以后怀孕时母婴结局的孕产护理。尽管如此，从女性的角度来看，人们对高龄孕产妇怀孕经历的了解仍然不足。
探讨35岁及以上未生育女性正常怀孕的经历，并确定其怀孕过程中的关键环节。
一项分两个阶段的建构主义扎根理论研究。
英国英格兰西南部。
15名年龄在35岁及以上、处于妊娠晚期的未生育女性。
通过半结构化的深入访谈收集数据，访谈内容经转录后，使用编码、持续比较和撰写备忘录的方法进行分析。
核心类别“机不可失”反映了女性对怀孕的感受。这似乎会影响她们成为母亲的准备感、对怀孕的焦虑以及她们的护理选择。随着母亲年龄接近40岁及以上，这种感受会更加强烈。
女性意识到自己未来生育的机会可能有限，这可能会影响她们对怀孕的体验。尽管怀孕过程顺利，但高龄孕妇在整个孕期可能会经历相当多的担忧。需要进一步研究医疗保健提供者如何在怀孕早期更好地支持女性，以及如何帮助她们做出与年龄相关的分娩选择决策。
