Experienciando a gravidez em idade materna avançada em hospital privado

Andressa Kachel Chemim; Beatriz Cristina de Castro; Juliane Dias Aldrighi; Marilene Loewen Wall; Aline Lara de Carvalho; Bruna Gizele Noronha de Medeiros; Tatiane Herreira Trigueiro

doi:10.15253/2175-6783.20222370958

Authors

Andressa Kachel Chemim Secretaria Municipal de Saúde de Curitiba https://orcid.org/0000-0002-2525-7414
Beatriz Cristina de Castro Universidade Federal do Paraná https://orcid.org/0000-0002-7179-6160
Juliane Dias Aldrighi Universidade Federal do Paraná https://orcid.org/0000-0002-9270-7091
Marilene Loewen Wall Universidade Federal do Paraná https://orcid.org/0000-0003-1839-3896
Aline Lara de Carvalho Universidade Federal do Paraná https://orcid.org/0000-0001-5935-635X
Bruna Gizele Noronha de Medeiros Universidade Federal do Paraná https://orcid.org/0000-0002-3383-2036
Tatiane Herreira Trigueiro Universidade Federal do Paraná https://orcid.org/0000-0003-3681-4244

DOI:

https://doi.org/10.15253/2175-6783.20222370958

Keywords:

Obstetric Nursing; Maternal Age; Pregnancy, High-Risk; Women’s Health.

Abstract

Objective: to describe the experiences of pregnant women at advanced maternal age assisted in a private hospital. Methods: a qualitative study, carried out with 17 women, by means of semi-structured interviews via telephone. The data was submitted to Thematic Content Analysis. Results: the participants were between 35 and 40 years old. Two categories emerged: Experiencing pregnancy as a couple and family: the preparation of the couple for pregnancy and childbirth (Pregnancy after 35 years old as an element of potentiality; Change in the family routine for the baby’s arrival) and Experiencing pregnancy and its changes: perceiving pregnancy as a healthy and calm experience (Change in emotional patterns related to the pregnancy process). Conclusion: experiencing pregnancy late in life was not a concern for women. Maturity and favorable socioeconomic conditions may have a protective influence on the course of healthy pregnancies in women attending the private health service.

References

Fitzpatrick KE, Tuffnell D, Kurinczuk JJ, Knight M. Pregnancy at very advanced maternal age: a UK population‐based cohort study. BJOG. 2016; 124(7):1097-106. doi: https://doi.org/10.1111/1471-0528.14269

Fundo de População das Nações Unidas no Brasil. Fecundidade e dinâmica da população brasileira [Internet]. 2018 [cited Apr 13, 2021]. Available form:https://brazil.unfpa.org/sites/default/files/pub-pdf/sumario_executivo_br_0.pdf

Aldrighi JD, Wall ML, Souza S. Experience of pregnant women at an advanced age. Rev Gaúcha Enferm. 2018; 39:e20170112. doi: https://doi.org/10.1590/1983-1447.2018.2017-0112

Nottingham-Jones J, Simmonds JG, Snell TL. First-time mothers’ experiences of preparing for childbirth at advanced maternal age. Midwifery. 2020; 86:102558. doi: https://doi.org/10.1016/j.midw.2019.102558

Maloney SI, Abresch C, Grimm B, Lyons K, Tibbits M. Factors associated with giving birth at advanced maternal age in the United States. Midwifery. 2021; 98:102975. doi: https://doi.org/10.1016/j.midw.2021.102975

Aldrighi JD, Wall ML, Souza SR, Cancela FZ. The experiences of pregnant women at an advanced maternal age: an integrative review. Rev Esc Enferm USP. 2016; 50(3):512-21. doi: https://doi.org/10.1590/S0080-623420160000400019

Laopaiboon M, Lumbiganon P, Intarut N, Mori R, Ganchimeg T, Vogel JP, et al. Advanced maternal age and pregnancy outcomes: a multicountry assessment. BJOG. 2014; 121(Suppl 1):49-56. doi: https://doi.org/10.1111/1471-0528.12659

Ministério da Saúde (BR). Departamento de Informática do Sistema Único de Saúde (DATASUS). Sistema de Informações de Nascidos Vivos. Número de nascidos vivos conforme a idade materna 2010-2019 [Internet]. 2021 [cited Apr 13, 2021]. Available from: http://tabnet.datasus.gov.br/cgi/deftohtm.exe?sinasc/cnv/nvuf.def

Creswell JW. Investigação qualitativa e projeto de pesquisa: escolhendo entre cinco abordagens. Porto Alegre: Penso; 2014.

Camargo BV, Justo AM. Tutorial para uso do software IRAMUTEQ [Internet]. 2018 [cited Jun 18, 2021]. Available from: http://www.iramuteq.org/documentation/fichiers/tutoriel-portugais-22-11-2018

Southby C, Cooke A, Lavender T. “It’s now or never” – nulliparous women’s experiences of pregnancy at advanced maternal age: a grounded theory study. Midwifery. 2019; 68:1-8. doi: https://doi.org/10.1016/j.midw.2018.09.006

Medeiros FF, Santos IDL, Ferrari RAP, Serafim D, Maciel SM, Cardelli AAM. Prenatal follow-up of high-risk pregnancy in the public service. Rev Bras Enferm. 2019; 72(suppl 3):204-11. doi: http://dx.doi.org/10.1590/0034-7167-2018-0425

Marques B, Palha F, Moreira E, Valente S, Abrantes M, Saldanha J. Being a mother after 35 years: will it be different? Acta Med Port. 2017; 30(9):615-22. doi: https://doi.org/10.20344/amp.8319

Padilha T, Sanches MA. Participação masculina no planejamento familiar: revisão integrativa da literatura. Interface. 2020; 24:e200047. doi: http://dx.doi.org/10.1590/interface.200047

Haakstad LAH, Voldner N, Bø K. Pregnancy and advanced maternal age – the associations between regular exercise and maternal and newborn health variables. Acta Obstet Gynecol Scand. 2020; 99(2):240-8. doi: https://doi.org/10.1111/aogs.13738

Errico LSP, Bicalho PG, Oliveira T, Martins EF. The work of nurses in high-risk prenatal care from the perspective of basic human needs. Rev Bras Enferm. 2018; 71(suppl 3):1257-64. doi: https://doi.org/10.1590/0034-7167-2017-0328

Kołomańska D, Zarawski M, Mazur-Bialy A. Physical activity and depressive disorders in pregnant women – a systematic review. Medicina (Kaunas). 2019; 55(5):212. doi: https://doi.org/10.3390/medicina55050212

Brunton R, Simpson N, Dryer R. Pregnancy-related anxiety, perceived parental self-efficacy and the influence of parity and age. Int J Environ Res Public Health. 2020; 17(18):6709. doi: https://doi.org/10.3390/ijerph17186709