| Titre : | Understanding perceptions and communication of risk in advanced maternal age: a scoping review (protocol) on women's engagement with health care services (2024) |
| Auteurs : | Joanne Rack ; Vanora Hundley ; Edwin Van teijlingen ; Ann Luce ; Latha Vinayakarao |
| Type de document : | Article |
| Dans : | Midwifery Digest (Midirs) (Vol. 34, n° 3, September 2024) |
| Article en page(s) : | p. 201-204 |
| Langues: | Anglais |
| Descripteurs : |
HE Vinci Âge maternel ; Communication ; Grossesse à haut risque ; Perception ; Recherche documentaire |
| Résumé : |
The term advanced maternal age (AMA) is used to describe women who are over a certain age threshold. Definitions of AMA differ across contexts, health care systems, regions and times in history.
There is a complex interplay of factors that influence this definition. The definition of AMA as a woman >35 years has been accepted because of widely reported epidemiological evidence showing increases in risk and adverse outcomes for individuals >35 and their babies. There is also a reasonable argument for choosing to define AMA as 40+ years of age. Elevated risk profiles are greater for those aged 40 years and over, particularly in areas related to gestational diabetes, chromosomal disorders and gestational hypertension, compared to those aged 35—39 (Glick et al 2021). Notable decline in fertility from the age of 40 results in increased use of assisted reproductive technologies (ART) which consequently characterises these pregnancies with increased medical complexity. Births to women aged 40 and over have increased significantly in the last two decades (Dhanjal & Kenyon 2013, Office for National Statistics (ONS) 2020). This is accompanied by a record high and overall rise in the standardised mean age of first pregnancy from 28.5 years in 2000 to 30.9 years of age in 2021 (ONS 2023). In the UK, the number of births to women over the age of 40 is at the highest level since records began (ONS 2020). The last 20+ years have seen a twofold increase in the number of women delaying childbearing until they are 40 years of age or older (Figure 1). |
| Disponible en ligne : | Non |
Exemplaires (1)
| Cote | Support | Localisation | Section | Disponibilité |
|---|---|---|---|---|
| Midwifery Digest | Périodique papier | Woluwe | Espace revues | Consultation sur place uniquement Exclu du prêt |
