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Full length article| Volume 265, P169-174, October 2021

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The Joys of Older Motherhood: A questionnaire-based survey of mothers who delivered over the age of 50 years

      Abstract

      Objective

      It is recognised that advanced maternal age is associated with adverse pregnancy outcomes. It is less known what the psychological impact of having a pregnancy in later maternal age is. This study aimed to establish whether women having children over 50 experience challenges with regards to their mental well-being during the pregnancy and thereafter.

      Study design

      17 women delivered aged ≥ 50 at our maternity unit in a central London hospital between 2014 and 2020. Of these, one had died of metastatic ampullary carcinoma two years following delivery, one declined taking part, and two we were unable to get hold of, leaving 13 women in the study. Two validated questionnaires were used to survey the women: (i) Warwick-Edinburgh Mental Well-being Scale (WEMWBS), (ii) Parenting Daily Hassles Scale (PDHS). We analysed the questionnaire data using their individual scoring systems.

      Results

      The WEMWBS showed a median score of 60 out of a possible 70 (range: 45–70), indicating a high level of mental well-being among these women. The PDHS results indicated that reported hassles were overall low in both frequency and intensity for the mothers.

      Conclusion

      Women giving birth over 50 have often experienced long, emotional and financially-burdensome journeys in order to fall pregnant, usually involving assisted reproductive techniques (ART), with multiple antenatal and delivery complications thereafter. As a result, they are extremely happy and grateful to have the child, and are often in better socioeconomic positions that can help with the stress that comes with child-caring.

      Keywords

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      References

      1. Births in England and Wales: 2019 - Office for National Statistics (ons.gov.uk) https://www.ons.gov.uk/peoplepopulationandcommunity/birthsdeathsandmarriages/livebirths/bulletins/birthsummarytablesenglandandwales/2019 (accessed 8 February 2021).

      2. Birth characteristics in England and Wales 2009 - Office for National Statistics (ons.gov.uk) https://www.ons.gov.uk/peoplepopulationandcommunity/birthsdeathsandmarriages/livebirths/adhocs/008545livebirthstomothersaged45andover2001to2016 (accessed 1 January 2021).

      3. Birth characteristics in England and Wales 2016 - Office for National Statistics (ons.gov.uk) https://www.ons.gov.uk/peoplepopulationandcommunity/birthsdeathsandmarriages/livebirths/adhocs/008545livebirthstomothersaged45andover2001to2016 (accessed 1 January 2021).

      4. Births characteristics in England and Wales: 2019 - Office for National Statistics (ons.gov.uk) https://www.ons.gov.uk/peoplepopulationandcommunity/birthsdeathsandmarriages/livebirths/bulletins/birthcharacteristicsinenglandandwales/2019 (accessed 8 February 2021).

        • Schwartz A.
        • Many A.
        • Shapira U.
        • Rosenberg Friedman M.
        • Yogev Y.
        • Avnon T.
        • et al.
        Perinatal outcomes of pregnancy in the fifth decade and beyond– a comparison of very advanced maternal age groups.
        Sci Rep. 2020; 10https://doi.org/10.1038/s41598-020-58583-6
        • Howell A.
        • Blott M.
        Very advanced maternal age.
        TOG. 2021; 23: 38-47
        • Myrskylä M.
        • Barclay K.
        • Goisis A.
        Advantages of later motherhood.
        Gynäkologe. 2017; 50: 767
      5. Stewart-Brown S and Janmohamed K. Warwick-Edinburgh Mental Well-being Scale (WEMWBS). User Guide, Version 1. June 200 http://www.mentalhealthpromotion.net/resources/user-guide.pdf (accessed 8 February 2021).

      6. Department of Health. Parenting Daily Hassles Scale. https://www.oscb.org.uk/wp-content/uploads/2019/07/Parenting-daily-hassles.pdf (accessed 8 February 2021).

        • Fitzpatrick K.E.
        • Tuffnell D.
        • Kurinczuk J.J.
        • Knight M.
        Pregnancy at very advanced maternal age: a UK population-based cohort study.
        BJOG. 2017; 124: 1097-1106
      7. NICE. Antenatal and postnatal mental health: clinical management and service guideline. NICE Clinical Guideline, February 2020. https://www.nice.org.uk/guidance/cg192/chapter/Introduction (accessed 12 April 2021).

        • Zaers S.
        • Waschke M.
        • Ehlert U.
        Depressive symptoms and symptoms of post-traumatic stress disorder in women after childbirth.
        JPOG. 2008; 29: 61-71
        • Capuzzi E.
        • Caldiroli A.
        • Ciscato V.
        • Zanvit F.G.
        • Bollati V.
        • Barkin J.L.
        • et al.
        Is in vitro fertilization (IVF) associated with perinatal affective disorders?.
        JAD. 2020; 277: 271-278
      8. NICE. Fertility: assessment and treatment for people with fertility problems. NICE Clinical Guideline, February 2013. https://www.nice.org.uk/guidance/cg156/evidence/full-guideline-pdf-188539453 (accessed 19 February 2021).

      9. Stewart-Brown, S and Janmohamed, K, 2008. Warwick-Edinburgh Mental Well-being Scale (WEMWBS) User Guide. 1st ed. [ebook] Warwick: NHS Health Scotland, p.13. http://www.mentalhealthpromotion.net/resources/user-guide.pdf (accessed 31 January 2021).

      10. NHS Scotland. Mental health and wellbeing in pregnancy. Maternal and Early Years for early years workers [Online]. Available at: http://www.maternal-and-early-years.org.uk/topic/pregnancy/mental-health-and-wellbeing-in-pregnancy#evidence (accessed 12 April 2021).

        • Marozio L.
        • Picardo E.
        • Filippini C.
        • Mainolfi E.
        • Berchialla P.
        • Cavallo F.
        • et al.
        Maternal age over 40 years and pregnancy outcome: a hospital-based survey.
        J. Matern.-Fetal Neonatal Med. 2019; 32: 1602-1608