First-time mothers' experiences of preparing for childbirth at advanced maternal age

Jennifer Nottingham-Jones, Janette Graetz Simmonds, Tristan Leslie Snell

Research output: Contribution to journalArticleResearchpeer-review

Abstract

Objective: To explore the lived experiences of preparing for childbirth for nulliparous women aged 35–44 and determine how mature first-time mothers’ can be better supported regarding childbirth preparation. Design: The research study comprised a cross-sectional qualitative design utilising Interpretative Phenomenological Analysis to provide a deep exploration into the experience
of mature age women. Setting: Participants resided in South Australia and Victoria, Australia, in regional, suburban and inner-city locations.
Participants: Fourteen nulliparous women aged 35–44 were recruited in their third trimester of pregnancy using purposeful sampling.
Method: Data were collected by conducting in-depth semi-structured interviews during 28-36 weeks of pregnancy. Data were transcribed and analysed using Interpretative Phenomenological Analysis to identify themes of mature first-time mothers’ preparations for childbirth. Findings: The super ordinate theme “Building confidence for childbirth” describes mature first-time mothers’ experience of preparing for childbirth. This process appears to influence
women’s information seeking behaviour, expectations of healthcare providers, and reflections on birth planning. Conclusions: Participants sought various support and interactions with healthcare providers, both helpful and unhelpful, with nulliparous women of advanced maternal age undertaking various preparations with the intention of a positive childbirth experience. Participants were seeking support from friends, along with conducting their own independent research and activities. Implications for practice: It is evident that more and more women in developed countries are delaying having children into their late thirties and over, and these women report various levels of support from health practitioners. Healthcare professionals have the potential to
foster more trustful relationships and empowering interactions with women, provide various resources regarding childbirth preparation, and sensitive birth planning assistance that supports women’s agency along with managing risk. Guidelines based on this and other research in managing the antenatal care of women of advanced maternal age would ensure consistency, particularly in terms of risk management and childbirth.
Original languageEnglish
Number of pages15
JournalMidwifery
DOIs
Publication statusAccepted/In press - 2019

Keywords

  • Advanced Maternal Age
  • Nulliparous
  • Childbirth
  • Experience
  • Qualitative

Cite this

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title = "First-time mothers' experiences of preparing for childbirth at advanced maternal age",
abstract = "Objective: To explore the lived experiences of preparing for childbirth for nulliparous women aged 35–44 and determine how mature first-time mothers’ can be better supported regarding childbirth preparation. Design: The research study comprised a cross-sectional qualitative design utilising Interpretative Phenomenological Analysis to provide a deep exploration into the experienceof mature age women. Setting: Participants resided in South Australia and Victoria, Australia, in regional, suburban and inner-city locations.Participants: Fourteen nulliparous women aged 35–44 were recruited in their third trimester of pregnancy using purposeful sampling.Method: Data were collected by conducting in-depth semi-structured interviews during 28-36 weeks of pregnancy. Data were transcribed and analysed using Interpretative Phenomenological Analysis to identify themes of mature first-time mothers’ preparations for childbirth. Findings: The super ordinate theme “Building confidence for childbirth” describes mature first-time mothers’ experience of preparing for childbirth. This process appears to influencewomen’s information seeking behaviour, expectations of healthcare providers, and reflections on birth planning. Conclusions: Participants sought various support and interactions with healthcare providers, both helpful and unhelpful, with nulliparous women of advanced maternal age undertaking various preparations with the intention of a positive childbirth experience. Participants were seeking support from friends, along with conducting their own independent research and activities. Implications for practice: It is evident that more and more women in developed countries are delaying having children into their late thirties and over, and these women report various levels of support from health practitioners. Healthcare professionals have the potential tofoster more trustful relationships and empowering interactions with women, provide various resources regarding childbirth preparation, and sensitive birth planning assistance that supports women’s agency along with managing risk. Guidelines based on this and other research in managing the antenatal care of women of advanced maternal age would ensure consistency, particularly in terms of risk management and childbirth.",
keywords = "Advanced Maternal Age, Nulliparous, Childbirth, Experience, Qualitative",
author = "Jennifer Nottingham-Jones and Simmonds, {Janette Graetz} and Snell, {Tristan Leslie}",
year = "2019",
doi = "10.1016/j.midw.2019.102558",
language = "English",
journal = "Midwifery",
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First-time mothers' experiences of preparing for childbirth at advanced maternal age. / Nottingham-Jones, Jennifer; Simmonds, Janette Graetz; Snell, Tristan Leslie.

In: Midwifery, 2019.

Research output: Contribution to journalArticleResearchpeer-review

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T1 - First-time mothers' experiences of preparing for childbirth at advanced maternal age

AU - Nottingham-Jones, Jennifer

AU - Simmonds, Janette Graetz

AU - Snell, Tristan Leslie

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N2 - Objective: To explore the lived experiences of preparing for childbirth for nulliparous women aged 35–44 and determine how mature first-time mothers’ can be better supported regarding childbirth preparation. Design: The research study comprised a cross-sectional qualitative design utilising Interpretative Phenomenological Analysis to provide a deep exploration into the experienceof mature age women. Setting: Participants resided in South Australia and Victoria, Australia, in regional, suburban and inner-city locations.Participants: Fourteen nulliparous women aged 35–44 were recruited in their third trimester of pregnancy using purposeful sampling.Method: Data were collected by conducting in-depth semi-structured interviews during 28-36 weeks of pregnancy. Data were transcribed and analysed using Interpretative Phenomenological Analysis to identify themes of mature first-time mothers’ preparations for childbirth. Findings: The super ordinate theme “Building confidence for childbirth” describes mature first-time mothers’ experience of preparing for childbirth. This process appears to influencewomen’s information seeking behaviour, expectations of healthcare providers, and reflections on birth planning. Conclusions: Participants sought various support and interactions with healthcare providers, both helpful and unhelpful, with nulliparous women of advanced maternal age undertaking various preparations with the intention of a positive childbirth experience. Participants were seeking support from friends, along with conducting their own independent research and activities. Implications for practice: It is evident that more and more women in developed countries are delaying having children into their late thirties and over, and these women report various levels of support from health practitioners. Healthcare professionals have the potential tofoster more trustful relationships and empowering interactions with women, provide various resources regarding childbirth preparation, and sensitive birth planning assistance that supports women’s agency along with managing risk. Guidelines based on this and other research in managing the antenatal care of women of advanced maternal age would ensure consistency, particularly in terms of risk management and childbirth.

AB - Objective: To explore the lived experiences of preparing for childbirth for nulliparous women aged 35–44 and determine how mature first-time mothers’ can be better supported regarding childbirth preparation. Design: The research study comprised a cross-sectional qualitative design utilising Interpretative Phenomenological Analysis to provide a deep exploration into the experienceof mature age women. Setting: Participants resided in South Australia and Victoria, Australia, in regional, suburban and inner-city locations.Participants: Fourteen nulliparous women aged 35–44 were recruited in their third trimester of pregnancy using purposeful sampling.Method: Data were collected by conducting in-depth semi-structured interviews during 28-36 weeks of pregnancy. Data were transcribed and analysed using Interpretative Phenomenological Analysis to identify themes of mature first-time mothers’ preparations for childbirth. Findings: The super ordinate theme “Building confidence for childbirth” describes mature first-time mothers’ experience of preparing for childbirth. This process appears to influencewomen’s information seeking behaviour, expectations of healthcare providers, and reflections on birth planning. Conclusions: Participants sought various support and interactions with healthcare providers, both helpful and unhelpful, with nulliparous women of advanced maternal age undertaking various preparations with the intention of a positive childbirth experience. Participants were seeking support from friends, along with conducting their own independent research and activities. Implications for practice: It is evident that more and more women in developed countries are delaying having children into their late thirties and over, and these women report various levels of support from health practitioners. Healthcare professionals have the potential tofoster more trustful relationships and empowering interactions with women, provide various resources regarding childbirth preparation, and sensitive birth planning assistance that supports women’s agency along with managing risk. Guidelines based on this and other research in managing the antenatal care of women of advanced maternal age would ensure consistency, particularly in terms of risk management and childbirth.

KW - Advanced Maternal Age

KW - Nulliparous

KW - Childbirth

KW - Experience

KW - Qualitative

U2 - 10.1016/j.midw.2019.102558

DO - 10.1016/j.midw.2019.102558

M3 - Article

JO - Midwifery

JF - Midwifery

SN - 0266-6138

ER -