Reproductive planning of advanced maternal age women: an integrative review

Authors

  • Juliane Dias Aldrighi
  • Andressa Kachel Chemim
  • Isabela Laureanti Bruscato
  • Rafaella Pereira Martins
  • Bruna Piahui dos Santos
  • Amanda Schanoski Lapchenski
  • Tatiane Herreira Trigueiro
  • Marilene Loewen Wall

Keywords:

Maternal Age, Family Development Planning, Unplanned Pregnancy, Nursing Care

Abstract

Objective: to identify what has been published in the literature regarding the sexual and reproductive health of women aged 35 years or older. Method: This was an integrative review conducted through data sources including MEDLINE/PubMed, CINAHL, BVS, Scopus, and Web of Science, with no time restrictions. A total of 531 publications were found, of which eight met the inclusion criteria. Results: The studies highlighted perceptions and attitudes towards reproductive planning in advanced age, including unintended pregnancies due to a lack of understanding about contraceptive methods. Social, economic, and health factors also influenced reproductive planning, with barriers such as low educational attainment, limited financial resources, and social stigma associated with pregnancy at older ages. Health education and access to appropriate contraceptive methods were identified as crucial. Conclusions: The study underscores the need for public health policies that address factors influencing reproductive planning in women aged 35 years or older, promoting equity in care. Nurses play a pivotal role in disseminating information and preconception counseling, and it is essential to adapt approaches to ensure that all women have access to information, support, and quality care.

References

Ministério da Saúde (BR). Secretaria de Atenção à Saúde, Departamento de Ações Programáticas Estratégicas. Política Nacional de Atenção Integral à Saúde da Mulher: princípios e diretrizes. Brasília: Ministério da Saúde; 2011.

Ministério da Saúde (BR). Secretaria de Atenção à Saúde, Departamento de Atenção Básica. Saúde Sexual e Saúde Reprodutiva. Brasília: Ministério da Saúde; 2013.

Brasil. Portaria n.º 1459, de 24 de junho de 2011. Institui, no âmbito do Sistema Único de Saúde, a Rede Cegonha [Internet]. Brasília; 2011 [citado 2024 jan 10]. Disponível em: https://bvsms.saude.gov.br/bvs/saudelegis/gm/2011/prt1459_24_06_2011.html

Ministério da Saúde (BR). Secretaria de Atenção Primária à Saúde, Departamento de Ações Programáticas Estratégicas. Gestação de alto risco: manual técnico. Brasília: Ministério da Saúde; 2022.

American College of Obstetricians and Gynecologists. Committee on gynecologic practice and the practice committee of the American Society for Reproductive Medicine. Female age-related fertility decline. Committee Opinion n. 589. Obstet Gynecol. 2014; 123(3):719-21. doi: https://doi.org/10.1097/01.AOG.0000444440.96486.61

Royal College of Obstetricians and Gynaecologists. Induction of labour at term in older mothers. Scientific Impact Paper [Internet]. 2013 [cited 2024 jan 10];34:1-8. Available from: https://www.rcog.org.uk/media/lp4n13jn/sip_34.pdf

Chemim AK, Castro BC, Aldrighi JD, Wall ML, Carvalho AL, Medeiros BGN, Trigueiro TH. Experiencing pregnancy at an advanced maternal age in a private hospital. Rev Rene. 2022; 23:e70958. doi: https://doi.org/10.15253/2175-6783.20222370958

Farias-Antunez S, Simões VMF, Cardoso VC, Silveira MF. Sociodemographic profile of primiparous mothers from nine birth cohorts in three brazilian cities. Cad saude publica. 2021; 37(4):e00057520. doi: https://doi.org/10.1590/0102-311x00057520

Conselho Federal de Enfermagem. Perfil da Enfermagem no Brasil: relatório final. In: Machado MH, org. Rio de Janeiro: ENSP/Fiocruz. 2017; 750 p.

Whittemore R, Knafl K. The integrative review: updated methodology. J Adv Nurs. 2005; 52(5):546-53. doi: https://doi.org/10.1111/j.1365-2648.2005.03621.x

Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ. 2021; 372:en71. doi: https://doi.org/10.1136/bmj.n71

Shah MA, Shah NM, Chowdhury RI, Menon I. Unmet need for contraception in Kuwait: issues for health care providers. Soc Sci Med. 2004; 59(8):1573-80. doi: https://doi.org/10.1016/j.socscimed.2004.01.033

Behboudi-Gandevani S, Ziaei S, Farahani FK, Jasper M. The Perspectives of Iranian Women on Delayed Childbearing: A Qualitative Study. J Nurs Res. 2015; 23(4):313-21. doi: http://dx.doi.org/10.1097/jnr.0000000000000084

Böttcher B, Abu-El-Noor MA, Abu-El-Noor NI. Causes and consequences of unintended pregnancies in the Gaza Strip: a qualitative study. BMJ Sex Reprod Health. 2019; 45:159-63. doi: http://dx.doi.org/10.1136/bmjsrh-2018-200275

Schönholzer TE, Pinto IC, Siqueira HCH, Pereira QLC. Planejamento reprodutivo de mulheres climatéricas usuárias da Atenção Primária à Saúde Mutirão. J Nurs Health. 2017; 7(1):58-66. doi: https://doi.org/10.15210/jonah.v7i1.8951

Abigail W, Power C, Belan I. Termination of pregnancy and the over 30s: what are trends in contraception use 1996-2006? Aust J Prim Health. 2010; 16(2):141-46. doi: http://dx.doi.org/10.1071/PY09020

Nascimento NDC, Borges ALV, Fujimori E. Preconception health behaviors among women with planned pregnancies. Rev Bras Enferm. 2019; 72(3 Suppl):17-24. doi: https://doi.org/10.1590/0034-7167-2017-0620

Adane AA, Bekele YA, Melese E, Worku GT, Netsere HB. Modern contraceptive utilization and associated factors among married Gumuz women in Metekel Zone North West Ethiopia. Biomed Res Int. 2020; e8010327. doi: http://dx.doi.org/10.1155/2020/8010327

Solanke BL, Salau OR, Popoola OE, Adebiyi MO, Ajao OO. Socio-demographic factors associated with delayed childbearing in Nigeria. BMC Res Notes. 2019; 12(1):1-8. doi: https://doi.org/10.1186/s13104-019-4414-x

Vieira CS, Braga GC, Lugarinho PTC, Stifani BM, Bettiol H, Barbieri MA et al. Sociodemographic factors and prenatal care behaviors associated with unplanned pregnancy in a Brazilian birth cohort study. Int J Gynaecol Obstet. 2020; 151(2):237-43. doi: https://doi.org/10.1002/ijgo.13305

Trindade RE, Siqueira BB, Paula TF, Felisbino-Mendes MS. Contraception use and family planning inequalities among Brazilian women. Ciênc. saúde coletiva. 2021; 26(2 Suppl):3493-504. doi: https://doi.org/10.1590/1413-81232021269.2.24332019

Paixão TT, Wall ML, Aldrighi JD, Benedet DCF, Trigueiro TH. Cuidados de enfermagem em saúde reprodutiva à mulher na Atenção Primária à Saúde: revisão integrativa. Rev. Fam., Ciclos Vida Saúde Contexto Soc. 2022; 10(4):812-24. doi: https://doi.org/10.18554/refacs.v10i4.6083

Milanez N, Oliveira AE, Barroso ADV, Martinelli KG, Esposti CDD, Santos Neto ET. Gravidez indesejada e tentativa de aborto: práticas e contextos. Sex, Salud Soc. 2016; 22:129–46. doi: https://doi.org/10.1590/1984-6487.sess.2016.22.06.a

Justino GBS, Stofel NS, Gervasio MG, Teixeira IMC, Salim NR. Educação sexual e reprodutiva no puerpério: questões de gênero e atenção à saúde das mulheres no contexto da Atenção Primária à Saúde. Interface (Botucatu). 2021; 25:e200711. doi: https://doi.org/10.1590/interface.200711

Aldrighi JD, Wall ML, Souza SRRK, Cancela FZV. 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

Ferreira HLOC, Barbosa DFF, Aragão VM, Oliveira TMF, Castro RCMB, Aquino OS et al. Social Determinants of Health and their influence on the choice of birth control methods. Rev Bras Enferm. 2019; 72(4):1101-08. doi: https://doi.org/10.1590/0034-7167-2017-0574

World Health Organization. Critical considerations and actions for achieving universal access to sexual and reproductive health in the context of universal health coverage through a primary health care approach. Geneva: WHO. 2022. 66 p. Disponível em: https://iris.who.int/bitstream/handle/10665/365905/9789240063709-por.pdf?sequence=1

Downloads

Published

2024-06-11

How to Cite

Aldrighi, J. D., Chemim, A. K., Bruscato, I. L., Martins, R. P., Santos, B. P. dos, Lapchenski, A. S., … Wall, M. L. (2024). Reproductive planning of advanced maternal age women: an integrative review. Revista De Divulgação Científica Sena Aires, 13(2), 406–419. Retrieved from https://rdcsa.emnuvens.com.br/revista/article/view/155

Issue

Vol. 13 No. 2 (2024): REVISA

Section

Literature Review

License

Copyright (c) 2024 Revista de Divulgação Científica Sena Aires

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

  • Atribuição — Você deve dar o crédito apropriado, prover um link para a licença e indicar se mudanças foram feitas. Você deve fazê-lo em qualquer circunstância razoável, mas de nenhuma maneira que sugira que o licenciante apoia você ou o seu uso.

  • Sem restrições adicionais — Você não pode aplicar termos jurídicos ou medidas de caráter tecnológico que restrinjam legalmente outros de fazerem algo que a licença permita.