Factors Influencing the Psychological Health of Pregnant Women of Advanced Maternal Age During the Peripartum Period in China

Abstract

Objective: The age of childbirth for women has been significantly delayed in recent times, leading to an increase in the proportion of pregnant women of advanced maternal age (AMA). Due to increased physiological challenges and higher incidence of pregnancy complications, women of advanced maternal age often face greater mental stress, including familial and societal pressures associated with childbirth in advanced age. A cross-sectional study was conducted among women in the later stages of pregnancy and peripartum period in order to identify psychosocial predictors of mental health, we conducted a cross-sectional study on this.

Methods: A convenience sample of primiparous women were assessed at three time points (at the 8th month prenatal examination, the day of delivery and 42 days postpartum). A total of 125 eligible pregnant women were assessed at each time point. Sociodemographic characteristics, psychological concerns, and mental health were measured.

Results: The incidence of psychological distress among older peripartum women was significantly higher than among younger women. Increased psychological stress was correlated with concerns about maternal and infant health, fear of labor pain, apprehension regarding personal career development, and worries about family support and financial conditions.

Conclusions: The mental health status of older peripartum women is concerning, suggesting the need for psychological support by primary care physicians and other healthcare providers.