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Motherhood after age 50: an evaluation of parenting stress and physical functioning
Anne Z Steiner1, Richard J Paulson
1Division of Reproductive Endocrinology and Infertility, Department of Obstetrics and Gynecology, University of Sourthern California Keck School of Medicine, Los Angeles, California, USA.
Objective:
To explore parenting stress and physical functioning in women who conceive after the age of 50 years.
Design:
Prospective cohort.
Setting:
University fertility center.
Patient(S):
Women who conceived and delivered after age 50 (n = 49) following egg donation were matched to women in their 40s (n = 49) and women in their 30s (n = 49) who conceived via assisted reproduction with a similar date of embryo transfer and gestational order.
Intervention(S):
Questionnaires addressing parenting stress (Parenting Stress Index, short form) and physical and mental functioning (Version 2 of the SF-36 Health Survey).
Main Outcome Measure(S):
Norm-based scores for physical functioning, mental functioning, and total parenting stress (TS).
Result(S):
Women in their 50s showed a nonsignificant trend toward lower physical functioning scores compared with women in their 30s (54.8 +/- 4.1 vs. 56.9 +/- 4.3; P=.12) but higher mental functioning scores (53.6 +/- 7.3 vs. 50.1 +/- 7.0; P=.14). The percentage of subjects with high parenting stress (TS >80th percentile) varied between the groups but was not highest in the oldest (0%, 22%, and 6%, in the 30s, 40s, and 50s groups, respectively; P=.03). Adjustments for potential confounders did not alter the findings.
Conclusion(S):
Our data do not support the hypothesis that mothers of advanced maternal age have reduced parenting capacity due to physical or mental ability or parenting stress.
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