Motherhood after age 50: an evaluation of parenting stress and physical functioning
Received 19 June 2006; received in revised form 16 November 2006; accepted 16 November 2006. published online 08 February 2007.
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.
Division of Reproductive Endocrinology and Infertility, Department of Obstetrics and Gynecology, University of Sourthern California Keck School of Medicine, Los Angeles, California
Reprint requests: Richard J. Paulson, M.D., Women’s and Children’s Hospital, 1240 North Mission Road, Room 8K9, Los Angeles, CA 90033 (FAX: 321-221-2850).
ABSTRACT