{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,5]],"date-time":"2026-01-05T22:17:59Z","timestamp":1767651479757},"reference-count":41,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2014,3,21]],"date-time":"2014-03-21T00:00:00Z","timestamp":1395360000000},"content-version":"vor","delay-in-days":20,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Birth"],"published-print":{"date-parts":[[2014,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Recent studies have reported that primiparous women of advanced maternal age (AMA) appear to constitute a heterogeneous group, emphasizing the need to revise stereotyped views. The aims of this study were the following: 1) to describe the sociodemographic and marital characteristics of Portuguese couples who experienced first childbirth at advanced maternal age (the <jats:styled-content style=\"fixed-case\">AMA<\/jats:styled-content> group) compared with their younger counterparts (the comparison group); 2) to compare the reproductive characteristics of both groups and identify distinct reproductive trajectories within the <jats:styled-content style=\"fixed-case\">AMA<\/jats:styled-content> group; and 3) to distinguish among different subgroups of couples within the <jats:styled-content style=\"fixed-case\">AMA<\/jats:styled-content> group, depending on distinct patterns of sociodemographic, marital, and reproductive characteristics.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The sample consisted of 250 couples. Both partners completed sociodemographic, marital, and reproductive health forms during pregnancy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Despite being more highly educated, having a higher socioeconomic status, and having been employed longer, the <jats:styled-content style=\"fixed-case\">AMA<\/jats:styled-content> group displayed diverse conjugal configurations and reproductive trajectories over time. Within the <jats:styled-content style=\"fixed-case\">AMA<\/jats:styled-content> group, two subgroups were distinguished: couples who experienced infertility problems and couples who did not.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Couples who experience first childbirth at AMA constitute a heterogeneous group, which includes distinct subgroups with different psychosocial needs during the transition to parenthood. To revise stereotyped views of these couples, protective social policies should be improved, and health professionals should assume nonjudgmental attitudes and promote informed reproductive decisions. Psychoeducative programs concerning the transition to parenthood should take into account the distinct subgroups of couples who experience first childbirth at AMA.<\/jats:p><\/jats:sec>","DOI":"10.1111\/birt.12089","type":"journal-article","created":{"date-parts":[[2014,3,21]],"date-time":"2014-03-21T09:14:45Z","timestamp":1395393285000},"page":"46-55","source":"Crossref","is-referenced-by-count":30,"title":["Characteristics of Primiparous Women of Advanced Age and Their Partners: A Homogenous or Heterogenous Group?"],"prefix":"10.1111","volume":"41","author":[{"given":"Maryse","family":"Guedes","sequence":"first","affiliation":[{"name":"Faculty of Psychology and Educational Sciences University of Coimbra Coimbra Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria Cristina","family":"Canavarro","sequence":"additional","affiliation":[{"name":"Faculty of Psychology and Educational Sciences University of Coimbra Coimbra Portugal"},{"name":"Unit of Psychological Intervention Maternity Doctor Daniel de Matos Centro Hospitalar e Universit\u00e1rio de Coimbra Coimbra Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2014,3,21]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ogrm.2010.12.003"},{"key":"e_1_2_6_3_1","volume-title":"Doing better families","author":"Organisation for Economic Co\u2010operation and Development","year":"2011"},{"issue":"1","key":"e_1_2_6_4_1","first-page":"1","article-title":"Births: Final data for 2009","volume":"60","author":"Martin JA","year":"2011","journal-title":"National Vital Statistics Reports"},{"key":"e_1_2_6_5_1","volume-title":"Vital Statistics of the United States, 1980","author":"National Center for Health Statistics","year":"1984"},{"key":"e_1_2_6_6_1","volume-title":"Births 2009","author":"Statistics Canada","year":"2012"},{"issue":"1","key":"e_1_2_6_7_1","first-page":"1","article-title":"The Reproductive Health Report: The state of sexual and reproductive health within the European Union 2007\/2010 \u2013 Final Report","volume":"16","author":"Oliveira M","year":"2011","journal-title":"Eur J Contracept Reprod Health Care"},{"key":"e_1_2_6_8_1","unstructured":"Direc\u00e7\u00e3o Geral de Sa\u00fade.Plano Nacional de Sa\u00fade 2004\u20132010: Evolu\u00e7\u00e3o dos valores dos indicadores em Portugal Continental 2001\u20132009.Lisbon:Direc\u00e7\u00e3o Geral de Sa\u00fade 2010."},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0031-1276739"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1523-536X.2010.00409.x"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1523-536X.2010.00439.x"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.AOG.0000158118.75532.51"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.AOG.0000163256.83313.36"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0056583"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF03405615"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1701-2163(16)34985-4"},{"key":"e_1_2_6_17_1","volume-title":"Older Mothers: Conception, Pregnancy and Birth After 35","author":"Berryman J","year":"1995"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.1080\/02646839708404551"},{"issue":"3","key":"e_1_2_6_19_1","first-page":"187","article-title":"Reasons for delaying childbearing: A survey of women aged over 35 seeking assisted reproduction technology","volume":"34","author":"Hammarberg K","year":"2005","journal-title":"Aust Fam Physician"},{"key":"e_1_2_6_20_1","doi-asserted-by":"publisher","DOI":"10.1093\/humrep\/der076"},{"key":"e_1_2_6_21_1","doi-asserted-by":"publisher","DOI":"10.1093\/humrep\/del502"},{"key":"e_1_2_6_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2004.09.002"},{"key":"e_1_2_6_23_1","doi-asserted-by":"publisher","DOI":"10.1080\/08870440701601625"},{"key":"e_1_2_6_24_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2702.2007.01600.x"},{"key":"e_1_2_6_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2011.07.013"},{"key":"e_1_2_6_26_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0412.2011.01335.x"},{"key":"e_1_2_6_27_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1523-536X.1992.tb00368.x"},{"key":"e_1_2_6_28_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1523-536x.1999.00016.x"},{"key":"e_1_2_6_29_1","volume-title":"Sooner or Later: The Timing of Parenthood in Adults Lives","author":"Daniels P","year":"1982"},{"key":"e_1_2_6_30_1","doi-asserted-by":"publisher","DOI":"10.2307\/584570"},{"key":"e_1_2_6_31_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1475-6811.2007.00185.x"},{"key":"e_1_2_6_32_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2010.06.001"},{"key":"e_1_2_6_33_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1552-6909.2007.00197.x"},{"key":"e_1_2_6_34_1","unstructured":"Sim\u00f5esM.Investiga\u00e7\u00f5es no \u00e2mbito da aferi\u00e7\u00e3o nacional do teste das Matrizes Progressivas de Raven [PhD thesis].Coimbra Portugal:Universidade de Coimbra 1994."},{"key":"e_1_2_6_35_1","volume-title":"An\u00e1lise Estat\u00edstica \u2013 Com utiliza\u00e7\u00e3o do SPSS","author":"Maroco J","year":"2010"},{"key":"e_1_2_6_36_1","doi-asserted-by":"publisher","DOI":"10.1037\/0033-2909.112.1.155"},{"key":"e_1_2_6_37_1","volume-title":"Discovering Statistics Using SPSS","author":"Field A","year":"2009"},{"key":"e_1_2_6_38_1","doi-asserted-by":"publisher","DOI":"10.1002\/9780470977811"},{"key":"e_1_2_6_39_1","volume-title":"The SPSS Two\u2010Step Cluster Component","author":"SPSS","year":"2001"},{"key":"e_1_2_6_40_1","doi-asserted-by":"publisher","DOI":"10.3758\/BF03193146"},{"key":"e_1_2_6_41_1","doi-asserted-by":"publisher","DOI":"10.1093\/humupd\/dmr026"},{"key":"e_1_2_6_42_1","volume-title":"Estat\u00edsticas no Feminino: Ser Mulher em Portugal 2001\u20132011","author":"Instituto Nacional de Estat\u00edstica","year":"2012"}],"container-title":["Birth"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fbirt.12089","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/birt.12089","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,2]],"date-time":"2023-10-02T04:26:33Z","timestamp":1696220793000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/birt.12089"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,3]]},"references-count":41,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2014,3]]}},"alternative-id":["10.1111\/birt.12089"],"URL":"https:\/\/doi.org\/10.1111\/birt.12089","archive":["Portico"],"relation":{},"ISSN":["0730-7659","1523-536X"],"issn-type":[{"value":"0730-7659","type":"print"},{"value":"1523-536X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014,3]]}}}