{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T19:50:15Z","timestamp":1791316215196,"version":"4.3.1"},"reference-count":46,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","license":[{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>BACKGROUND:<\/jats:title>\n                    <jats:p>Exploring the health dimensions of pregnant women over 35 opens a window into a deeper understanding of the physical and psychological challenges of this critical period and paves the way for targeted interventions. This study aimed to make the voices of pregnant women aged 35 and older heard.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>MATERIALS AND METHODS:<\/jats:title>\n                    <jats:p>This study was conducted in 2024 at three major hospitals in Tehran. The sample size consisted of 300 pregnant women. The participants were selected from among pregnant women older than 35 years. We utilized the women\u2019s outcome instrument for maternal health care instrument, which was developed by the World Health Organization (WHO). Data analysis was performed using SPSS (Version 22).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS:<\/jats:title>\n                    <jats:p>The participants, with a mean age of 38.37 \u00b1 2.61 years, were included in the study. Most had more than a high school education (65%). 36.7% reported sexual dissatisfaction. The overall rate of anxiety was 28.9%, while 25% showed symptoms of depression. Additionally, 3.6% had experienced violence, 3.3% of participants had a history of substance abuse or smoked cigarettes, and 2.3% reported impaired functioning. Furthermore, 38.5% reported a medical condition or other health problem.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSION:<\/jats:title>\n                    <jats:p>Considering the results of the study and the problems of pregnant women in the field of maternal complications in pregnant women over 35 years of age, it seems that policymakers should make the necessary revisions in the policies and laws of the youth population to meet the needs of physical health, care facilities, and improve social support and counseling specific to pregnant women and the necessary training for spouses.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jehp.jehp_552_25","type":"journal-article","created":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T13:01:50Z","timestamp":1788181310000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Women\u2019s outcome instrument for maternal health care (WOICE) of Iranian pregnant women after 35: A cross-sectional study"],"prefix":"10.4103","volume":"15","author":[{"given":"Marjan","family":"Havaei","sequence":"first","affiliation":[{"name":"PhD Student of Reproductive Health, Midwifery and Reproductive Health Research Center, Students Research Committee, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shahnaz","family":"Torkzahrani","sequence":"additional","affiliation":[{"name":"Assistant Professor of Health Sciences (By Research), Department of Midwifery, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Malihe","family":"Nasiri","sequence":"additional","affiliation":[{"name":"Assistant Professor of Biostatistics, Department of Basic Sciences, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nooshin","family":"Eshraghi","sequence":"additional","affiliation":[{"name":"Associated Professor of Perinatology, Department of Obstetrics and Gynecology, School of Medicine, Shahid Akbar-Abadi Hospital, Iran University of Medical Sciences, Tehran, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zohreh","family":"Keshvarz","sequence":"additional","affiliation":[{"name":"Department of Reproductive Health Midwifery, School of Nursing and Midwifery, Midwifery and Reproductive Health Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,8]]},"reference":[{"key":"R2-20261006","doi-asserted-by":"crossref","first-page":"10","DOI":"10.4103\/ijnmr.ijnmr_65_22","article-title":"Factors influencing the delay in childbearing: A narrative review","volume":"28","author":"Safdari-Dehcheshmeh","year":"2023","journal-title":"Iran J Nurs Midwifery Res"},{"key":"R3-20261006","doi-asserted-by":"crossref","first-page":"1719","DOI":"10.1016\/j.fmre.2023.09.013","article-title":"The updated understanding of advanced maternal age","volume":"4","author":"Ye","year":"2023","journal-title":"Fundam Res"},{"key":"R4-20261006","doi-asserted-by":"crossref","first-page":"512","DOI":"10.1590\/S0080-623420160000400019","article-title":"The experiences of pregnant women at an advanced maternal age: An integrative review","volume":"50","author":"Aldrighi","year":"2016","journal-title":"Rev Esc Enferm USP"},{"key":"R5-20261006","doi-asserted-by":"crossref","first-page":"e804","DOI":"10.1002\/hsr2.804","article-title":"Unmet health care needs among pregnant women during COVID-19 pandemic and its determinants in Kurdistan province, Iran: A cross-sectional study","volume":"5","author":"Afkhamzadeh","year":"2022","journal-title":"Health Sci Rep"},{"key":"R6-20261006","doi-asserted-by":"crossref","first-page":"l869","DOI":"10.1136\/bmj.l869","article-title":"Role of maternal age and pregnancy history in risk of miscarriage: Prospective register based study","volume":"364","author":"Magnus","year":"2019","journal-title":"BMJ"},{"key":"R7-20261006","doi-asserted-by":"crossref","first-page":"e0210655","DOI":"10.1371\/journal.pone.0210655","article-title":"Cesarean section on a rise-Does advanced maternal age explain the increase? 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