title: A qualitative study of the experiences of Taiwanese women having their first baby after the age of 35 years.
abstract: OBJECTIVE
  to explore the experiences of Taiwanese women who become pregnant for the first time after the age of 35 years.
  
  
  METHODS
  a phenomenological method was used to collect data by interviews. This study was undertaken in a 1600-bed university hospital in southern Taiwan, with a purposive sampling of 10 first-time pregnant women aged 35-44 years. The interviews were tape-recorded and transcribed to develop data categories.
  
  
  RESULTS
  participants amply demonstrated that the core experience was 'jubilant apprehension' (Yu-Shee-Zhun-Ben in Mandarin). Five subcategories were expressed among pregnant women over 35 years of age. These were 'surprise and worry about childbirth outcomes;' 'embarrassment about being outside the societal age norm for pregnancy;' 'ambivalence about impending lifestyle changes;' 'loneliness and lack of support;' and 'concern about the safety of pregnancy and childbirth'.
  
  
  CONCLUSIONS
  although pregnancy was a pleasant surprise for these women, they were concerned that their childbearing was beyond the social expectation for their age. We highlight new aspects of midwifery professionalism that should address the childbearing experience of women over 35 years of age, and provide a basis for care of this group.
authors.affiliation: College of Nursing, Kaohsiung Medical University, No. 100 Shih-Chuan 1st Rd., Kaohsiung, Taiwan.
authors.forename: Yu-O
authors.initials: YO
authors.lastname: Yang
authors.forename: Cynthia
authors.initials: C
authors.lastname: Peden-McAlpine
authors.forename: Chung-Hey
authors.initials: CH
authors.lastname: Chen
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D001294:Attitude to Health / Q000208:ethnology*; D003466:Cultural Characteristics; D005260:Female; D006801:Humans; D008423:Maternal Age; D008427:Maternal Health Services; D009035:Mothers / Q000523:psychology*; D020380:Needs Assessment; D011247:Pregnancy; D011248:Pregnancy Complications / Q000523:psychology; D011256:Pregnancy Outcome; D012938:Social Perception; D012944:Social Support; D013624:Taiwan