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    Pregnancy Over 40 MCHN G8

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    Daniel Andre S. Somoray
    This document discusses pregnancy considerations for women over age 40. It covers developmental tasks in pregnancy, prenatal assessment including health history and physical exam, pregnancy education focusing on nutrition and prenatal classes, and complications of pregnancy, labor/birth, and postpartum period that are more common for older mothers. These include hypertension, preterm/postterm birth, cesarean delivery, failure to progress in labor, postpartum hemorrhage, and difficulty accepting the event. The document provides guidance on assessing and supporting women over 40 through each phase.

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    Pregnancy Over 40 MCHN G8

    Uploaded by

    Daniel Andre S. Somoray
    22 views31 pages
    This document discusses pregnancy considerations for women over age 40. It covers developmental tasks in pregnancy, prenatal assessment including health history and physical exam, pregnancy education focusing on nutrition and prenatal classes, and complications of pregnancy, labor/birth, and postpartum period that are more common for older mothers. These include hypertension, preterm/postterm birth, cesarean delivery, failure to progress in labor, postpartum hemorrhage, and difficulty accepting the event. The document provides guidance on assessing and supporting women over 40 through each phase.

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    Pregnancy-over-40-MCHN-G8

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    This document discusses pregnancy considerations for women over age 40. It covers developmental tasks in pregnancy, prenatal assessment including health history and physical exam, pregnancy education focusing on nutrition and prenatal classes, and complications of pregnancy, labor/birth, and postpartum period that are more common for older mothers. These include hypertension, preterm/postterm birth, cesarean delivery, failure to progress in labor, postpartum hemorrhage, and difficulty accepting the event. The document provides guidance on assessing and supporting women over 40 through each phase.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    22 views31 pages

    Pregnancy Over 40 MCHN G8

    Uploaded by

    Daniel Andre S. Somoray
    This document discusses pregnancy considerations for women over age 40. It covers developmental tasks in pregnancy, prenatal assessment including health history and physical exam, pregnancy education focusing on nutrition and prenatal classes, and complications of pregnancy, labor/birth, and postpartum period that are more common for older mothers. These include hypertension, preterm/postterm birth, cesarean delivery, failure to progress in labor, postpartum hemorrhage, and difficulty accepting the event. The document provides guidance on assessing and supporting women over 40 through each phase.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 31

    THE PREGNANT WOMAN

    Over Age 40
    GROUP 8 BSN 2D
    Contents
    01 02 03
    Developmental task and Prenatal Pregnancy
    pregnancy Assessement Education

    03 04
    Complications of pregnancy for a Complications of labor, birth, and
    woman over age 40 postpartum period
    The incidence of women delaying their first
    pregnancy until their late 30s or early 40s is
    increasing. 12% of births in the United States
    today are to women over age 35; 2% to 4% are to
    women over age 40 (NCHS, 2009).
    A woman over age 40 is more
    likely than a younger woman
    to have a previously diagnosed
    condition such as
    hypertension, varicosities, or
    hemorrhoids.
    By age 40, a woman
    usually has a major role
    change to undertake
    during pregnancy.
    Developmental Tasks
    01
    and Pregnancy
    Expand awareness or develop
    generativity

    A sense of moving away from


    themselves and becoming involved
    with the world or community.
    Woman in this age group who is pregnant
    may begin to feel ambivalent during
    pregnancy.

    Help her balance her life to manage


    crossing between life phases
    The perceived best time in life for having children is
    culturally influenced.

    Determine if childbearing is timed correctly.

    If not, they may need more time to accept the


    pregnancy and to becoming parents.
    Women who have a child at
    age 40 fall into one of two
    groups
    Those who are having
    their final child
    Those who have
    delayed childbearing
    because of education or
    career and are having
    their first child.
    Prenatal
    02
    Assessment
    Health History

    Determine if she has been taking self-medication for reported symptoms


    and if she has been drinking heavily.

    Woman’s family profile: if there has been major life changes, her source
    of income, if there are people dependent on her, any family history of
    diseases.

    Ask her about her daily routine and her personal habits.
    Physical Examination

    › Circulatory disturbances
    › Lower extremeties for
    varicosities
    Physical Examination
    › Urine specimen for specific
    gravity, glucose, & protein
    › Gestation or Type 2 Diabetes
    Physical Examination
    › Breast abnormalities
    › Fetal Heart Sounds And
    Movement
    › Chromosomal Assessment
    03 Pregnancy
    education
    NUTRITION
    Assess number of meals and adjust
    her nutritional intake.
    Urge her to subtitute a caffeine-free
    soft drink; subtitute milk or juice or
    decaffeinated coffee.

    Recommend milk and calcium rich


    foods such as puddings and yogurts.
    PRENATAL CLASSES

    Exercise classes
    During pregnancy provide women with an
    oppurtunity to interact with other
    pregnanct women while benefiting from a
    carefully monitored workout.
    04
    COMPLICATIONS OF
    PREGNANCY FOR A
    WOMAN OVER AGE 40
    Hypertension of
    pregnancy
    More likely to occur in
    nulliparous and those with
    already elevated blood
    pressure.

    Have a rest for a good


    portion of each day to
    reduce hypertension.
    Preterm or Post Term
    Birth
    Pregnant mothers at 40 are more at
    risk for preterm birth.

    Post term birth can occur due to that


    cervical dilation is not as
    spontaneous for older women.
    Caesarean Birth
    Many pregnant over 40 resort
    to CS birth to reduce risks for
    both mom and baby.
    05
    Complications of Labor,
    Birth and the Postpartum
    period for a woman over age
    40
    Failure to progress in
    labor
    Cervical dilatation may not occur as
    spontaneously in older women.

    Labor may be overly prolonged and can


    place risk for baby.
    Postpartal Hemorrhage
    Uterus may not contract as readily during postpartum due
    to inelasticity. Thus, older women have higher risk for
    postpartum hemorrhage and perineal-anal tears.

    Give close observation and assess the amount of her


    lochial flow.
    Difficulty Accepting the Event
    They may have second thoughts about the
    baby especially during intrapartum and
    postpartum periods.

    Wishes to be more informed and confident


    in this phase of life as they are in other areas.
    Difficulty Accepting
    the Event
    Help them balance their lives by
    reviewing child care plans and
    postpartum rest.
    Thank you!

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