In summary, during pregnancy, women over 35 years prepare for pregnancy, gather information, receive information from healthcare providers, and worry about their pregnancy and their status of being "at risk". Nevertheless, these women also experience positive feelings. One of the major difficulties to address is that while these women want to be as well-informed and prepared as possible, the information they receive can cause more anxiety rather than alleviate their concerns. There are, therefore,challenges for maternity care workers to understand the importance of a holistic approach, which takes into consideration the individual, physical, emotional, and social needs of older childbearing women