Pregnancy After 35
Tick. Tick Tick. Have you heard the societal baby-making clock ticking? When the clock strikes 12 on your 35th birthday, we promise all pregnancy ability does not fly out the window.
Though there are some increased risks to be aware of, we are here to tell you it may not be as daunting as you think!
Geriatric What?!?!
Welcome to the world of Advanced Maternal Age, previously known as “Geriatric Pregnancy” (ouch!).
This term refers to those who are 35 or older when their bundle of joy is due to arrive. According to the American College of Obstetricians and Gynecologists (ACOG), this age was selected due to evidence pointing to declining fertility and higher risks for genetic abnormalities. Even though we really think they should work on finding a better name for those of us having our baby at 35+, there are perks to having babies later in adulthood!
Benefits to waiting until later in life to have a baby:
Postponing parenthood is gaining popularity, with about 20% of all births and 10% of first-time births in wealthy nations belonging to those aged 35 and up. ACOG reports that the average age for a first pregnancy is 26. While we often associate pregnancy over 35 with risks, there are plenty of reasons to embrace parenthood later in life.
Mothers with more life experience have access to various parenting tools due to their educational and financial backgrounds. Research suggests that children of older mothers may reap additional benefits, including longer lifespans, better health, happiness, and education.
These benefits may be due to the fact that older mothers are often more stable in their careers and relationships, which can provide a more secure environment for their children. Additionally, older mothers may have more time and resources to devote to their children, as they may have already achieved certain career and financial goals.
However, it's important to note that being an older mother is not the only factor in successful parenting. Every parent, regardless of age, has the ability to provide a loving and supportive environment for their children. It's also important to recognize that older mothers may face unique challenges, such as being less physically able to keep up with young children.
Ultimately, what matters most is the love and care that a parent provides for their child, regardless of their age or background.
Concerns that providers may have based on maternal age:
Even though the average age of pregnant individuals in the US is increasing, age can bring a few increased risks for both mom and baby, even for those in tiptop health. Sadly, this can lead to higher rates of maternal mortality and severe health complications. Such risks may include physical deformities, chromosomal abnormalities, and long-term health issues for newborns. Throughout your pregnancy, you will have your regular ultrasounds and options to test for chromosomal abnormalities and testing for gestational diabetes just like any other pregnancy. Depending on any other concerns that arise, your provider may also suggest to have an additional third trimester ultrasound.
In the article, Evidence on: Pregnancy at age 35 or Older , published by Rebecca Dekker (PHD, RN) guidelines that providers follow, concerns many providers have and evidence from studies surrounding advance maternal age are deeply explored. We highly recommend reading the article if you have the time but below we have provided a table from the article that shows the data of increased risk of complications at different age groups of pregnant people from a study group completed in 2000 as an example.
But don't panic! Recent scientific advancements have allowed for a more nuanced understanding of the various risks that exist across all age groups. ACOG's latest approach provides more focused information and the age range has been segmented into five-year intervals. Many OBs and Midwives are adopting this new approach from ACOG that provides fact-based and reliable insights into potential complications.
It is important to take care of yourself during this time, both physically and emotionally.
Make sure to eat a healthy and balanced diet, get enough rest, and stay active with safe exercises. Don't hesitate to reach out to your healthcare provider if you have any concerns or questions.
Remember that every pregnancy is unique and there is no "right" way or time to do it. Trust your instincts and do what feels best for you and your baby.
Cherish this special time and enjoy the journey of growing a new life- Congratulations!
Resources:
Having a Baby After Age 35: How Aging Affects Fertility and Pregnancy
I’m Advanced Maternal Age (AMA): How Can I Maintain a Healthy Pregnancy?
