The Security and Perils of Pregnancy Once You Hit 35

 

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Yes, it’s true: Studies have shown that women who postpone childbearing to after 35 do face some special risks, including miscarriage, premature delivery and stillbirth, gestational diabetes. Geriatric Pregnancy Risks Problems can arise no matter how old you are when you get pregnant. But some become more likely when you hit 35, including: High blood pressure, which can lead to. However, after age 35 there are increased risks.

Biology, preexisting conditions, and a woman’s’ overall health can play a role in complications that may arise. Here is a look at the most common risks in a mature pregnancy: Miscarriage. After 35, fertility decreases significantly which makes it harder to become pregnant. Once that hurdle is crossed, staying pregnant can. Some of the risks involved in getting pregnant after 35 include reduced fertility, gestational diabetes, elevated blood pressure, higher change of premature birth, babies developing genetic abnormalities, increased risk of miscarriage and stillbirth, higher.

The risks of miscarriage and stillbirth are greater in women who are older than 35 years. Also, multiple pregnancy occurs more often in older women than in younger women. As the ovaries age, they are more likely to release more than one egg each month. At age 35, you are considered to be of advanced maternal age. Your doctor uses this age as a guide to understand certain risk factors you may have that a younger woman may not.

These include risks of health problems, pregnancy complications, and birth defects. Here are some of the special concerns you may have if you are over 35 and pregnant. What Is Geriatric Pregnancy?

Geriatric pregnancy is a rarely used term for having a baby when you’re 35 or older. Rest assured, most healthy women who get pregnant after age 35. According to Dr.

Kilpatrick, the idea that being pregnant at 35 qualifies as a “geriatric pregnancy” seems to stem from outdated statistics about how getting pregnant at 35 or older raised the risk. At age 35 you have a 52-percent chance of becoming pregnant unaided. By age 40 that drops to 36 percent, and by age 45 you’re down to 5 percent. It’s the infertility catch-22: The older you are, the more likely you are to need medical interventions, and yet the medical treatments themselves increase the risks to both mother and baby.

The biggest obstacle for women age 35 or older may be getting pregnant in the first place. Fertility rates begin to decline gradually at age 30, more so at 35, and markedly at age 40. Even with fertility treatments such as in vitro fertilization, women have more difficulty getting pregnant as.

List of related literature:

Women older than 35 years of age have more than a fourfold greater risk for placenta previa, and women older than 40 years of age have a ninefold greater risk.

“Obstetrics: Normal and Problem Pregnancies E-Book” by Mark B Landon, Henry L Galan, Eric R. M. Jauniaux, Deborah A Driscoll, Vincenzo Berghella, William A Grobman, Sarah J Kilpatrick, Alison G Cahill
from Obstetrics: Normal and Problem Pregnancies E-Book
by Mark B Landon, Henry L Galan, et. al.
Elsevier Health Sciences, 2020

However, in general, pregnancy for women older than age 35 is associated with increased risk of miscarriage, stillbirth, diabetes, hypertension, placenta previa, placental abruption, and cesarean birth (Carolan & Frankowska, 2011).

“Maternity and Women's Health Care E-Book” by Deitra Leonard Lowdermilk, Shannon E. Perry, Mary Catherine Cashion, Kathryn Rhodes Alden
from Maternity and Women’s Health Care E-Book
by Deitra Leonard Lowdermilk, Shannon E. Perry, et. al.
Elsevier Health Sciences, 2014

But in spite of these slightly increased risks, there’s lots of good news for expectant mums over 35, too.

“What to Expect When You're Expecting 4th Edition” by Heidi Murkoff, Sharon Mazel
from What to Expect When You’re Expecting 4th Edition
by Heidi Murkoff, Sharon Mazel
Simon & Schuster UK, 2010

Risk for pregnancy loss also rises with increasing maternal age, moderately after age 35 and more rapidly after age 40.

“Clinical Gynecologic Endocrinology and Infertility” by Marc A. Fritz, Leon Speroff
from Clinical Gynecologic Endocrinology and Infertility
by Marc A. Fritz, Leon Speroff
Wolters Kluwer Health/Lippincott Williams & Wilkins, 2011

A population-based cohort found that younger (,20 years) and older ($40 years) mothers had similarly greater risk of VTE during pregnancy when compared with women 25 to 30 years of age (both RR%5).54 Another study using US claims data confirmed increased risk of pregnancy-associated VTE among older mothers.

“Women and Health” by Marlene B. Goldman, Rebecca Troisi, Kathryn M. Rexrode
from Women and Health
by Marlene B. Goldman, Rebecca Troisi, Kathryn M. Rexrode
Elsevier Science, 2012

Besides the increased risk of diabetes and high blood pressure, women over 35 have an increased risk of placental problems.

“Midwifery: Preparation for Practice” by Sally Pairman, Sally K. Tracy, Carol Thorogood, Jan Pincombe
from Midwifery: Preparation for Practice
by Sally Pairman, Sally K. Tracy, et. al.
Elsevier Health Sciences, 2011

Others at some risk are mothers who are obese (BMI>30), have a multiple gestation, are 40 years of age, underwent assisted reproductive therapy to achieve pregnancy, have a history of prior stillbirth or placental abruption, develop trophoblastic disease or fetal aneuploidy, or have chronic renal disease.

“Sex Differences in Cardiovascular Physiology and Pathophysiology” by Babbette LaMarca, Ph.D., Barbara T. Alexander, PhD, FAHA, FAPS
from Sex Differences in Cardiovascular Physiology and Pathophysiology
by Babbette LaMarca, Ph.D., Barbara T. Alexander, PhD, FAHA, FAPS
Elsevier Science, 2019

After adjusting for gravidity and a history of pregnancy loss, women older than 40 were shown to have twice the risk of foetal loss of younger women.

“Encyclopaedia of Occupational Health and Safety: The body, health care, management and policy, tools and approaches” by Jeanne Mager Stellman, International Labour Organisation, International Labour Office
from Encyclopaedia of Occupational Health and Safety: The body, health care, management and policy, tools and approaches
by Jeanne Mager Stellman, International Labour Organisation, International Labour Office
International Labour Office, 1998

If a woman has had a previous adverse pregnancy outcome or has had a difficult time becoming pregnant and is in her late 30s or 40s, she should weigh the possible risks with particular caution.

“The Travel and Tropical Medicine Manual E-Book” by Christopher A. Sanford, Elaine C. Jong
from The Travel and Tropical Medicine Manual E-Book
by Christopher A. Sanford, Elaine C. Jong
Elsevier Health Sciences, 2008

Women younger than 20 years are at increased risk of having a preterm birth or low-birth-weight baby, when compared with women aged 25 to 35 years.

“Textbook of Physical Diagnosis E-Book: History and Examination” by Mark H. Swartz
from Textbook of Physical Diagnosis E-Book: History and Examination
by Mark H. Swartz
Elsevier Health Sciences, 2020

Oktay Kutluk

Kutluk Oktay, MD, FACOG is one of the world's foremost experts in fertility preservation as well as ovarian stimulation and in vitro fertilization for infertility treatments. He developed and performed the world's first ovarian transplantation procedures as well as pioneered new ovarian stimulation protocols for embryo and oocyte freezing for breast and endometrial cancer patients.

Mail: [email protected]
Telephone: +1 (877) 492-3666

Biography: https://medicine.yale.edu/profile/kutluk_oktay/
Bibliography: oktay_bibliography

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7 comments

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  • Don’t worry dear ladies! Most of Europeans here start their families after 35. It depends on one’s life style. Eat healthy foods and stay stress free.

  • 35 sal ke bad pregnency koi nahi chahta lekin family problem ho to ya husband hi taiyar na ho to??
    Aur ha ek sawal ye bhi he 35 sal tak me ya mere husband kabhi jyada bimar nahi hue hame lagta he ki hamara health acha he
    Fir bhi pregnency me muskeli ho sakti he.

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