Will your advanced age create any challenge if you are planning for pregnancy? Unfortunately, advanced age is not only a challenge to your fertility status but also your childbearing capacity. Advanced maternal age in this respect is defined as women aged over 35 years at the time of her delivery. The incidences of pregnancy over 35 years are gradually rising worldwide. There are multiple causes of this deferred childbearing including delayed marriage, opting for higher education, carrier-conscious attitude of today’s women towards family planning and lastly increased prevalence of unstable relationships.
Fertility declines with advancing maternal age. Changes inside the uterus or deranged hormonal function and poor oocyte quality are various factors attributable to this. This is a well-known fact.
Incidences of first trimester complications as abortions and ectopics are higher in older women. Results of infertility treatment are also poor for those aged over 35 years. Poor ovarian reserve and increased infection are the common causes of these treatment failures in elderly women.
The risk of congenital anomalies also rises with advanced maternal age. Down’s screening is a must if your age is above or at 35 years. The chances of having a Down’s baby are five times higher in pregnancy over 35 years. Cardiac health problems, club foot and hernias appear to be more common in offsprings of older women.
All types of pregnancy complications are exaggerated in elderly gravid women.
Hypertension: This is the most frequent medical problem encountered in pregnancy over 35. The risk is 2 times higher than the average aged pregnancy.
Diabetes mellitus: The prevalence of diabetes increases with maternal age. The rate is 3-6 folds higher in women 40 years of age or older compared to women aged 20-29 years.
Abnormal placental position, multiple births: Your placenta will be placed abnormally lower, increasing the risk of bleeding. The risk is even 10 fold higher in women aged more than 40 years. Incidences of multiple pregnancies will be higher in pregnancy over 35 years.
Labor disorders and cesarean delivery: High incidences of abnormal labor occurred in elderly women. The cesarean section rate is almost 50% of mothers over 40 years, in contrast to 30% of the general US population.
Late pregnancy – fetal death, preterm delivery and small baby: The risk of late fetal death, preterm delivery and small babies are higher in pregnancy over 35 years. The risk of neonatal death is also higher in comparison to the average aged mother.
Come speak with our doctors at Century Medical and Dental Center (Downtown Brooklyn, Gravesend, Flatbush, Fort Greene and Midtown Manhattan) to find out more about becoming pregnant if you are over the age of 35.SHARE THIS POST Page Updated on May 18, 2015 by Dr. Dvorkina (Primary Care Doctor) of Century Medical & Dental Center
Century Medical and Dental Center is a multidisciplinary medical center with a team of highly qualified doctors, nurses, and support staff working hard to provide the best medical care possible.
We serve patients from Midtown Manhattan, NY and Downtown Brooklyn, NY, and other neighborhoods, including Brooklyn Heights, Dumbo, Prospect Heights, Park Slope, Clinton Hill, Boerum Hill, Red Hook, and Bedford-Stuyvesant.