Many women today are choosing to start their families later in life. Deciding when to have a child is a personal journey that involves weighing many factors. Understanding how age can influence fertility and pregnancy allows you to make informed decisions for your health and future family. Guidance from an OBGYN offers a look at what to expect when planning for a pregnancy after age 35.
How Does Age Affect Fertility?
Age is a primary factor in a woman’s ability to conceive. Women are born with a finite number of eggs, and this number decreases over time. The quality of these eggs also declines with age, which can make conception more challenging.
Fertility gradually begins to decline in a woman’s late 20s and early 30s, with a more significant decrease after age 35. By age 40, the likelihood of becoming pregnant naturally within a given month is lower. This biological timeline is a natural part of the aging process for every woman.
What Risks Are Associated?
Pregnancies after age 35, known as advanced maternal age, are associated with a higher likelihood of certain health conditions for both the mother and the baby. Awareness of these potential risks helps you and your healthcare team plan for a healthy pregnancy. Your OBGYN can provide personalized information based on your health history.
Some conditions that may have a higher incidence include:
- Gestational diabetes: This is a type of diabetes that develops during pregnancy. It can affect the baby’s health and increase the mother’s risk of developing type 2 diabetes later.
- High blood pressure (preeclampsia): This condition is characterized by high blood pressure and signs of damage to another organ system, often the kidneys. It can lead to serious complications if not monitored.
- Caesarean section: The rate of C-section deliveries is higher for older mothers. This may be due to a variety of factors, including labor complications.
- Chromosomal conditions: The risk of having a baby with a chromosomal condition, such as Down syndrome, increases with maternal age.
Understanding these possibilities allows for proactive monitoring and management throughout the pregnancy. Your medical team will watch for these conditions and recommend appropriate screenings and care.
What Prenatal Care Is Recommended?
Prenatal care for women over 35 often involves more frequent monitoring and specialized testing. This approach helps manage any age-related risks and supports a healthy outcome for both mother and child. Early and regular prenatal visits are a cornerstone of care.
Your provider may suggest specific genetic screenings and diagnostic tests. Screenings, such as blood tests and special ultrasounds, can assess the probability of certain conditions. Diagnostic tests, like chorionic villus sampling (CVS) or amniocentesis, can provide more definitive information about the baby’s genetic health. Your OBGYN will discuss the benefits and limitations of each test with you.
Regular checkups will also focus on monitoring your blood pressure and blood sugar levels. Your doctor will track your baby’s growth and well-being closely through ultrasounds and other assessments. This level of care is designed to detect and address any potential issues promptly.
Consult an OBGYN
Preparing for pregnancy later in life begins with a conversation about your health. Scheduling a preconception appointment with an OBGYN allows you to review your medical history, lifestyle, and any concerns you may have. Your doctor can provide personalized guidance, recommend lifestyle changes, and create a plan for prenatal care tailored to your needs. Taking this step helps make sure that your body is ready for pregnancy and supports your journey toward starting or growing your family. Reach out to your OBGYN to begin planning for your future.
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