I welcomed my last child at the age of 35. To be honest, it felt more challenging than my first experience at 27. Perhaps it was due to my body being a bit older or simply because I was already exhausted from caring for two other children while expecting the third. Regardless of the reasons, I definitely noticed a difference in my overall energy. My doctor, a charming gentleman in his seventies, straightforwardly referred to my situation as a “geriatric pregnancy,” suggesting that some fatigue was to be expected.
While the term “geriatric pregnancy” wasn’t exactly uplifting, it didn’t overwhelm me, either. My traditional doctor still uses that term, but many healthcare professionals now prefer to say “advanced maternal age” for those over 35. Regardless of the terminology, I was confident that my 35-year-old body wasn’t in a state of crisis, and I eagerly looked forward to meeting my daughter.
Curious about what might be different this time, I consulted with my doctor and conducted some research. Here’s what I discovered about “geriatric pregnancy,” also known as advanced maternal age.
Conception Might Take Longer
According to the American College of Obstetricians and Gynecologists, for healthy couples in their 20s and early 30s, about 1 in 4 women will conceive in any given menstrual cycle. By the time a woman reaches 40, that number drops to about 1 in 10. While a man’s fertility declines with age, it tends to be less predictable. This means you may need to exercise some patience, but barring any health issues, getting pregnant remains a strong possibility.
Increased Risk of Miscarriage
This is a sobering thought, but there’s no need to panic. Women under 35 face about a 15% chance of pregnancy loss with each pregnancy, while that risk rises to between 20% and 35% for those over 35. It’s wise to remain cautiously optimistic; your chances of having a healthy baby are still significantly better than the odds of experiencing a loss. After age 45, although miscarriage rates increase, nearly half of pregnancies still result in a full-term baby.
Higher Chances of Multiples
Some researchers suggest that older bodies may be more prone to conceiving multiples. This might be an evolutionary response to the increased likelihood of embryos not reaching term. Whatever the reason, those experiencing a geriatric pregnancy may have a greater chance of expecting twins or more, so prepare for surprises at that first ultrasound!
Increased Risk of Common Pregnancy Conditions
As noted by the Mayo Clinic, there’s a higher likelihood of developing conditions like gestational diabetes or high blood pressure during a geriatric pregnancy. That doesn’t mean you’re destined to face these challenges; even if they arise, it’s entirely possible to have a healthy pregnancy by following your doctor’s advice and taking care of yourself.
More Monitoring and Testing
You might find that your doctor wants to conduct additional tests to monitor your health and that of your baby. This could include earlier glucose testing or more ultrasounds. Your doctor may also suggest a blood panel to screen for genetic issues. Extra monitoring is beneficial. The more information you have, the better you can care for yourself and your developing baby.
Possibility of Needing a C-Section
While it’s not guaranteed, older pregnant individuals may have a higher likelihood of requiring a C-section. Many women in this age group deliver without complications, but it’s important to remain open to the possibility. Research the procedure so you’re informed and prepared, and discuss any concerns with your doctor to make the best decisions for your situation.
While these medical insights are useful, personal experiences can be equally enlightening. I spoke with several mothers who had their children after the age of 35. Here’s their advice regarding “geriatric pregnancy”:
“I faced one of those ‘advanced maternal age’ complications. After failing my 3-hour glucose test, I was diagnosed with gestational diabetes. However, it turned out to be manageable; I controlled it through my diet, and my baby was born healthy.” – Sarah T.
“There was nothing ‘geriatric’ about my pregnancies at 38 and 41. I started my family when I was ready, and both experiences were healthy and positive. I got pregnant easily, had quick labors, and I’m a great mom. Trust your body; nature is amazing!” – Emily R.
“Being 40 is like being 25 when it comes to motherhood. Our parents were often around 40 when we graduated high school, and it’s common to find moms nearing 40 at kindergarten orientations these days. Don’t let the term ‘geriatric’ mislead you. Older moms are often wiser, and you will be just fine.” – Laura B.
If you’re pregnant or planning to conceive after 35, there’s no reason to doubt that you and your baby can be perfectly healthy and happy. Yes, there are higher risks for certain complications, but the likelihood of a positive outcome remains high. Engage with your healthcare provider, make informed decisions, and enjoy your pregnancy journey.
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Summary:
A ‘geriatric pregnancy,’ or advanced maternal age, refers to pregnancies in women over 35. While there are increased risks of complications, many women have successful pregnancies at this age. It’s essential to communicate with healthcare providers and stay informed. Personal experiences often highlight that age doesn’t define the joy and health of motherhood.