Women over 35 may need to be monitored more closely during pregnancy depending on any pre-existing health conditions they have. This would mean more ultrasounds (2-3), more tests to check for heart diseases or gestational diabetes, and non-stress tests in the final weeks of the pregnancy.
Advanced maternal age describes a pregnancy where the birthing person is older than 35. Pregnant people over age 35 are more at risk for complications like miscarriage, congenital disorders and high blood pressure. Screening tests can help detect certain congenital disorders.
After age 35, there's a higher risk of pregnancy-related complications that might lead to a C-section delivery. The risk of chromosomal conditions is higher. Babies born to older mothers have a higher risk of certain chromosomal conditions, such as Down syndrome. The risk of pregnancy loss is higher.
So as you get older, you have fewer and fewer eggs, and the eggs you have aren't easily fertilized by a man's sperm. All this makes it harder for you to get pregnant. If you're older than 35 and have been trying for 6 months to get pregnant, tell your health care provider.
The study found that pregnancy rates decreased progressively with increasing age of the recipient female patient 6. The cumulative pregnancy rate observed up to 12 insemination cycles was 74% for women younger than 31 years and decreased to 62% for women aged 31–35 years and to 54% for women older than 35 years 6.
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 and even into their 40s have healthy babies.
But as people get older, they face an increased risk of medical issues that can potentially complicate their pregnancy. While delivering at age 35 and older is officially considered “advanced maternal age,” Dr. Kalish notes that in reality, there's no “magic number” for being at-risk for complications.
Down syndrome occurs in people of all races and economic levels. The risk increases with the mother's age (1 in 1250 for a 25 year old mother to 1 in 1000 at age 31, 1 in 400 at age 35, and about 1 in 100 at age 40). However, 80% of babies with Down syndrome are born to women under age 35 years.
With age, your risk of early miscarriage goes up. At age 35, the chance is about 20%. By age 45, your chance is 80%.
The risk of chromosomal abnormality increases with maternal age. The chance of having a child affected by Down syndrome increases from about 1 in 1,250 for a woman who conceives at age 25, to about 1 in 100 for a woman who conceives at age 40.
For example, a woman at 30 often has around 100,000-150,000 eggs in reserve. By 35, that number is likely around 80,000. Late into the thirties, that number could be 25,000, 10,000, or fewer.
Definition of geriatric pregnancy
We define advanced maternal age (formerly geriatric pregnancy) as those who are 35 years or older at their estimated delivery date.
Peak male fertility is around 25-29 years old. Sperm quality begins to decline at 30. At 45, men begin to experience a significant decrease in semen volume. Older men can also take longer to conceive a child.
6.9 percent in women age 35 to 37. 6.8 percent in women age 38 to 40. 5.1 percent in women age 41 to 42. 5.9 percent in women age 43 and above.
At 35, most have a 15% to 20% chance of getting pregnant in a given month. That could mean a 78% chance of conceiving within the year. But 35 seems to be the point where fertility for people with ovaries does decline.
A woman's chances of giving birth to a child with Down syndrome increase with age because older eggs have a greater risk of improper chromosome division. A woman's risk of conceiving a child with Down syndrome increases after 35 years of age.
You might be more financially stable and healthier
"Studies show that children of older mothers stay in the educational system longer, do better on standardized tests, and are more likely to go to college than their peers born to young moms," says Dr. Salber.
A known risk factor for Down syndrome is increasing maternal age. As seen in Figure 4, women who are 35 to 39 years old are approximately 4.5 times more likely to have a child with Down syndrome compared with women in the 25 to 29 age group. This risk increases to 15.7 for mothers age 40 years or older.
Current supplementation policies designed to prevent neural tube defects may incidentally prevent Down's syndrome, provided a sufficiently high dose of folic acid is used.
Although women older than 35 years of age make up a small portion of all births6 in the United States each year, about nearly one-half of babies with Down syndrome are born to women in this age group.
It is well known that the extra chromosome 21 originates from the mother in more than 90% of cases, the incidence increases with maternal age and there is a high recurrence in young women.
There's more to consider about pregnancy past your mid-30s. Older women are more likely to miscarry or have a stillbirth. They have a greater chance of developing gestational diabetes, preeclampsia, and of delivering a baby who is very small.
If you're under 35 and in good health, it's perfectly natural for it to take up to a year. It can take longer if you are older, however; for women aged 38, 67% who have regular unprotected sexual intercourse will only get pregnant after two years of trying2.
Egg quality and quantity also decline in a woman's 30s and 40s. While the total number of eggs cannot be increased, research has shown that egg quality can be improved. Supplements containing Myo-inositol, folic acid and melatonin have been shown to help improve egg quality and ovarian function.