A woman's peak reproductive years are between the late teens and late 20s. By
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.
Pregnancy in Your 40s
If you get pregnant after 35 years old, experts call this an “advanced maternal age” pregnancy. But it's still possible to get pregnant and deliver a healthy baby in your 40s. Childbirth at older ages has become more common too. Since the 1990s, birth rates in people aged 40-44 have gone up.
If you are thinking about having a baby in your late thirties or early forties, you are not alone. Women ages 35-45 are increasingly becoming first-time moms. And most healthy women in this age group have healthy pregnancies, births and babies.
Women who become pregnant in their 30s and early 40s can have safe, healthy pregnancies, says Ellie Ragsdale, MD, director of fetal intervention at UH Cleveland Medical Center. But they do face a higher risk of some problems.
As we age, women can have a harder time getting pregnant at all and a higher chance of conceiving with an abnormal egg, which could result in a miscarriage or a baby with a chromosomal abnormality such as Down syndrome.
A woman's peak reproductive years are between the late teens and late 20s. By age 30, fertility (the ability to get pregnant) starts to decline. This decline happens faster once you reach your mid-30s. By 45, fertility has declined so much that getting pregnant naturally is unlikely.
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.
Yes, there can be challenges with having a baby later in your reproductive life. But there are some things you can control. First and foremost, getting early and regular prenatal care can increase the chance of having a healthy baby after 35.
There's no expiration date on when guys can father a child. Case in point: Rocker Mick Jagger just had his eighth child at the age of 73. Since men don't hit menopause—the time in a woman's life where her fertility ends—they can typically continue to father children into their later years.
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. “A healthy 38-year-old could have an easier pregnancy than a 20-year-old who has multiple medical issues,” Dr.
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.
While it may take a bit longer to get pregnant if you're 35 or older, the average time it takes to conceive is still high. Women under 25 have a 25 percent chance of conceiving per cycle, compared to 15 percent among women between the ages of 35 to 39 (the rate drops to 5 percent by the age of 40).
Having Babies After 35 Is Safe
And while it's true that conceiving after 35 comes with an increased risk of complications—like preeclampsia, gestational diabetes, chromosomal abnormalities, and even miscarriage or stillbirth—many people go on to deliver healthy babies.
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.
You might be more financially stable than you were when you were younger, and have more life experiences to bring to parenting. But while most older mums have healthy pregnancies and give birth to healthy babies, there is a higher chance of developing certain problems if you are 35 years or older.
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.
In the United States, birth rates for women in their 30s are at the highest levels in three decades. However, an older mother may be at increased risk for miscarriage, birth defects, and pregnancy complications such as twins, high blood pressure, gestational diabetes, and difficult labors.
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.
Babies: Down syndrome continues to be the most common chromosomal disorder. Each year, about 6,000 babies are born with Down syndrome, which is about 1 in every 700 babies born.
A gap of 3 years or more greatly reduces the chances of sibling rivalry. By this time the older child is secure in him or herself and quite independent. In addition, the mother's body is fully recovered from the challenges of pregnancy and birth of the first child.
While a 92-year-old woman delivering a 60-year-old baby may sound like a bizarre plot twist from the movie “Benjamin Button,” it's true. Huang Yijun, 92, of southern China, recently delivered a child which she'd been carrying for well over half a century. The baby wasn't alive, however.