The sun was just beginning to rise over the lush greenery of Kandy when Priyanka, a 38-year-old teacher, walked into my clinic. She looked both excited and a little nervous as she sat down, her hands resting protectively over her belly.
“Dr. Priya,” she began, “I recently found out I’m pregnant. But I’m 38 now, and my family keeps saying it’s risky to have a baby at my age. I’m worried. Is this something I should be concerned about?”
I smiled reassuringly and leaned forward. “First of all, congratulations! Let’s talk through everything so you can feel more confident about this journey.”
Advanced Maternal Age: What Does It Mean?
In the medical world, the term “geriatric pregnancy” has thankfully been replaced by “advanced maternal age” (AMA). This term refers to pregnancies in individuals who are 35 years or older. Today, it’s becoming increasingly common for people to start families later in life.
Is Pregnancy After 35 Uncommon?
Not at all! In fact, more babies are being born to people in this age group than ever before. A report from the Centers for Disease Control and Prevention (CDC) highlights that first births among individuals aged 35 to 39 have increased sixfold since the 1970s. While birth rates fluctuate, starting a family after 35 is no longer considered unusual.
For Priyanka, her story is one among many in Sri Lanka. With more individuals pursuing education and careers, delayed parenthood is a trend we see globally and locally.
What Are the Risks of Advanced Maternal Age?
While pregnancies over 35 are generally healthy, they do come with some increased risks. Let’s break them down:
- Higher Chance of Genetic Abnormalities: The same eggs a person is born with age over time, which can lead to a slightly higher chance of chromosomal abnormalities, such as Down syndrome.
- Increased Risk of Chronic Conditions: Health conditions like high blood pressure and diabetes become more common with age and can impact pregnancy.
- Pregnancy Complications: High blood pressure during pregnancy can lead to complications like preeclampsia or placental issues.
- Fibroids and Endometriosis: These conditions, more common in older individuals, can affect fertility and pregnancy.
| Risk/Benefit | Description |
|---|---|
| Higher Chance of Genetic Abnormalities | Aging eggs may lead to chromosomal abnormalities like Down syndrome. |
| Increased Risk of Chronic Conditions | Older age correlates with a higher risk of hypertension and diabetes. |
| Stability | Older parents typically have better financial and emotional stability. |
| Resources | Access to higher incomes and education can improve care quality for children. |
What Are the Benefits of Pregnancy After 35?
It’s not all risks! There are also many positives to starting a family later in life:
- Stability: Older parents often have more financial and emotional stability.
- Resources: Higher incomes and education levels can lead to better access to healthcare and other necessities.
- Preparedness: With life experience, older parents may feel more ready to take on the responsibilities of parenthood.
Priyanka’s eyes lit up as I shared these benefits. “That makes me feel so much better,” she said.
When Should You Talk to Your Doctor?
If you’re over 35 and considering pregnancy, or if you’re already pregnant, it’s crucial to connect with a healthcare provider early on. Here’s why:
- Preconception Counseling: A doctor can help you prepare your body for pregnancy with steps like managing chronic conditions and optimizing nutrition.
- Early Prenatal Care: Once pregnant, regular check-ups can monitor your health and the baby’s development.
- Screening Tests: Optional tests, such as those for chromosomal abnormalities, may be recommended. Some need to be done early in pregnancy.
How Can You Lower Risks?
While you can’t change your age, there are plenty of ways to reduce risks and increase the chances of a healthy pregnancy:
- Stay Active: Moderate exercise can improve overall health and prepare your body for labor.
- Eat a Balanced Diet: Focus on foods rich in vitamins, minerals, and essential nutrients.
- Manage Stress: Techniques like yoga, meditation, or even simple deep-breathing exercises can help.
- Avoid Harmful Substances: Smoking, alcohol, and certain medications should be avoided.
Priyanka nodded, taking mental notes as I spoke. “I’ve always been careful with my health,” she said. “But I’ll pay extra attention now.”
A Final Reassurance
While it’s true that advanced maternal age comes with unique challenges, it’s also a time when you can embrace the journey with confidence and joy. Priyanka left the clinic that day with a spring in her step, ready to navigate her pregnancy with positivity and the knowledge that she was in control of her health.
FAQs on Pregnancy After 35
Q: Is it risky to get pregnant after 35?
A: While risks can increase slightly, with proper care and monitoring, most pregnancies in this age group are healthy.
Q: What are the main concerns for older pregnancies?
A: Genetic abnormalities, high blood pressure, and diabetes are the primary concerns, but regular prenatal care can help manage these risks.
Q: Can I still have a natural birth after 35?
A: Absolutely. Many people over 35 have natural births. Your doctor will assess your individual situation.
Q: Should I get genetic testing?
A: It’s optional but recommended in some cases. Speak to your doctor about the available options.
Q: How can I prepare for a healthy pregnancy?
A: Focus on a balanced diet, regular exercise, stress management, and avoiding harmful substances.