Pregnancy after 35: Risk factors to precautions, all you need to know

Conceiving to risk of miscarriage increase as women reach their 30s. Here is all you need to know about the risk and precaution to take.

The number of women planning pregnancies in their late 30s has sharply increased during the past few decades. This tendency has been well documented throughout the years in the United States and a few other countries, most notably India. There are unique risks and challenges in this situation that call for special caution. The phrase “advanced maternal age” (AMA), which emphasises possible pregnancy problems, is applied to women who become pregnant after the age of 35.

Pregnancy Risk After 35

1.  Difficulty Conceiving: A woman’s egg production is fixed at birth, and as she advances in age, the quality and quantity of her eggs decline, Dr. Ashwini Neelakanthi, Consultant – Obstetrics and Gynaecology, Manipal Hospital Varthur Road, explained. This could make naturally conceiving more challenging.
2. Increased Risk of Miscarriage: Because of chromosomal abnormalities or poorer-quality eggs, women over 35 are more likely to experience miscarriages.
3. High-risk pregnancy brought on by medical diseases: Thyroid issues, diabetes, and high blood pressure are among the medical conditions that can complicate pregnancy and are more prevalent in older women than in younger ones.
4. Multiple Pregnancies: Hormonal changes or reproductive treatments like IVF raise the risk of multiple pregnancies, such as twins or triplets, and the challenges that accompany them.
5. Chromosome Abnormalities: Babies born to moms over 35 are more likely to have chromosomal abnormalities, such as Down syndrome, due to declining egg quality.
6. Preterm Birth: Older women are more likely to give birth prematurely.
7. Stillbirth: The chance of stillbirth increases with age.
8. Increased Risk of Caesarean Delivery: Women over 35 are more likely to require a C-section if they have health conditions or experience difficulties during labour.

How to Minimise Risks?

TDr. Ashwini Neelakanthi als o shared steps to have a safe and healthy pregnancy after the age of 35, despite the hurdles.

• Preconception counselling: Before trying to conceive, speak with an obstetrician. A thorough health assessment can help identify and manage any potential risks.
• Take up a healthy lifestyle:  Keep up your wholesome, balanced eating regimen.
• Exercise: Engage in regular exercise to maintain a healthy weight range. Avoid alcohol and smoke because they can affect your fertility and the growth of the foetus.
• Manage Stress: Practice relaxation techniques like yoga and meditation to support mental well-being.
• Stay up to date on all necessary immunisations.
• Take Prenatal Vitamins: Start taking prenatal vitamins that include folic acid to support your baby’s growth and reduce the risk of birth defects.
• Keep an eye on Pre-Existing Medical Conditions: If you have diabetes, high blood pressure, or thyroid issues, consult a physician to ensure your treatment is safe for pregnancy. Medication adjustments can be required to guarantee their safety during pregnancy.

With careful planning, regular check-ups, and a healthy lifestyle, you can lower your risks and enjoy a pleasant pregnancy. Stay informed, consult your healthcare provider, and boldly embrace the journey for optimal outcomes.