Pregnancy
After 35 Years
By Yana Mikheeva
For last 15 years number of women who gave birth for the first time
in the age between 30 and 39 years increased more than twice. For
the same period number of women over 40, giving birth for the first
time, increased 50%. 10 years ago a woman’s biological clock
began sound the alarm, when she was 30. Today the first ring sounds
somewhere in 35 or even after 40.
Why does this happen?
One of the reasons – is more safety. Prenatal researches reduced
women’s over 40 danger of giving birth to babies with genetic
defects till the level of 20 y.o. girls. New methods of sterility
treatment appeared, which women over 35 often suffer from. New achievements
of medicine in the sphere of helping a future mother, suffering
from chronic disease or in case of complicated passing of pregnancy,
allowed women giving birth to normal, healthy babies. Rather safe
methods of contraception and such popular persons, like Hollywood
actress Kim Basinger, who became a model exemplary, first gave birth
being over 40, also contributed to popularization of an opinion
“it’s never too late”. Now many women consider
that they can delay giving birth to a baby without any risk for
themselves till some certain time, and this means – until
they receive education, reach success in carrier, strengthen their
financial situation and find an appropriate soul mate.
Indeed, many women give
birth lately not because they wish to. Late pregnancy can be a result
of sterility, late entering into marriage or second marriage.
Which age is the best
one for giving birth?
Although according medical
prescriptions the best age for giving birth is between 20 and 24
years, many women feel that they are not emotionally ready for it
in this age. For some women, whose childhood passed in 50-60ies,
this age was rather a prolonged awkward age, than a beginning of
adult life. Such shift means that women reach emotional maturity
10 years after peak of physical maturity. But nowadays a woman who
became pregnant being 35 is not in a high-risk group already.
Really, if a woman over
35 is physically healthy, does not suffer from sterility, had no
miscarriages, her chances to give birth to a normal, healthy baby
are almost the same like a 20 y.o. girl has.
How to value a degree
of risk?
Pregnancy after 35, of
course, cannot be completely free from risk, but it is not so high,
like you think, and in many cases it can be reduced to minimum.
Not very young woman, who wishes to give birth for the first time,
should remember following moments.
Firstly, it may be difficult
for you to become pregnant. There is documental information that
ability to give birth reduces after 35 years little by little.
Even not mentioning such
negative factor, like premature menopause, this means that you can
conceive in one day, and cannot in other. It may require 6-12 months
from you, instead of 4, to conceive.
But greater danger, which
traps an older woman that is pregnant for the first time is connected
with giving birth to a baby with genetic defects, especially Down
syndrome.
Statistics shows that
for 40 y.o. woman a danger to give birth to a baby with Down syndrome
is 9 times higher, than for 30 y.o. one. For 40 y.o. woman a probability
of giving birth to a baby with Down syndrome is less 1%. And, although
risk increases with age, for 45 y.o. woman it is 3%, i.e. if looking
from other side, a probability of giving birth to a healthy baby
is 97%. Women over 35 have health complications during pregnancy
more often, in particular this concerns diabetes and high blood
pressure, which are peculiar to people of older age in general.
About 6% of women over 35 suffer from such complications in comparison
with 1,3% of younger ones.
According to statistics,
women of older age may suffer from complications of pregnancy, including
abruption of placenta and pathologic condition of fetus, which require
medical operation, and can have very serious after-effects for both
mother and baby health. Risk of miscarriage increases too. Delivery
can be complicated and prolonged, and these are main prescriptions
for Cesarean section, which is quite popular now. However, researches
showed that on average duration of delivery of women, giving birth
in older age, exceeded duration of delivery of young ones only on
45 minutes.
For women over 35 a risk
of problems connected with endometriosis and fibroid, which may
affect fertility and passing of pregnancy, increases.
But all this sorts of
dangers can be reduced to minimum, if a woman, who, most likely,
plans her pregnancy carefully, prepares herself physically for coming
pregnancy beforehand.
Fetus organs
are formed during first 12 weeks of pregnancy, and in this period
fetus is most wounded, as doctors consider, so, if you eat well,
refuse from nicotine and alcohol, caffeine and drugs, start taking
vitamins and do physical exercises, you will increase your chances
to bear pregnancy easily and well and give birth to a healthy baby.
However, pregnancy is not the time for starting physical exercises,
doctors warn. You need to prepare yourself physically for this,
before you become pregnant, then it will be easier for you to cope
with problems, if they appear.
A correct valuation of
real risk can become a woman of older age to reduce stress while
pregnancy, which often leads to complications during childbirth.
Every emotion is accompanied by changes in organism’s biochemistry.
If you consider you are ill, you may become ill in fact.
If a woman is about 40,
and she is going to give birth for the first time, while first sings
of some problem a doctor begins to work. He is in rush to meddle.
Unfortunately, you should not completely trust to previous researches
of women of older genital age. Somewhere women of this age either
had many children, and everything was not ok with their health,
or these were women, who had been trying to become pregnant for
a long time – may be, last 15 years, but they had miscarriages.
In researches, which
were held recently, main attention was paid to women, who corresponded
to a modern demographic situation to a greater extent: these women,
as a rule, belonged to a middle class, were well-educated, gave
birth to first, not 10th baby. If not taking into account fact of
sterility, then women of older genital age and their younger sisters
differ little.
Right choice of time
It becomes absolutely
obvious, that late maternity has a range of advantages. Women, who
are not in a hurry to give birth to babies, turn to be best prepared
for bearing and growing babies. It is proven that older women do
not suffer from ambivalence of feelings during pregnancy and go
through inner conflicts seldom. They treat pregnancy rather like
God’s bless, not because they could not give birth in earlier
age. Knowledge of who you are and what you want comes with age and
experience.
You are more disciplined
and live in harmony with yourself. You understand what you will
have to refuse from and what expects you.
Pregnancy in later years
usually falls on time of deep reflections, two mature persons take
this decision, having big life experience. Depending of a wife’s
age, they can see the “last chance” in it, and to treat
it like a precious gift of destiny.
Research showed that
late baby means especially a lot for a mother; a woman in such age
is less subjected to stress, is more open and interested in learning
new, than young mommies.
Late baby comes in world
like a beloved gift for a woman, who knows what she wants. In one
American hospital a research was carried out, when they compared
feelings of women, who were going to give birth for the first time,
of different ages: it was discovered that women of older age group
felt less stress during pregnancy, than very young women, despite
of heightened risk of giving birth to a baby with genetic defects,
despite of the fact that a baby will most likely change her usual
life more. Older woman, majority of which got married later, according
to researchers’ opinion, have more chances to become more
self-confident, independent, feel better, and this improves their
mood during pregnancy. Although when childbirth approaches, they
may feel oppressed, but not so much, like young women.
Moreover, older woman,
who dedicated all her young years for carrier, can treat pregnancy
like an opportunity to try herself in what was left blank in her
life. Unlike a young woman, who has not found her place in the world
yet, an older mother is less inclined to expect that her baby will
become a realization of her dreams. She also does not think that
a baby “pulls her back”, when she is trying to finish
her achievements. Majority of mothers who gave birth late have already
taken care to become professionals.
The reverse of the medal
Late maternity, of course,
has negative sides. Women of older genital age recover from delivery
not so quick, like young women.
Some women encounter
difficulties to get used to requirements, connected with baby care,
as they have been taking care only of themselves for so many years.
A very organized woman feels bad in a situation, when everything
– pregnancy, delivery, taking care of a baby – cannot
be planned, like this happens most often. As for late pregnancy,
there are other things, which should be taken into account. Although
now women give birth in older age, there is still a moment, when
it is too late to give birth. Parents have to restrict with only
baby or give birth with very short interval. Some opponents of late
childbirth point out that parents spoil them too often - a syndrome
of precious baby, - especially if this is an only baby. However,
such tendency can be observed in any age group.
We also need to dwell
on other arithmetic. At 35, 40 a woman may simultaneously play a
role of both a newly-made mother and a nurse for her old parents.
Mother with grey hair
Which types of role models
can grey-haired parents offer to teenagers? Because of big age difference
between parents and a child there is a danger of generation gap.
Many parents, who gave birth lately, turn to be too busy to feel
old.
Late maternity obliges
you to remain young. You response to everything, take part in everything.
Yana Mikheeva is the
creator of the Baby-Health.Net at http://www.baby-health.net Are
you going to get pregnant? Visit our friendly resource and read
information on pregnancy and parenting, painless childbirth, growth
and development of a baby, baby health, safety, signs of pregnancy.
She also has a blog for women at http://www.womanspassions.com/blog/
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