Pregnancy after 40
By Ann Douglas
It can be more than a little disconcerting to hear yourself described as "elderly" or "of advanced maternal age" when you only recently celebrated your 40th birthday, but, in the eyes of the obstetrical profession, that’s exactly what you are.
Obstetricians don’t care how young you look and feel, or whether
you can still fit into the same size of jeans that you wore 20 years ago:
they’re concerned about the age of the eggs that are nestled away
in your ovaries. And, as much as you might like to ignore this fact, the
clock started ticking on those eggs more than 40 years ago.
While it’s not all doom-and-gloom on the reproductive front – the
majority of women giving birth in their 40s manage to end up with
healthy babies in their arms – there is sometimes a price to be paid
for postponing motherhood until later in life. Here’s what you need
to know when you’re making the mother of
all decisions, when to start your family:
Understanding Fertility
Your fertility declines as you age. Unlike men, who have the ability to
manufacture sperm throughout their lives, women are born with all the eggs
they’re ever going to have.
The quality of these eggs deteriorates over time, something that
can lead to fertility problems as a woman ages.
Older mothers face an increased risk
of miscarriage, stillbirth or infant death. Because your eggs age
along with all the other cells in your body, they are more likely
to have chromosomal problems than the eggs of a younger woman, according
to Ottawa, Canada obstetrician Andree Gruslin.
Older mothers are more likely to become pregnant with multiples.
The risk of conceiving more than one baby increases with age, even
if you’re
not taking fertility drugs. According to the National Center for
Health Statistics, women over the age of 45 are 10 times as likely
to become pregnant with multiples as women in their 20s.Older mothers
are more likely to develop certain types of pregnancy-related complications.
These complications include diabetes, pre-eclampsia (high blood
pressure), placenta previa,
placental abruptions, preterm delivery and intrauterine growth retardation.
And, according to a study reported in the January 1999 issue of Obstetrics
and Gynecology, a woman who is 40 years or older when she gives birth
to her first child is almost four times as likely to develop gestational
diabetes as a woman in her 20s.
Older mothers may have some age-related
health conditions which could make their pregnancies more difficult to
manage. Such conditions include hypertension, cardiovascular disease and
diabetes.
Older mothers are more likely to require cesarean deliveries. One
study found that women over the age of 44 are 7.5 times as likely to require
a cesarean delivery as younger women.
Still, you needn’t abandon your plans to have a baby just because
you’re no longer a spring chicken – at least reproductively
speaking. According to obstetrician John R. Sussman, co-author of The Unofficial
Guide to Having A Baby, there’s plenty of reason to remain hopeful
about your odds of taking home a healthy baby: “For the large majority
of women, having a baby in their early 40s is safe and uncomplicated.”