29.05.2015

Pregnancy after 35 blog

More women than ever before are delaying getting pregnant; According to the CDC, in 1970 only 1 out of 100 births were to a woman over 35, now the figure is 1 in 12. One of the greatest risks of delaying pregnancy until after age 35 is that it becomes more difficult to actually get pregnant. Unfortunately, women over 35 have a harder time keeping a pregnancy; women who get pregnant between 35 and 45 years of age have a 30-40 percent chance of miscarrying. Palm Beach Obstetrics and Gynecology is happy to offer pregnant moms a cutting edge technology called cell-free fetal DNA testing. Chromosome abnormalities, such as Downs Syndrome, are much more prevalently in women who become pregnant after 35. The ability to become pregnant begins to decrease starting at age 32 and decreases more rapidly after age 37.
Older women are also at greater risk of acquiring medical conditions like endometriosis, pelvic infections, polyps, obesity and fibroids that can lower the chance of becoming pregnant. Women over 35 have a higher risk of miscarriage once they become pregnant compared to younger women.


An ectopic pregnancy occurs when the embryo implants in the fallopian tubes instead of the uterus.
Older women are more likely to have pre-existing medical problems before getting pregnant such as high blood pressure, heart disease, kidney disease and obesity. In addition, women who get pregnant after age 35 are statistically more likely to have certain complications of pregnancy.
Most studies find that the likelihood of giving birth to a child with a chromosome abnormality after 35 is around 1 in 170.
The good news is that most patients getting pregnant after age 35 do well and have healthy babies. Women 35 and older are at an increased risk of ectopic pregnancy compared to younger women because they have had more time to develop pelvic infections and scar tissue in the tubes.
Because of this, women having babies after age 35 are at higher risk of preeclampsia, gestational diabetes and complications during the pregnancy. Only a few pregnancies carrying an extra or missing chromosome will go to term with most resulting in a miscarriage in the first trimester.


Fertility medications have also been associated with an increased risk of a multiple pregnancy. Boyle specializes in high risk pregnancy care including prenatal diagnosis, fetal therapy, amniocentesis, targeted ultrasounds, congenital birth defects, and twin & triplet pregnancies. Diabetes in pregnancy is also associated with a higher chance of large babies and cesarean delivery. Older patients also have fewer successful VBACs (vaginal birth after cesarean) and a higher risk of uterine rupture. Women over the age of 35 who have not been able to conceive after 6 months may want to consider seeking a fertilization expert.



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