Know these important things before planning pregnancy after the age of 35

Pregnancy after 35 risks:In the last three decades, the number of women conceiving after the age of 35 has increased in many countries. One of the major reasons for this is late marriage or postponing pregnancy due to career and other personal reasons. Many women are not ready for motherhood initially, but when they reach around 35 years of age, they feel the desire to become mothers.

It is important for women planning to conceive after the age of 35 to undergo pre-conception counseling and necessary health checkups. This helps in properly assessing their health before pregnancy and understanding the possible risks. We learned about this in detail from Dr. Manju Khemani, Principal Director of Obstetrics and Gynecology Department of Max Smart Super Specialty Hospital.

First folic acid

Taking folic acid should be started at least one month before planning pregnancy. It is generally recommended to take 400 micrograms of folic acid per day. This helps in reducing the risk of neural tube defects in the baby i.e. some congenital problems related to the brain and spinal cord. The requirement of Vitamin D and its dosage should be determined as per the doctor’s advice.

What problems can occur in pregnancy after the age of 35?

The possibility of miscarriage may increase with increasing age. The risk of miscarriage in women under the age of 30 may be around 10–15%, while around the age of 35 it may increase to around 20%. However, the actual risk depends on the woman’s age, health, and other medical factors.

Additionally, the likelihood of chromosomal errors in eggs increases with age. This may increase the baby’s risk of certain genetic conditions, such as:down syndrome,Edwards syndrome or patau syndrome

However, aging does not mean that any of these conditions are inevitable. But consulting a doctor is always a wise move.

Appropriate screening options during pregnancy

Women who conceive at age 35 or older should be informed about the screening and diagnostic tests available during pregnancy. These may include nuchal translucency scan and NIPT in the first trimester. NIPT is a blood test that assesses the risk of certain chromosomal conditions.

At approximately 18–22 weeks a detailed anomaly scan is performed to assess fetal structure and development. It is important to note that screening tests indicate the possibility of a condition, not definitively confirm it. If necessary, the doctor may also explain the option of diagnostic testing like amniocentesis.

Cesarean delivery and excessive bleeding after delivery

In some circumstances, women over the age of 35 may have an increased risk of cesarean delivery and excessive bleeding during or after delivery, i.e. postpartum hemorrhage. However, cesarean delivery is not necessary based on age alone. The mode of delivery is decided depending on the condition of the mother and baby, the progress of the pregnancy and other medical reasons.

What things should be kept in mind for a healthy pregnancy after 35 years?

There may be some increased risks of pregnancy after the age of 35, but this does not mean that every woman will face complications. Pre-conception counselling, a balanced diet, taking necessary supplements as per doctor’s advice, regular prenatal checkups and proper management of existing health problems can help improve the chances of a healthy pregnancy.

The most important thing is to give priority to awareness and proper medical care instead of making age a cause of fear. Try to keep yourself healthy and happy. Follow the doctor’s guidance and get regular checkups done during pregnancy.

Read more// Why does breast pain and heaviness occur during pregnancy? Learn easy ways to get relief