Reply to What's your absolute cut off for trying for a child?

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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]There's some talk about doing away with advanced maternal age as it's essentially not needed and more rooted in misogyny than actual health care. [/quote]

There are already a lot of OBs who don't treat 35+ as the cutoff for AMA anyway. The idea that risks skyrocket at 35 is a myth -- a 36 yr old is unlikely to have any more issues with a pregnancy than she would have had at 34.

My OB views 39/40 as when it's time to at least look at some risk factors and possibly do some extra screening or take increased caution with things like extending far past the due date. It will depend on the overall health of the mother, history with pregnancies, family history, etc. Then she views 41 and up as AMA and that's when they will require certain screening (it's always optional and she'll order it so insurance covers it for younger patients, but starting at 41 she'll automatically order it) and also change recommendations for certain triggers to be more cautious.

Also one thing my OB practice does is they treat paternal age as significant too. I think this is uncommon. But discussion of risks associated with advanced paternal age are discussed upon intake and throughout the pregnancy. Advanced paternal age is associated with viability and risks to the fetus, and those can also impact the mother's risk as the one carrying the fetus. I really appreciated that they are wholistic about this -- I know a lot of OBs totally ignore paternal age as a factor and that absolutely is rooted in misogyny. Women do not conceive children independently.[/quote]

Your OB sounds great!  As far as AMA the age is in the chart no need to slap a label on it like some scarlet letter. And she's 💯 correct about advanced paternal age.[/quote]

Be reassured that most medical professionals do not use medical terms to denigrate their patients. There are certainly some who do, and there are certainly some terms that have been dismissed because they were insulting, and we have to constantly review usage. No one believes that women fall off a cliff at age 35, but advanced maternal age is an evidence based term that was developed to quickly identify  women at greater risk of x, y, and z in order to provide them specific medical care.

It’s not “nice”, but 💯, you are being referred to as “38 year old obese G3P0 woman who appears older than stated age, etc etc. I used to describe 60 year olds as “elderly” when I was in my 20’s. I’m sure I offended some patients back then, my apologies. [/quote]

Not where I work but we're not aholes.[/quote]

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