Anonymous wrote:I know plenty of people who had 1,2,3,4,5 or 6 in the mid 40s, like 45 or 46. The families are happy and healthy.
Anonymous wrote:Anonymous wrote: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.
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.
Anonymous wrote:My grandmother had children into her late 40s. I thinks she had 13 babies, of which 9 survived to adulthood.
Anonymous wrote: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.
Anonymous wrote:Anonymous wrote:Anonymous wrote:Anonymous wrote:My OB said no babies after 44. She said it gets too dangerous after that.
Your OB sounds like she isn't very skilled hopefully she refers out if she comes across a mom to be who is 45+ she probably wouldn't though would want their business.
OBs' opinions on this tend to be dictated by their own backgrounds and the demographics of their patient community. I was under 45 when I had my baby but my OB practice would never have said something like this because it was an urban practice with a lot of professional, highly educated moms, which skews much older. For instance they never used the term "geriatric pregnancy" and instead just said stuff like "oh we recommend this extra screen for moms over 35" or "our care protocol takes maternal age into account for induction" or that kind of thing. I remember expressing some trepidation about being an older mom early on and everyone in the room was like "older mom? this is nothing." They understood that there's sometimes stigma and judgment around women getting pregnant at later ages and went out of their way to not let that stigma permeate the practice because so many of their patients were in that age range. No idea if they ever had a mom over 45, but they wouldn't have turned her away and they wouldn't have expressed judgment.
Meanwhile my sister lives in a small, remote town, and she had her third and last baby at 32, and her doctor told her she was getting it in "just under the wire." It's very rare where she lives for people to have babies past 35, and most people at least start in their 20s. Whereas where I live almost no women have babies in their 20s because they are still finishing grad school and starting careers and most are not even married yet.
Advanced maternal age is used now. And it’s not just “a term”
https://my.clevelandclinic.org/health/diseases/22438-advanced-maternal-age
Anonymous wrote:Anonymous wrote:I’m 50 now and I wouldn’t have a child last 35 knowing how I feel now. My son is 20 and I stetted feeling tired by his junior/senior year in HS. So for me it isn’t the age you have the baby that matters but it’s the age you are still actively parenting them at home in HS.
I mean this kindly but you shouldn't feel ragged at 50. If you have a kid at 40 you will be 60 when your kid is 20 and mid 50s when your kid is a teenager and again you shouldn't feel ragged at that age take.care of your health.
Anonymous wrote:Anonymous wrote:Anonymous wrote:My OB said no babies after 44. She said it gets too dangerous after that.
Your OB sounds like she isn't very skilled hopefully she refers out if she comes across a mom to be who is 45+ she probably wouldn't though would want their business.
OBs' opinions on this tend to be dictated by their own backgrounds and the demographics of their patient community. I was under 45 when I had my baby but my OB practice would never have said something like this because it was an urban practice with a lot of professional, highly educated moms, which skews much older. For instance they never used the term "geriatric pregnancy" and instead just said stuff like "oh we recommend this extra screen for moms over 35" or "our care protocol takes maternal age into account for induction" or that kind of thing. I remember expressing some trepidation about being an older mom early on and everyone in the room was like "older mom? this is nothing." They understood that there's sometimes stigma and judgment around women getting pregnant at later ages and went out of their way to not let that stigma permeate the practice because so many of their patients were in that age range. No idea if they ever had a mom over 45, but they wouldn't have turned her away and they wouldn't have expressed judgment.
Meanwhile my sister lives in a small, remote town, and she had her third and last baby at 32, and her doctor told her she was getting it in "just under the wire." It's very rare where she lives for people to have babies past 35, and most people at least start in their 20s. Whereas where I live almost no women have babies in their 20s because they are still finishing grad school and starting careers and most are not even married yet.
Anonymous wrote:Anonymous wrote:My OB said no babies after 44. She said it gets too dangerous after that.
Your OB sounds like she isn't very skilled hopefully she refers out if she comes across a mom to be who is 45+ she probably wouldn't though would want their business.