Pregnancy in your late 30s and 40s
It’s common these days for women to have a baby in their late thirties or forties. While most of these pregnancies are healthy, there are some things to bear in mind
Older women are more likely to develop gestational diabetes and pre-eclampsia than younger women during pregnancy. And they’re also more likely to have diabetes or high blood pressure before they become pregnant. Because of this, older women have a higher risk of complications and problems during pregnancy
Sadly, the likelihood of having a stillborn baby is higher in older women, too. The reasons that this happens more often in pregnancies in older women aren’t clear; some experts think that an older body is less able to support the pregnancy in the very final weeks
Artificially starting labour (called an induction) at the end of pregnancy, but before the baby is thought to be at risk, is recommended for some women. Although having induction does not increase the chance that a woman will need an emergency Caesarean section, more research studies are needed to show clearly that induction reduces the risk of having a stillbirth
If a doctor or midwife advises you to have an induction, they should explain why they think this is a good idea for you, what it involves, and the potential benefits and risks of starting your labour earlier
If you're having a baby in your late 30s early 40s
- At the start of your pregnancy, find out if any extra checks, appointments or services are usually offered in your area to women your age – a midwife or doctor should be able to answer any questions you have about the care they are recommending
- Go to all your antenatal appointments and have all the checks and tests recommended and make sure you know how to get in touch with your maternity services when you need to speak to a midwife or a doctor, including out of hours
- Make sure you know when the results from tests are expected, and ask about your results if you aren’t told
- Information from the National Institute for Health and Care Excellence (NICE) about the NHS care women should receive during pregnancy and about induction in the NHS
- The Royal College of Obstetricians and Gynaecologists have produced a report about induction in older women, though this is written for people with some knowledge of research and medical terms
- A study looking at induction in older women (includes a useful video summary)
- The statistics about stillbirths and deaths are collected every year by MBRRACE-UK (Mothers and Babies: Reducing Risks through Audit and Confidential Enquiries in the UK); the annual report is produced in different versions including a lay report and an infographic