Age and Pregnancy
Chromosomes are made of DNA and contain our genetic information. People usually have 46 chromosomes. A woman of any age is at risk to have a baby with a chromosome condition. The risk increases as she ages.
If a pregnancy is conceived with an extra or missing chromosome, this will generally cause a miscarriage or lead to the birth of a baby with birth defects and/or mental impairment. One example of a chromosome condition is Down syndrome, which is caused by an extra copy of the 21st chromosome.
Traditionally, doctors have offered extra prenatal testing to women who will be 35 or older at the time of delivery. Today we have much better ways to identify women at increased risk to have babies with chromosome conditions, and now all women, regardless of age, are offered prenatal screening and diagnostic testing for chromosome conditions. These options include:
- First trimester screening
- Integrated screening
- Sequential screening
- Maternal serum screening
- Chorionic villus sampling
Your prenatal care provider or genetic counselor can discuss the risks, benefits, and limitations of these tests with you to help decide which tests, if any, are best for you. This decision is yours to make.
Other age-related conditions
As women age, the chance increases for maternal complications in pregnancy. Some of these complications include:
- Multiple pregnancies, such as twins or triplets
- Labor complications
- Gestational diabetes
If you are over the age of 40, you may be referred to a high-risk obstetrics (maternal fetal medicine) specialist to discuss these possible complications and a plan to manage your pregnancy.
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