Pregnant after 35

So I am really the only OLD mom here

I am OLD. I mean OLD. I'm pushing 45. Ooooold.

But anyway, I have been wondering with any older moms--like post 40 moms are you being treated as if you have a super duper high risk pregnancy.

 I've passed all my third trimester tests. Everything is good.

Some bad stuff could still happen I realize!!! I am holding my breath. 

I realize I am in a very high risk category.  

 But they will give me 'surprise' tests. Like I had a surprise full anatomy scan--another one even though I have the best numbers of everything in the world and am measuring correctly and heartbeat is great and 100% everything normal as can be.

Why does this happen?

I don't fully understand my medical treatment.

I am VERY HAPPY my baby is normal so far but I am spending all day at the OB and I missed picking up my kid from school. They gave me no warning or reason ahead of  time except 'you aren't getting any younger.'

I suppose they are just playing it safe but it felt very impromptu and odd. They do not explain anything, ever.  The assumption seems to be that any day now I am getting preeclampsia so I better be ready for that. That is literally the only thing they ever mention to me: How to watch for signs of preeclampsia. 

Re: So I am really the only OLD mom here

  • I'm 41 and only 18 weeks, but at this point I don't feel like I have been treated as super high risk. Aside from the normal AMA testing, everything seems to be status quo. This might change as I get further along though...

     

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  • Oh a congrats on all the good results. I'm still waiting for integrated screening results, but A/S came back normal.

     

  • I will be a few months shy of my 45th birthday when I deliver.  So far, I am treated like every every other woman PG over 35.  For me, I don't care how OBs office treats me-I'd rather see them be super cautious.  What irritates me more is when we share that we are expecting with some people, they assume it is an "OOPS" pregnancy.  This PG was fought for in ways that many others cannot even imagine!!  GL, I hope that you prove them all wrong and never develop pre-eclampsia!
    TTC since 10/09 Me-43 DH-44 RE and testing 10/10-11/10, Recommending IVF 1/11 New RE AMA and DOR-DH low motility IVF #1.1 cancelled 3/11 due to poor response IVF #1.2 May 2011, one perfect 8-cell embryo, 3dt-BFN, IVF #2.1 Converted to IUI d/t poor response. New RE 9/2011. IVF 2.2 completed using HGH,EPP,DHEA, Q-10 and accupuncture. Transferred one 8-cell, grade one embryo on 10/19. BFP 10/31/11 Chemical pregancy on 11/2/11. Started stims for IVF #3, our final try, on 12-2-11. ET on 12/18. Transferred 3 Grade A embryos-BFFN Planning DE IVF, late March/early April- Donors ER expected to be 4/2-4/4. PAIF/SAIF welcome
  • amie444amie444 member
    I am 42 and have had a very normal time until this week. I have slightly elevated blood pressure. So now I am on modified bed rest for. 5 more weeks. I feel lucky. Good luck to you.

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  • Hmmm...I'm sorry your OB team is not being more upfront with you, especially so they don't scare you. 

    Maybe my story would put you at ease with your age a bit...or at least offer a different OB perspective:  

    Out of the location convenience, I unknowingly referred myself to a high risk OB clinic when I found out I was pregnant. They reluctantly accepted me based on my age and the IVF. I see OBs who normally only treat women with really high risk pregnancies. The clinic team never seems phased by anything with my pregnancy. They order the necessary tests and refer to my pregnancy symptoms and to the whole false-positive DNA saga (& subsequent scans and amnio) as "little bumps in the road." My OB even commented that she didn't normally see patients like me, but that it is nice to have a patient who isn't really high risk. 

    I hope your OB lets you relax a bit more. Good luck.  

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  • I just gave birth last week (4/30) at the age of 43. My OB group told me up front that they have a lot of patients who are pregnant in their 40s. They really didn't treat me any differently than when I was pregnant at the ages of 27 and 30 with my first two children. However, I have to tell you, this last pregnancy was way harder on me than the first two. I had several scares/issues the last month (high blood pressure, concern for preeclampsia due to severe swelling and the HBP) etc. and I never had any of this with my younger pregnancies. Maybe you could ask at each visit what the following visit will entail to hopefully let you schedule your time better. But, the reality is, it is just plain harder on your body to be pregnant in your mid-forties than at a younger age. The goal is a healthy mom and baby, and it seems like your OB group has that in mind....although they don't seem to be communicating with you about it very well. GL and the baby will be here before you know it!


    **DD1 - 7/9/98**

    **DS - 11/9/00**

    **DD2 - 4/30/13**

  • ShiklaShikla member

    Unless you have pre-existing medical conditions, are obese, or have acquired gestational diabetes I cannot understand why they would perform so many tests, especially without telling you what they are for. Although I am 39 (will have just turned 40 when I deliver) my doctor told me that all those extra tests are unnecessary- for anyone not considered high risk.

    I'm not sure exactly where you live but I wouldn't be surprised if the doctor is sapping the medical system unnecessarily. If your numbers are normal then in my opinion, this unnecessary screening is just causing anxiety which can result in high blood pressure and other issues.

    What I was also told is that woman over 35 are considered high risk because many of them have developed health issues over the years. However if you are a healthy, active, non-smoking, non-substance abusing woman, then you can be just as healthy as a woman in her 20s.

  • I am 44 - will be 45 in August, baby due 9/15.  I've never been treated any differently, at least not yet.  But if you're in your 3rd trimester, I can understand additional caution and I do hope I get that same treatment.  We are definitely on the older maternal side.  However, all day at the OB is ridiculous - I would definitely speak up.  When you go in for your appointment, ask approximately how long it should take as you will need to make other arrangements if it's too long.  That seems like basic consideration.  Good luck!
    Jessica (44) married to DH (50) for 17 years DD - 3/27/98 DD - 01/11/01 DS - 09/30/08
  • EmR22EmR22 member
    I just turned 35 and my OB office is acting as if I'm 72. I appreciate that they are looking out for my well-being but they are doing extra tests and tests early "because your older". They had me do the GD early even though in my past pregnancies I haven't had issues. They practically jumped to preeclampsia with me at 20 weeks for one slightly elevated blood pressure. they make me feel like I should be prepared to accept the award for oldest birth mom : )
  • I'm 43, and they've definitely been aggressive in terms of scheduling me for things like ultrasounds and genetic screening tests.  That makes sense to me, because my eggs are older, and those things come along for the ride.

    What worries me, though, is that one of my OB's partners was starting to talk about really aggressive monitoring - like having me wear a fetal monitor during the last month of pregnancy - and so far there's been no reason to think that I am going to have difficulty, other than my age.

    I know that I am at greater risk for things like diabetes, high blood pressure, and preeclampsia, but I am quite concerned that I'll still be labeled "high risk" at the time of delivery even if everything continues to go smoothly (and so far, this pregnancy has been very unexciting - for which I am grateful).

    I'm going to talk with my primary OB about her partner's attitude next appointment, and see if she shares it, but, yeah.  I "know those feels," as they say.


    Iris born Halloween 2013! 6 lbs, 1 oz, 18 inches long

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  • imageEmR22:
    I just turned 35 and my OB office is acting as if I'm 72. I appreciate that they are looking out for my well-being but they are doing extra tests and tests early "because your older". They had me do the GD early even though in my past pregnancies I haven't had issues. They practically jumped to preeclampsia with me at 20 weeks for one slightly elevated blood pressure. they make me feel like I should be prepared to accept the award for oldest birth mom : )

     Haha. I'm 37 and the same way.  I think they mention my ADVANCED MATERNAL AGE at every visit. 

    image
    Updated September 2012. Lilypie Pregnancy tickers
  • What worries me, though, is that one of my OB's partners was starting to talk about really aggressive monitoring - like having me wear a fetal monitor during the last month of pregnancy

     Say what??? How would that work? Like--would you not be able to walk around? Are you strapped to a machine. Goodness gracious!!! I thought my situation was bad. 

     Boy--thank you ladies. Maybe I'll stop complaining.  

    Yeah, you are at higher risk for GD but if you don't HAVE GD then you don't have GD. So the risk is kind of irrelevant, yes?

     I did have one higher BP read when I came running in to the office but then I said 'take it again' and it was low/normal. But they did not bother to record the re-take. SIGH. 

    I'm switching OBs anyway. I'm kind of fed up with my OB. Their treatment makes me extremely anxious and that's the last thing I need.

    ___________

     As far as genetic testing goes, I resented that they did it without asking and it involved an ultrasound.  They should ask if you want the test because you plan to terminate. Otherwise, maybe you don't want it.  They should not push that test on people.

    ____________

     Anyway, you all made me feel better!!!  I guess the big issue is-I know I'm old for a pregnant mother, I don't mind any health care that takes risk into account and I'm not insulted about my oldness. BUT  if you don't mind--can you not constantly freak me out at each prenatal visit? 

  • I love this thread!  I am also feeling a bit mixed emotions about my age- I'll be 43 when I deliver, but I agree that if you are healthy, you could be 43 in age but really like someone 5-10 years younger with regard to your body and it's ability to handle a pregnancy.  I know the number us a big one, but I don't look my age or feel my age, so mind over matter...I haven't been to the doctor yet- hopefully this week...cant wait to see the look on his face- was just there 2 weeks ago for a yearly checkup!!!
  • imagehoneyforlunch:

    What worries me, though, is that one of my OB's partners was starting to talk about really aggressive monitoring - like having me wear a fetal monitor during the last month of pregnancy

     Say what??? How would that work? Like--would you not be able to walk around? Are you strapped to a machine. Goodness gracious!!! I thought my situation was bad. 

    I know!  She made it sound like it would be something I could just wear around the house, but I don't think that's how those things work, and I wouldn't want that even if it did.  It wouldn't be good for my mental health to have something tracking every damn thing all the time; it's why I'm not bothering to get a Doppler - I'd be checking it all the time and freaking myself out if anything seemed even the littlest bit "off."  It's better for me to just assume everything's going well, until it isn't.

    Plus that sort of thing just screams out a likelihood of them wanting to induce me or schedule a c-section, two things I'm really, really hoping to avoid.

     

    Edited to add:  saw my main OB today, and she was totally sympathetic to my concerns.  She explained that the monitoring would be a go in once a week sort of deal, but she also said that I seemed like a good candidate for a nurse-midwife, and gave me the card of the group affiliated with her hospital.  So, I guess I'll be giving them a call, and see what they think!  Nice!


    Iris born Halloween 2013! 6 lbs, 1 oz, 18 inches long

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  • You have the right to question everything & refuse what ever you want. Many doctors use intimidation to rationalize old practices.

    Ask questions first.
    Demand explinations & if your insurance allows it.. change doctors..its ok to do so.

    Get educated. You have rights. You can deny certain test if you find out its not necessary. There are some great youtube videos out there by Ina May.

    she is a midwife but is pro-safe birth - so she doesn't swing either way. More interested in mothers getting the birth they want. She educates mom's & medical professionals on everything about birthing. I really like her videos. they are thourough & very informative. She has also written several books.

    there is a lot of information out there. you have to find out what works best for you. the main thing is if you are healthy & the baby is healthy there is no need to assume a condition. there should be indicators & if age is your only indicator than your next question should be is it necessary?.

  • I am 47 and will be close to 48 when I deliver.  I have had all the necessary tests for us older women.  I have a high risk doctor solely because of my age.  I've had a pretty easy and normal pregnancy for the most part.  I did get Gestational Diabetes at week 25 and was then put on med's at week 27.  I had my 5th ultrasound last week to check the baby's growth.  When I went to my ultrasound my blood pressure was a little elevated, but they took it again after I was finished with the test and it was normal.  I had a bought with a stomach thing that morning, which dehydrated me and they contributed my higher blood pressure to that, but he wants my doctor to now perform a stress test every week until delivery.  I will be discussing this with my doctor as I do think this might be a little much.  I have been treated like any other normal pregnancy for the most part, but my doctor did say that they will monitor me more closely once I reach the 3rd trimester.  I would ask as many questions as possible.  I do think that some facilities go beyond what is necessary, merely for $.   

    Best of luck to you. 

  • I'll be 44 soon and my doctor said once a mom over 40 makes it past 12 weeks, it's like any other pregnancy.  So trying not to worry, everything has been good so far.  I'm a little over 16 weeks and we're having a boy!  Good luck, sounds like you're doing well!
  • I am happy I found this thread. I am 50 (51 when I deliver if we get pregnant right away). DH is 38 with no kids. We have been together 2 years and I would love to have a family with him. He really wants kids but doesn't want me at risk. I have a 19 year old son in college and never thought about kids again until I met DH. We are exploring options and I am looking for others who are near my age for feedback. I am in great health, great shape and don't look or act like I thought a 50 year old would be. Thanks for any advice
  • I'm 41 and some of the docs have been fine and others not. The practice I go to has 8 OBs and 4 CNMs. I refused all the genetic testing as I have for all my previous pregnancies. I refused to see the high risk OB group solely because of age. I don't have the $ or time to go to an additional doctor if there is no problem. I had the GD test early as well because my last baby was over 9 lbs. That was at the request of one of the midwives. She also told me that at the end I'd have to come in twice a week for NSTs and to check on the placenta. The OB I saw just after the GD test decided that I was measuring big and wanted me to take it again. I literally had taken it the week before! I didn't take it again. Other than that one visit, I have been measuring just right. I'm right around 15-20 lbs gained. I've just started my weekly visits. My next apt is with my doc that I've been seeing there for 15 years. I'll ask him what to expect this last month.
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  • I'm due to turn 45 about 2 weeks before my due date. I'm not old!!
  • Holy cow! Maybe I shouldn't have read this thread. I really don't know much about pregnancy problems. It's been a while since I've had a child and I don't remember the prego symptoms this bad. Maybe cuz I'm more aware of my body now. I hope I don't have to do all those tests. I will be asking questions though. My friend got charged 110$ for a questionnaire that her insurance didn't pay for with questions like; do you have a cat? Do you clean the litter box? She's 37 and has 2 kids. Who the hell doesn't know stuff like that. And I'm not paying for anything I can google for free!
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  • I just turned 41, but I have a history of miscarriage, history of low progesterone, Hypothyroid, history of pre-eclampsia with my second child (when I was 33), and I've had high blood pressure since he was born because it never really went away after I delivered him... so long story short, I AM super high risk and I've been treated as such all along which is fine because I know that baby and I need the extra precautions and I'm glad we're getting them just in case even though everything has gone perfectly, HOWEVER that being said my Drs never pull surprises on me. They are always up-front from the time they ask me to schedule my next appointment why they want me to come in and exactly what to expect at that point and what to expect depending on the results of whatever the appointment is for. I would be very open with them about your discomfort with the surprise tests and ask them to please go over everything with you in advance. That's totally within your patient rights to expect that.  
    image
  • I am 37 going on 38 I have my first appointment with a High Risk next week and I am 31 wks
  • I'm 47 and have had history of medical issues prior to TTC but I had tests for a lot of things including my heart check b4 going through IVF. Because of that and my FS arnt titled I changed FS to one that was non judge mental.

    So now with my OB at the first appointment I could alay his concerns that normally go with Mature aged pregnancy.
    I feel I am treated the same as everyone else - yes they are watching carefully and will make visits more frequent after 25 weeks but I kind of expect that given the precious cargo I have on board.
    I'm now at 18 weeks with anatomy scan next week and next OB appointment the week after.
    I always try and get to my appointment early as I have to walk up a hill and stairs so it gives me time to recover b4 my BP is taken so far all normal.
  •  I guess the big issue is-I know I'm old for a pregnant mother, I don't mind any health care that takes risk into account and I'm not insulted about my oldness. BUT  if you don't mind--can you not constantly freak me out at each prenatal visit? 


    I totally empathize with your feelings.  I was especially annoyed during my last pregnancy when the only red flags were textbook concerns about AMA, not actual problems.  This second pregnancy has been rougher on me -- more scary complications, general discomfort and tiredness, and stress about balancing my career with caring for my 3-year-old son and getting ready for the new baby.  I actually welcome the 3rd tri fetal monitoring because it gives me confidence that all is well with the heartbeat, amniotic fluid, movement, etc.  My OB for this pregnancy is pretty chilled out (I switched), but the perinatologist is a worst-case-scenario guy who has caused needless worry a couple of times.
  • Remember you can say no!  I'm 43 and this time around I've been telling the doc "no" a lot.  No to amnio, no to extra scans and extra bloodwork.  I don't see the point.  I feel more comfortable telling him what I'm not comfortable with at my age. 
  • I've seen this to some degree, yes. 

    For background: I'm 40 and a FTM. Conceived without intervention literally the first time we tried. I'm a bit overweight, but I eat healthy and work out at least 3x/week, so I'm in good shape physically besides the extra pounds. I have no other health issues aside from some mild asthma. (I once asked my primary about my inability to lose the weight. Her response: "I'm not worried at all about your weight. You have a cardiovascular profile I couldn't even recommend as a goal to 90% of my patients.")

    At 17 weeks, so far all of my bloodwork has measured spot-on where they want to see it, the baby is developing right on track, I've only gained a few pounds, my BP is still good, no sign of diabetes, etc. 

    Yet one OB in the office almost acts surprised every time I get good test results. And then she reminds me how high-risk I am and how things will probably get ugly later on. (Um, thanks? It almost sounds like you're rooting for complications?)

    I understand that anything can go wrong with any pregnancy. But for someone with my health, who got pregnant so easily, it seems a little silly to me to assume that the worst case scenario is the likely one. But doctors go by the numbers ... and some rely almost solely on the numbers without taking variation into consideration. 

    I will note, the other OB that I see (who is actually my primary OB) is far less concerned. Of course she mentions that I'll get extra monitoring to make sure nothing is going south, but she doesn't treat it as inevitable that I will have massive complications. 
    image


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  • Naw, I'm old too! :) 43 yrs old & 37 weeks pg. My dr doesn't treat my pregnancy differently though. That would drive me nuts, not having warning about ultrasounds & tests. I'd tell your OB you need to plan for the length of dr visits!
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