AMA (35+) March Check-In

chrissdee · March 2023

Sometimes the journey for "advanced maternal age" pregnancies look a bit different than pregnancies early in life. Considering there are already several of us here, I just wanted us to have a place to check in and talk about things that may be specific to the AMA journey.

mrsmtothek · March 2023

Love this! Last I was pregnant was 5 years ago (now 36) so I know I'll be looking at pregnancy differently this time around.

My first appointment isn't for 3 weeks, is that normal considering?

chrissdee · March 2023

I don't even know what is "normal" at this point.

I'm 35 now, and will be 36 by the time I deliver. My first appointment is March 27. I'll be almost 9 weeks at that point. I asked about the possibility of an earlier visit considering AMA, but they said there's apparently something in the water right now because they're inundated with newly pregnant patients and that's literally their earliest available appointment. (I blame Valentine's day.)

I'm under the impression though that unless there is a significant history or loss or complications it's not really necessary to go in sooner than others for the first appointment.

Are you doing anything differently this time around than with your previous pregnancies?

mrsmtothek · March 2023

jason segel from what is the funniest thing ive ever said

@chrissdee Me either lol. It was the same at my office, they just didn't have any open slots.

I'll probably try to be more mindful from a nutrition and wellness standpoint but once the nausea hits I'm sure that'll go flying out the window. Even now because I've been so overwhelmed from a mental standpoint I'm still in survival mode.

ashsowers2020 · March 2023

I’m 35 next month

my doctor isn’t even phased by my age when she found out I was ttc last November. I’m praying that means no complications are expected! My first appt is the 31st. I’ll be 9 weeks then

jvbirdgirl · March 2023

I'll be 35 by the time I deliver. Same with me, my doctor didn't bat an eye about my age. I'm hoping for no complications. I need to call and make an appointment tomorrow. I keep getting side teacher with work and then by the time I think of it, the midwives' office is closed.

knottie3c075379cc822db9 · March 2023

I turn 40 in late November, so just getting this little one at 39 technically. My first was born when I was 37 and it was treated as a normal pregnancy here in the UK…

Stargazer1lily · March 2023

I have an ultrasound next week I guess to check that everything is ok since I`m old (41). My actual prenatal apt is at the end of the month.

mrsmtothek · March 2023

*TW* miscarriage

I think in general I'm just more concerned about miscarriage this pregnancy than I was with my previous two because of age and stats. I keep POAS just to make sure the lines are still dark, like somehow thats a reassurance it's not chemical or an early miscarriage.

UnwritteN12 · March 2023

I called this morning to make an appointment. They told me they don't see patients until they're about 8 weeks. I told her that's fine but I wanted to double check if that was still the case all things considered. I just turned 40, I have a history of high risk pregnancies (2 twin pregnancies) and I'm a diabetic. Didn't seem to phase her. 🤷‍♀️ Oh well. My ultrasound and visit are scheduled for the 30th.

runsoncoffee · March 2023

This is my first AMA pregnancy, 5th kiddo. But does anyone know any particulars of what's done differently when you are AMA?

ridedatide · March 2023

This will be my first AMA. When I was talking to the office they told me they see many women up into their 40s so 37 is nothing and we had plenty of time to keep trying. My only fear is they will try to push to induce before baby is ready to come out. My last birth 5 years ago they were ready to induce if I did not go by 41 weeks. I ended up delivering at 41 weeks exactly. Other then that I hear we get to see baby more so I'm fine with that!!!

shinyobjects · March 2023

This is my 3rd pregnancy and all have technically been AMA (my daughter ended up being born the day before my 35th bday so I like to say I made it in under the wire, but the due date was later so it was still considered AMA and treatment wise it’s the same).

My OB office standard practice is they don’t see you for first appointment until after 8 weeks. My second pregnancy I was 37, and like y’all were saying, they were totally booked until about 9 weeks. I had some concerns so they brought me in for blood tests in advance, but first ultrasound is always later. I think this is pretty standard. This pregnancy we did ivf so we have lots of earlier appointments as a part of that process. I saw my ob for something else right after I got the positive and she said they’d see me at 10 weeks since I would be getting an ultrasound with my fertility doc at 6 and 8 weeks, and also it’s the same doctor as my pregnancy loss so they have said they’re going to see me more for extra reassurance.

As for what’s different in an AMA pregnancy, the main thing I was told with my first is that the nipt test is covered by insurance, whereas it’s not covered under 35, so that’s a good thing. My practice likes AMA to go to an MFM for 12 week ultrasound and anatomy scan, but I don’t know if that’s normal in other places. MFMs usually have better/stronger/more advanced machines, so you’re getting a more complete scan. Otherwise, as far as I understand, unless there’s additional reason for concern, it’s not all that different.

UnwritteN12 · March 2023

@shinyobjects Thanks for the insight! I've been high risk for my other pregnancies and saw an MFM last yine so it doesn't sound like it'll be all that different this time around.

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