Geriatric Pregnancy: Risks and Considerations
A geriatric pregnancy, also known as an advanced maternal age (AMA) pregnancy, refers to a pregnancy in which the birthing person is 35 years or older at the estimated delivery date. Historically, pregnancies at this age or older are considered at higher risk for both the patient and the fetus due to various reasons. While not all pregnancies at age 35 and older face the same challenges, potential risks increase with age, including higher rates of miscarriage, genetic disorders, high blood pressure, gestational diabetes, and other pregnancy complications. Despite these risks, most healthy women who get pregnant after age 35 can have healthy babies.
Risks and Benefits
Some complications associated with geriatric pregnancies include high blood pressure, gestational diabetes, miscarriage, stillbirth, labor problems requiring a C-section, premature birth, low birth weight, and chromosome disorders in the baby, such as Down syndrome. However, studies have shown that older moms tend to be better educated, have higher incomes, and may have more resources than younger moms. Additionally, children of older moms may end up healthier, more well-adjusted, and better educated.
Medical Term and Care
The term "geriatric pregnancy" is considered outdated, and most healthcare providers now prefer to use the term "advanced maternal age" instead. Pregnancies at advanced maternal age are not treated much differently than typical pregnancies, but healthcare providers may suggest prenatal testing and monitor the pregnant person more closely. Quality prenatal care is especially important for women over 40, who may be recommended for more frequent monitoring and ultrasounds.
In conclusion, while pregnancies at advanced maternal age are associated with increased risks, most women in this age group can have healthy pregnancies and healthy babies. Close monitoring and prenatal care are essential to ensure the well-being of both the pregnant person and the fetus.
