Pregnancy After 35: Complications, Risks, and How to Stay Healthy
More women today are choosing to have children later in life. Whether for career goals, financial planning, or personal growth, pregnancy after 35—also called advanced maternal age—is becoming increasingly common.
But it’s also true that pregnancies after 35 can come with higher risks and complications. This doesn’t mean women shouldn’t try—just that they need to be better informed and prepared. Here’s what you need to know if you’re considering pregnancy at 35 or beyond.
Why Age Matters in Pregnancy
Fertility naturally declines as women age, especially after 30. By age 35, the number and quality of eggs start to drop more significantly. The uterus can still support a healthy pregnancy, but the risks of complications increase for both the mother and baby.
Fertility and Conception Challenges After 35
Here’s what changes in your reproductive system after 35:
- Lower egg reserve: Fewer eggs remain in the ovaries
- Decline in egg quality: Increases risk of chromosomal abnormalities
- More irregular cycles: Makes ovulation less predictable
- Increased time to conceive: It may take longer to get pregnant naturally
However, many women over 35 conceive naturally, especially with a healthy lifestyle and timely monitoring.
Risks and Complications in Women Over 35
While most women over 35 have healthy pregnancies, here are some complications that are statistically more common:
1. Miscarriage
The risk of miscarriage increases with age, especially due to chromosomal abnormalities. By age 35, the miscarriage rate is around 20%, and by 40, it can rise to 40%.
2. Gestational Diabetes
Women over 35 are at a higher risk of developing gestational diabetes, which can affect both maternal and foetal health if not managed properly.
3. High Blood Pressure or Preeclampsia
Pregnancy-induced hypertension and preeclampsia are more common in older mothers, especially first-time mothers.
4. Chromosomal Conditions
The risk of conditions like Down syndrome increases with age. At age 35, the risk is 1 in 350, and by 40, it’s 1 in 100.
5. Preterm Birth
Babies born prematurely may face breathing problems, feeding difficulties, and other complications. Advanced maternal age is associated with a higher risk of preterm labour.
6. Delivery Complications
Older mothers are more likely to require a C-section due to slower labour progression, placenta previa, or foetal distress.
Should You Be Worried?
No. While these risks exist, many women over 35 give birth to healthy babies. With modern medical support, good prenatal care, and lifestyle adjustments, the majority of complications can be prevented or managed.
How to Prepare for Pregnancy After 35
1. Get a Preconception Check-up
Consult your gynaecologist to evaluate your fertility, menstrual cycle, and any existing conditions like PCOS, fibroids, or thyroid disorders.
2. Focus on Nutrition
Include folic acid, iron, calcium, omega-3s, and prenatal multivitamins in your diet. Maintain a healthy weight to reduce pregnancy-related risks.
3. Track Ovulation
Use ovulation predictor kits, track basal body temperature, or consult a fertility specialist if trying for over 6 months without success.
4. Quit Smoking, Alcohol, and Limit Caffeine
These substances reduce fertility and increase miscarriage and birth defect risks.
5. Stay Active
Gentle exercises like walking, yoga, or swimming help manage stress, blood sugar, and weight.
6. Consider Genetic Counselling
If you’re over 35, genetic screening and counselling can help assess the risk of chromosomal abnormalities.
Medical Options to Support Pregnancy After 35
- Fertility Treatments: IUI or IVF can assist if natural conception is delayed.
- Egg Freezing: For women not yet ready, freezing eggs at a younger age preserves fertility potential.
- Regular Monitoring: Frequent ultrasounds, blood pressure checks, and glucose screenings are vital in pregnancy after 35.
Real Stories: Women Who Conceived After 35
Anita, 37 (Delhi): “I conceived naturally and had a C-section due to high BP. But my baby is healthy. I stayed active and followed my doctor's advice religiously.”
Meera, 41 (Bangalore): “We did IVF after trying for two years. The emotional rollercoaster was worth it when we held our baby. Don’t give up—ask for help.”
Internal Resources You May Find Helpful
- Is IVF Costly and How Long Does It Take?
- Key Triggers of Depression in Pregnant Women
- Miscarriage During IVF: Causes and Support
FAQs About Pregnancy After 35
Q1. Is 35 too old to have a baby?No. Many women have healthy pregnancies after 35. You may need closer monitoring, but it's entirely possible.
Q2. Is it harder to get pregnant after 35?Fertility declines with age, but many women still conceive naturally. Fertility support is available if needed.
Q3. What prenatal tests should I expect?In addition to standard tests, your doctor may recommend non-invasive prenatal testing (NIPT), amniocentesis, or chorionic villus sampling (CVS).
Q4. Does maternal age affect labour and delivery?It can increase the chances of complications or the need for a C-section, but many women still deliver vaginally.
Q5. Can I have more than one child after 35?Yes, though spacing pregnancies wisely and monitoring your health is important.