Many women are choosing to become mothers later in life. The average age of first-time mothers is 26 compared to 21 in 1972. There are many benefits to having children later in life, such as being more emotionally prepared and financially stable, along with other positive long-term outcomes for children. However, after the age of 35, which is considered advanced maternal age, the risk for infertility and pregnancy-related complications increases. 

A Guide To Pregnancy After 35

Although some women may face obstacles when trying to conceive at an advanced maternal age, many still go on to have healthy and full-term pregnancies. Here at Carolinas Fertility Institute, we make it our mission to help families achieve their parenting dreams. Continue reading to learn about special considerations for pregnancy after 35. 

Schedule A Pre-Pregnancy Appointment

Although pre-pregnancy appointments are recommended for all women preconception, those at advanced maternal age must consider additional pregnancy risks. Visiting your OB/GYN for a pre-pregnancy appointment can help to rule out conditions that become more common as you get older, such as diabetes and high blood pressure. Your doctor can also guide you in other areas you should be aware of, such as trouble conceiving and complications during delivery. 

Check Your Lifestyle Habits

If you are a woman of advanced maternal age trying to conceive, it is necessary to take a look at your lifestyle habits to ensure a healthy, full-term pregnancy. There are several things you can do to boost your chances of a successful pregnancy, including

  • Taking prenatal vitamins
  • Losing weight if you are overweight
  • Eating a healthy and balanced diet
  • Exercising regularly
  • Seeing your doctor regularly

By changing your lifestyle habits to take care of yourself, you are taking steps toward ensuring the healthiest pregnancy possible for you and your baby. 

Be Aware Of Age-Related Complications

Discussing age-related complications with your doctor is essential, as age and fertility complications are directly linked. Some possible complications associated with advanced maternal age include

  • Hypertension (high blood pressure)
  • Preeclampsia
  • Miscarriage
  • Liver disorders
  • Gestational diabetes

Although there are increased risks of having children later in life, birth rates are now highest for women ages 30 to 34. That said, if you are looking to have children later in life, you are not alone!

Consider At-Birth Risks

Women at advanced maternal age have a higher risk of at-birth risks, including a C-section delivery, chromosomal conditions, premature birth, a low birth weight, or stillbirth. These complications are not guaranteed for women over 35 and are simply considerations that women of advanced maternal age must keep in mind. Being equipped with the right information is essential when it comes to prenatal education and can help communicate with your doctor about your specific questions and concerns.

Ask For Help Or Get Treatment

If you are of advanced maternal age and considering getting pregnant, there are steps you can take to ensure a healthy pregnancy. By making sure your preventative care is up to date, managing existing conditions, and practicing healthy lifestyle habits, you can lower your risk for pregnancy complications. According to the CDC, 12% of women ages 15-44 in the U.S. have difficulty getting pregnant or carrying a pregnancy to term. If you are above 35 years of age and struggling to get pregnant, there are several treatments available to help you achieve your parenting dreams. 


At Carolinas Fertility Institute, we are dedicated to helping you build your family with personalized care and attention. We provide the latest and most technologically advanced treatment options for fertility, and this includes staying up to date on all of the fertility trends for 2022. If you are of advanced maternal age and struggling to get pregnant, we can work with you to devise a personalized treatment plan. Call us at (336) 448-9100 to make an appointment in the Triad or (844) 686-2233 for our Charlotte office.