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Want to have a second child after 40? You need to know these risks of advanced maternal age.

Want to have a second child after 40? You need to know these risks of advanced maternal age.

2026-01-16 05:42:38 · · #1

Were you pressured to get married, have children, or have a second child this past Lunar New Year?

These days, it's no longer an era where people rush to get married and have children in their twenties; many people get married in their thirties. Especially now that the two-child policy has been implemented, the number of "advanced maternal age" mothers over 35 has also increased dramatically.

Young women need to be extra careful when they get pregnant and give birth, and the risks are even greater when women give birth at an older age.


35 years old is still young, how can she be considered an "advanced maternal age pregnant woman"?

For most people today, 35 is still considered young. However, three or four decades ago, when living conditions were poor and medical technology and equipment were less advanced, 35 was indeed considered "advanced maternal age" for pregnancy and childbirth. The risk of Down syndrome and miscarriage due to amniocentesis was very high. Although the chances of these complications have decreased significantly today, pregnancy at 35 still carries many other risks.

Women over 35 years of age have a relatively higher risk of developing other complications or comorbidities during pregnancy, such as gestational diabetes, high blood pressure, miscarriage, premature birth, and stillbirth. The likelihood of needing a cesarean section also increases. However, being 35 is not a problem. As long as there are no unexpected complications during the pregnancy, everything is normal, and good habits are maintained, it is still possible to give birth to a healthy baby smoothly.

However, after the age of 40, age really does become a risk factor.


Things You Must Know When Trying to Conceive at an Advanced Age

If you really can't resist the temptation of a new life, then you must be clear about the dangers of advanced maternal age and prenatal preparation.

First, older women who plan to have children must make adequate pre-pregnancy preparations, including routine physical examinations, blood tests, urine tests, pelvic examinations, and reproductive system imaging examinations, in order to facilitate timely assisted reproductive interventions.

Due to advanced maternal age, egg quality declines, and the probability of chromosomal abnormalities in the fetus increases exponentially with the mother's gestational age. Therefore, diagnosis during pregnancy is necessary to reduce the birth of deformed babies.

As women age, their physical functions decline, and the risk of cardiovascular disease, diabetes, thyroid disease, and other conditions increases significantly for older pregnant women. Therefore, targeted management is necessary before, during, and after pregnancy.


In conclusion, for older women, pregnancy requires not only courage but also a great deal of preparation, which should not be neglected.

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