Patient's question:
I am 45 years old, and my menstrual cycle is normal. I got divorced 8 years ago. My son is 18 years old, and my current husband is 47 years old and has no children. He wants me to have a child, but I am worried about potential health issues for the child and am hesitant to do so. Could you please tell me what the abnormal rate is for children born to older mothers? Am I completely unable to have a child? Thank you.Doctor's answer:
First, you are already 45 years old, and this age is close to menopause. At this stage, ovulation becomes increasingly irregular, and the chances of conception are relatively small.Second, after pregnancy, the risk of miscarriage is higher for women of advanced maternal age.
Third, during pregnancy, women of advanced maternal age may experience complications such as heart disease during pregnancy, preeclampsia, or gestational diabetes.
Fourth, the risk of fetal malformation is higher (the exact rate is difficult to specify). Therefore, whether or not to have a child must be carefully considered. If you decide to have one, it is most important to undergo pre-pregnancy and prenatal examinations.
Women of advanced maternal age can identify and address issues early through pre-pregnancy check-ups. If hypertension and diabetes are detected early, the underlying conditions can be managed before pregnancy.
Pregnant women should undergo obstetric examinations in the early stages of pregnancy to prevent fetal malformations, and medications to prevent such malformations should also be started early. Subsequently, regular prenatal check-ups should be conducted to identify problems promptly. For pregnant women with complications or comorbidities, hospitalization and treatment are recommended. If necessary, pregnancy termination should be considered to avoid severe consequences.