A major shift is underway in the world of parenting: For the first time in U.S. history, more women are becoming mothers in their 40s than in their teens.
Recent data from the Centers for Disease Control and Prevention (CDC) shows a striking contrast in birth trends. Since 1990, the teen birth rate has plummeted by 73%, while births to women aged 40 and older have increased by an astounding 193%. In 2023, 4.1% of all U.S. births were to women over 40—surpassing the 4.0% attributed to teenagers.
This marks a historic demographic turning point—and reflects evolving attitudes toward family planning, fertility, and motherhood.
Of course, pregnancy at 35 or older still falls under the medical category of “advanced maternal age”—a term that has replaced the more outdated (and often criticized) label “geriatric pregnancy.” While the risks associated with later-in-life pregnancies are real, so are the benefits, and today’s healthcare landscape is better equipped than ever to support older parents on their journey.
Whether you’re considering becoming a parent after 35 or you’re already expecting, this guide offers insights into why this trend is growing, what it means for your health, and how to plan for a smooth and empowered pregnancy.
What is a geriatric pregnancy or advanced maternal age pregnancy?
If you’re pregnant at 35 or older, your healthcare provider might refer to your pregnancy as “advanced maternal age” (AMA). While the term “geriatric pregnancy” was once common, it’s now outdated and rarely used. AMA simply indicates that pregnancies after 35 can come with slightly higher risks, which is why additional screenings and monitoring may be recommended.
In essence, being over 35 doesn’t automatically mean a high-risk pregnancy—it simply means you might receive closer monitoring and more personalized care throughout your journey.
Why are more women having babies later in life?
The growing number of women having children in their late 30s and 40s reflects evolving priorities around education, career, and financial readiness. Many women are choosing to delay pregnancy while they pursue higher education and establish professional stability, often feeling more emotionally and logistically prepared for parenthood later on.
Financial considerations also weigh heavily. A 2022 report from the Brookings Institution estimates that raising a child to age 17 in the U.S. costs over $310,000, excluding college. For many, waiting until they’re more financially secure makes it easier to access quality healthcare, reliable childcare, and parental leave benefits.
At the same time, advancements in fertility care—such as egg freezing, IVF, and donor egg options—have made it more feasible to plan pregnancies later in life. These medical breakthroughs, along with improved prenatal care, are helping more people achieve healthy pregnancies well into their 30s and 40s.
Cultural attitudes toward parenting have also shifted. There’s growing acceptance of diverse family structures and parenting timelines, helping reduce the stigma around older parenthood. Many later-in-life parents describe feeling more self-assured, intentional, and emotionally grounded—traits that can positively shape their parenting journey.
What are the benefits of having a baby after 35?
While there are some risks associated with pregnancies after 35, there are also unique benefits that many older parents experience.
Emotional readiness
Many women over 35 feel more confident, emotionally stable, and prepared for parenthood. With life experience, they’ve often spent time focusing on personal growth, relationships, and career, which can lead to a stronger foundation for raising a child.
Financial stability
Older parents tend to be more financially secure, having had time to build a career, save money, and establish a stable living situation. This can provide children with more opportunities and ease the financial strain that often comes with raising a family.
Stronger support networks
By their 30s and 40s, many parents have solid social networks, family support, and professional connections that can be invaluable in navigating the challenges of parenthood.
Access to modern healthcare
Advances in prenatal care, genetic testing, and fertility treatments give women over 35 the opportunity to have healthy pregnancies. These tools allow for better monitoring and tailored care, helping ensure the health and well-being of both mom and baby.
What to expect during pregnancy after 35?
Pregnancy after 35 can be a fulfilling and healthy experience, but it does come with certain factors to consider.
Research has shown that older mothers may face a slightly higher risk for certain pregnancy-related complications. However, with proper prenatal care and monitoring, many women in this age group have healthy pregnancies and babies.
Here’s what to expect if you’re pregnant at 35 or older:
Increased prenatal screenings
Women over 35 typically undergo more prenatal screenings, including tests for genetic conditions.
Higher risk of gestational diabetes
Studies suggest that older mothers are at a higher risk of developing gestational diabetes, which affects about 6-9% of pregnancies in the U.S.
Monitoring for high blood pressure and preeclampsia
High blood pressure and preeclampsia are more common in older mothers. According to research, these conditions can lead to complications, but regular blood pressure checks and lifestyle adjustments can mitigate the risks.
Increased likelihood of cesarean delivery
While many women over 35 have vaginal births, the risk of needing a cesarean section is slightly higher. The American College of Obstetricians and Gynecologists notes that age-related factors like fetal position and labor complications may increase the likelihood of a C-section.
How to stay healthy during pregnancy after 35?
Maintaining a healthy lifestyle is key to having a smooth pregnancy, especially after 35. Here are some tips to help you stay in good health throughout your pregnancy:
Regular prenatal care
Consistent check-ups help monitor both your health and the baby’s development, ensuring any risks are caught early.
Eat a balanced diet
A nutritious diet supports both you and your baby, reducing risks like gestational diabetes and high blood pressure.
Stay active
Gentle exercise, such as walking or prenatal yoga, helps manage weight and improves circulation.
Manage stress and get enough rest
Stress reduction techniques and adequate sleep are crucial for your well-being during pregnancy.
Stay hydrated and avoid harmful substances
Drinking plenty of water and avoiding alcohol, smoking, and other harmful substances helps protect both you and your baby.
Conclusion
While pregnancy after 35 comes with unique challenges, it can also be a fulfilling and joyful experience. With advances in prenatal care, women over 35 can manage risks effectively and enjoy healthy pregnancies. Staying proactive with regular check-ups, maintaining a balanced lifestyle, and having a strong support system are key to navigating this journey.
If you’re considering pregnancy after 35, take comfort in the fact that many women in this age group have successful pregnancies and healthy babies. By taking the right precautions and preparing both physically and mentally, you can embrace this stage of motherhood with confidence and optimism.
