Late Pregnancy at 40: Gynaecologist Explains the New Normal

However, Dr Suri said that biology still requires careful navigation. Fertility naturally declines after age 35 due to a decrease in egg quantity and quality, often making assisted reproductive technologies (ART), such as IVF (in vitro fertilisation), a necessary part of the journey for many, she shared. Potential risks for the mother and baby While medical advancement has made late pregnancy safer, Dr Suri shared that doctors and women remain vigilant about specific complications that become more prevalent after age 35. According to Dr Suri, pregnancy after 35 can carry an elevated risk of conditions such as gestational diabetes, hypertension, and preeclampsia; there is also a slightly higher chance of requiring a cesarean delivery due to complications during labour. Regular prenatal care and early detection of these conditions play a critical role in reducing risks, she added. “Babies born to older mothers may have a higher likelihood of chromosomal abnormalities, such as Down syndrome. There is also an increased risk of premature birth or low birth weight. Advances in screening tests and prenatal diagnostics, however, allow many of these risks to be identified and managed effectively,” Dr Suri said. Tips for a healthy late-stage pregnancy For women following in the footsteps of Usha Vance or Katrina Kaif, Dr Suri recommended a proactive four-pillar approach: ⦿ Preconception planning: Consulting a doctor before trying to conceive to assess overall health and address any pre-existing conditions. ⦿ Regular prenatal check-ups: Frequent monitoring helps manage complications early. ⦿ Healthy lifestyle choices: A balanced diet, moderate exercise, maintaining a healthy weight, and avoiding alcohol or smoking contribute significantly to maternal and fetal health. ⦿ Emotional well-being: Stress management and family support are important for a smooth pregnancy journey.