What I Learned From Being Pregnant in My 40s (2024)

Motherhood wasn’t always a top priority for Leslie. With a successful law career, family nearby, and lots of friends, she was happy with how things were.

Her perspective changed when she met her partner Aaron. After two years of dating, they decided to try for a baby – but being in their early 40s, they didn’t expect it to be easy.

From that moment on, Leslie’s experience was full of surprises. She shares her story with ACOG in this edited interview.

ACOG: Where does this story start, for you?

Leslie: I was never one of those people who said, “I have to have a kid, I have to be a mom.” I was very content with the way my life was.

And then I met Aaron, who’s now my fiancé. I had just turned 40, and he was 41. We just started talking about it. He was very used to being around a lot of kids – and as an only child, I didn’t grow up with any of that.

What I Learned From Being Pregnant in My 40s (1)

Aaron is the only person I would have considered doing this with. I joke that he’s more maternal than I am. So we said, “OK, let’s give it a shot. If it happens, great. If it doesn’t, we’ll still have a great life.”

ACOG: Did you have any trouble getting pregnant?

Leslie: I completely expected that I would not be able to get pregnant easily. I had frozen my eggs when I was 37, just because I didn’t know the direction my life would take. So that was our back-up plan. We decided we would try on our own for 6 months, and then maybe we’d try with the frozen eggs.

But we were very lucky, and I got pregnant on the first try. We found out over Thanksgiving weekend in 2017. Aaron was like, “Are you excited? I can’t tell!” And I totally was, but I was also just in utter shock.

ACOG: What concerns did you have about being pregnant over 40?

Leslie: We were definitely concerned about the possibility of genetic defects. We knew the risk of having a baby with a birth defect gets higher as you get older. But early on, we had genetic testing for chromosomal abnormalities – starting with a blood panel screeningat 12 weeks.

While that test didn’t uncover anything concerning, I decided, due to my age, to have an amniocentesisat 16 weeks. This was a big decision, and I spoke extensively with the genetic counselor to think through it. Ultimately, I did it for the peace of mind – and everything came back fine, thank God. I was very grateful that we were forced to talk about those potentially hard choices as part of my prenatal care.

Otherwise, I did the best I could to take care of myself. I took prenatal vitamins and stuck to my usual healthy diet. I planned to exercise regularly too, but to be honest, fatigue usually got in the way.

ACOG: How did your pregnancy go?

Leslie: My only risk factor was my age. I had no high blood pressure, no preeclampsia, no gestational diabetes. But I had more appointments and ultrasounds, plus the genetic testing.

I have to admit, I didn’t love being pregnant. I had morning sickness in the first trimester, and then I was just exhausted until the end. I felt very big and swollen. Everything ached.

ACOG: Did you have any complications with delivery?

Leslie: I delivered a healthy baby boy 2 weeks before my due date. I didn’t have any contractions or other early signs, and then one Saturday morning my water broke in a giant gush. They tell you it won’t be like the movies – but it was exactly like that!

Once we got to the hospital, I took oxytocin to induce laborand eventually I got an epidural. I dilated to 10 centimeters and started pushing. They could see the crown of Bailey’s head but no matter what we did, he just wasn’t coming out. They even tried suction, to no avail.

At about 11 pm, the ob-gyn on call recommended a cesarean. I felt really deflated about that after going through all that labor. I felt like I had failed, even though I know I hadn’t. My baby was born healthy and well. And needing a cesarean delivery had nothing to do with my age. That could happen to anybody.

ACOG: What did you learn from this experience?

Leslie: Many women don’t have an easy time getting pregnant at my age, so I don’t want to make this sound like it will apply to everyone. But I didn’t know what my body was capable of until I tried. Women in their 20s can have fertility issues, and then there’s me, getting pregnant on the first try at 42.

I never imagined I would end up with this little family. But now that we have Bailey, I can’t imagine it any other way.

Published: October 2020

Last reviewed: September 2022

Copyright 2024 by the American College of Obstetricians and Gynecologists. All rights reserved. Read copyright and permissions information.

This information is designed as an educational aid for the public. It offers current information and opinions related to women's health. It is not intended as a statement of the standard of care. It does not explain all of the proper treatments or methods of care. It is not a substitute for the advice of a physician. Read ACOG’s complete disclaimer.

What I Learned From Being Pregnant in My 40s (2024)

FAQs

What is the truth about pregnancy at 40? ›

You're more likely to have a miscarriage if you're older. At age 40, 27% of pregnancies end in a miscarriage compared to 16% for those 30 or younger. C-section. If you're 40 or older, you're more likely to have a C-section delivery than a vagin*l delivery.

Is 43 too late to have a baby? ›

By age 43, your egg supply is near its end. Your risk of pregnancy complications, such as high blood pressure and gestational diabetes, increases after 35 as well, and continues to rise into your 40s. Miscarriage rates begin to skyrocket in your 40s as well.

What is the change of getting pregnant at 40? ›

By age 40, healthy women have only a 5% chance of getting pregnant each menstrual cycle. And by the time a woman is 45, pregnancy is unlikely. Dr. Bennett cites several reasons for this decline in fertility.

Are there health benefits to pregnancy in 40s? ›

Other benefits of pregnancy after 40 for you and your children include: Improved cognitive function in older women20. Increased longevity21. Less likely for children to have social difficulties22.

How many eggs are left at 45? ›

How many eggs do you have?
AgeNumber of eggsEgg loss and fertility
Early 40s5,000 to 10,000 eggsBy age 40, the chance of getting pregnant is less than 5% per menstrual cycle.
MenopauseAbout zero to 1,000 eggsVery few or practically no eggs remain by the time you reach ages 45 to 55, or menopause.
5 more rows
Nov 9, 2021

What are the odds of Down syndrome at 40? ›

Down syndrome occurs in people of all races and economic levels. The risk increases with the mother's age (1 in 1250 for a 25 year old mother to 1 in 1000 at age 31, 1 in 400 at age 35, and about 1 in 100 at age 40). However, 80% of babies with Down syndrome are born to women under age 35 years.

What is the oldest age a woman can get pregnant naturally? ›

A woman's peak reproductive years are between the late teens and late 20s. By age 30, fertility (the ability to get pregnant) starts to decline. This decline happens faster once you reach your mid-30s. By 45, fertility has declined so much that getting pregnant naturally is unlikely.

What are signs of poor egg quality? ›

Decoding the Signs of Bad Egg Quality: A Deep Dive into Fertility
  • Irregular Periods.
  • Repeated Miscarriage.
  • Age.
  • Low FSH Reserves.
  • Low Oestradiol.
  • Low AMH Levels.
  • Low Follicular Count in Sonography.
  • Chromosomal Disorders.
Oct 16, 2023

Can I have a healthy baby at 42? ›

Most people over 40 have healthy pregnancies and healthy babies. But there are some things you need to think about. You'll want to be sure to get good antenatal care.

What are the pros and cons of having a baby at 40? ›

Many people are now waiting until their 40s to have a baby. Having a baby after 40 may give couples the chance to wait until they are more emotionally and financially prepared for parenthood. However, it can make it more difficult to get pregnant, as fertility declines with age.

Has anyone got pregnant naturally at 44? ›

Some women may still find themselves able to conceive naturally. The chances of getting pregnant at 44 naturally vary from person to person. Factors like overall health, genetics, lifestyle, and medical history are crucial in determining these odds.

Should I have a baby at 45? ›

Pregnancy Risks in Advanced Maternal Age

Your chance of miscarriage is increased, along with an increased risk of developing gestational diabetes, high blood pressure, and having a child that is preterm. You are also at risk for conceiving a child who has a chromosomal abnormality, such as Down's syndrome.

Is 40 too old to start trying for a baby? ›

It's important to remember that pregnancy after 40 is less likely—but it is increasingly possible thanks to advancements in fertility and reproductive medicine. If you are expecting later in life, you can improve your chances of having a healthy pregnancy by establishing a game plan early on.

What to expect at age 40 as a female? ›

They may feel testy and short, tired and annoyed. They find it difficult to get a good night's sleep. Their periods may become irregular and different. Forty is generally too young to experience menopause and its symptoms may not quite be on a woman's radar screen.

Do you have to be induced if you are over 40? ›

Will my age affect my labour and birth? You are likely to be offered medical interventions, such as an induction, to get your labour started. If you're aged 40 or over, you may be offered an induction at 39 weeks. This is to reduce the risk of stillbirth, especially if you have other complications.

Top Articles
Latest Posts
Article information

Author: Carmelo Roob

Last Updated:

Views: 6521

Rating: 4.4 / 5 (45 voted)

Reviews: 84% of readers found this page helpful

Author information

Name: Carmelo Roob

Birthday: 1995-01-09

Address: Apt. 915 481 Sipes Cliff, New Gonzalobury, CO 80176

Phone: +6773780339780

Job: Sales Executive

Hobby: Gaming, Jogging, Rugby, Video gaming, Handball, Ice skating, Web surfing

Introduction: My name is Carmelo Roob, I am a modern, handsome, delightful, comfortable, attractive, vast, good person who loves writing and wants to share my knowledge and understanding with you.