Navigating Pregnancy After 35
8/13/2026
Steps expectant mothers can take to minimize age-related risk factors
Lufkin, Texas – Pregnant women who are in their mid-30s or older are at a higher risk for pregnancy and childbirth complications, but most still have healthy pregnancies and deliver healthy babies. However, increased risk of adverse outcomes for women of advanced maternal age – 35 or older on the delivery date – makes it more important than ever to get the appropriate prenatal care and screenings.
According to data from the Centers for Disease Control, the average age of pregnant individuals continues to increase, and women over 35 represent about 20% of all pregnancies in the United States. Pregnancy in women over 35 increases the risk of complications including gestational diabetes, high blood pressure, and longer labor for the mother and chromosomal abnormalities, pre-term birth and low birth weight for the baby.
“Prenatal care is important for all pregnant women, and especially for those in higher risk categories,” said OB/GYN Dr. Rick Evans. “The majority of women 35 or older have normal pregnancies, safe deliveries and healthy babies, but having regular check-ups and recommended screenings can give them peace of mind. If there is something of concern, we work with the patient to manage any potential complications.”
The American College of Obstetricians and Gynecologists (ACOG) recommends a series of screenings for women who are pregnant and 35 or older, starting with a comprehensive risk assessment for high blood pressure and other medical and social risk factors. In addition, ACOG recommends prenatal genetic screenings, ultrasounds and screening for gestational diabetes. Dr. Evans says every woman is different and should discuss the appropriate screenings and prenatal care with her provider.
“There are many factors that contribute to increased risk for pregnant women in their late 30s and 40s,” said Dr. Evans. “Generally speaking, after 35, the risk of complications in pregnancy continues to increase as you age, so someone in their 40s is at higher risk than someone who is 35. However, there are steps that every woman can take towards a healthier pregnancy including avoiding smoking and alcohol, eating well, getting adequate sleep and participating in moderate physical activity.”
Dr. Evans added that it's helpful for women over 35 who are trying to conceive to visit an OB prior to conception to review medical history, manage existing conditions, start any needed supplements and develop a plan for a healthy pregnancy.
Back