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The Dangers Of Having A Baby After 35: What Your Doctor Won't Tell You

Posted: 08/02/11 11:01 PM ET

If you are over 35, you're probably aware of the increased risks of having a baby. Older women are more likely to have miscarriages, c-sections, suffer high blood pressure, and develop gestational diabetes. Your child is more likely to be born too early, not weigh enough, have chromosomal birth defects (most commonly Down syndrome), and other serious, potentially life-threatening conditions. Women are familiar with these hazards because their doctors talk about them routinely. Obstetricians, however, are ignoring another potentially critical outcome: Parents in their late thirties, forties, and fifties are more likely to raise kids without the help and support of their own parents, and their children are more likely to grow up without grandparents.

While life expectancy rates continue to rise, they are not increasing fast enough to compensate for how late women are having babies. For the first time in U.S. history, millions of children are at risk of having fewer years with their grandparents than ever before.

Experts are becoming aware of this trend. Kenneth Land, a director at the Duke Population Research Institute and one of the most highly regarded demographers in the United States, says government data prove that "the prevalence of children without grandparents has increased over the past four decades." In addition, Steven Mintz, American family historian at Columbia University, and former National Co-Chair of the Council on Contemporary Families, says this sweeping change "will have long-term consequences for American family life" and represents "a radical reconfiguration of the place of grandparent in their children and grandchildren's lives."

For the last three years, I've studied what it means to be a parentless parent. I conducted one-on-one interviews, led numerous focus groups, and launched the Parentless Parents Survey, the first of its kind, which gathered responses from across the United States and a dozen countries, in order to study this growing population. Below are some of my findings, as reported here previously, and in my new book Parentless Parents:

The Grandparent Gap

Researchers have long studied the influence grandparents have on grandchildren, and it's been determined that kids are shaped by grandparents in irrefutable and calculable ways. Children who spend time with their grandparents often have higher self-esteem, tend to have fewer behavioral problems, and do better in social circles. The cumulative lack of these influences, and many others, is "The Grandparent Gap."

Grandparents often pass on their love of art, books, and music. They teach skills related to their jobs and interests. They provide unconditional love and acceptance. And, especially important as children age, grandmothers and grandfathers often provide a safe and trusted refuge away from parents. For the teenage children of parentless parents, having fewer places to turn is a particular challenge, as many begin facing mounting peer pressure related to sex, alcohol, and drugs.

A doctor I interviewed took an educated guess on how the grandparent gap affects the children of parentless parents. "Imagine your child is a sculpture and your entire family -- including your parents -- is the shaper of that sculpture. You and your wife can provide 120,000 little pushes of the fingers to mold it and shape it, but your children are always going to miss some of the pushes that would have made the sculpture complete. You can still see the face, you can still see what it is, but some of those influences won't ever impact the final product."

The "I" Factor

The "I" Factor is the term I use to describe the specific losses experienced by parentless parents. "I" is short for irreplaceable. There's just so much information about your own childhood that's gone forever. If your daughter weren't crawling "on time," it would be reassuring to know if you also began crawling late. Without your parents, there are simply fewer answers to these developmental questions.

Caring for babies and young children is often physically more demanding for parentless parents because their moms and dads can't babysit. Most people, at first, will dismiss this. They'll argue their parents aren't available either -- they live far away, or are otherwise incapable of providing support. But parentless parents experience a quantifiable vacuum.

Studies show grandparents take care of more children than nursery schools and day care centers combined, and the newest government data shows this reliance on grandparents is increasing. This lack of support may be why in response to every question in the Parentless Parents Survey regarding pregnancy, childbirth, and emotions about children entering school and celebrating important milestones, respondents of every age report having felt more isolated than supported. Indeed, 57 percent say they didn't have enough parenting support when their children were young.

Our parents also can't pass on family traditions, or share stories about living relatives or ancestors. If we had even one parent, there would at least be the possibility that some of that information could be passed along directly.

We also have fewer people to brag to about our kids. This may sound irrelevant, but it compounds an already heightened sense of isolation many of us feel. When my son, Jake, got to be a starting pitcher in Little League, who, after my husband, do you think I wanted to call? I wasn't about to sit on the bleachers and crow to my friends. And I hesitated to call my brother; sometimes sharing good news about our kids just feels like sibling rivalry all over again.


Impact on Marriage

My husband and I met at summer camp and have now spent more than half our lives together. In every sense, Mark is still the love of my life and we are still best friends. That said, nothing has challenged our marriage more than the fact that his parents are alive, and mine are gone.

We're fortunate that Mark's parents can come to nearly every birthday party, music recital, and basketball game our children have. And while I can certainly tell stories about my parents and show our kids pictures, my children's sense of family is entirely off-balance. It's not surprising, then, that the relationships we have with our in-laws are delicate and conflicted. While nearly half of all respondents who took the Parentless Parents Survey report being jealous of the time their in-laws spend with their children, 68 percent say they're grateful their children have them as grandparents. Despite welcoming their presence, 29 percent resent their in-laws' disproportionate influence over their children.

Because loss informs the way we raise our children, we often develop different parenting styles from our spouses, and this can also be a source of conflict. One mom told me that because her in-laws are alive, she and her husband often approach parenting from very different perspectives. "That's been a huge issue for us," she told me. "He's not trained to think of the worst case scenario. Whereas, when I see a situation, my mind goes immediately to what could happen." This mom of two says her husband has called her "paranoid" and "neurotic." Another mom reflected that she often pushes her children to be far more independent than her husband would prefer. "I actually parent with the idea that I could be gone tomorrow," she said.

Fear of Dying Young

Nearly 58 percent of respondents to the Parentless Parents Survey fear they'll die young and leave their children without a mother or father. This anxiety is fueled by having lived through the deaths of their own parents and by imagining how their death would impact their own children. This gnawing sense of mortality influences the way we parent our children and the decisions we make for ourselves along the way.

My mother's death, in particular, has colored my vision of the future. Because she died of ovarian cancer, there was no doubt in my mind that I would die of ovarian cancer too. I eventually had genetic testing and was told I was BRCA1 positive, assuring me that my fatalistic expectations were grounded in scientific truth. Ultimately, I decided to remove my ovaries and have a hysterectomy -- an operation that thrust me into menopause and night sweats at 37. (You can read my near-daily diary about my surgery and the events leading up to it here.) The decision, though, wasn't just about me. It was a Mommy decision, and clearly a choice I never would have made if I weren't a parentless parent.

Strikingly, the Centers for Disease Control and Prevention came out with a new report a few weeks ago that says while the number of births in the United States has fallen overall for the third year in a row, the only age group having more children is women over 40. If you're still not convinced this is a society-changing shift, consider the following: In 1972, 180,000 children were born to mothers 35 and older. Nearly 40 years later, that number soared to 603,113 -- a 235 percent increase. The jump is so significant it can't be explained away by increasing population size.

50-year-old Robin Gorman Newman launched motherhoodlater.com in 2005 because she felt isolated being a new and older mother. "If you have a child later in life, like I did, it only increases the likelihood that you will be parenting without your parents. For me, not having my mother has been a huge loss. I never had that maternal advice, and my son doesn't have my mom as a grandmother. Later moms need to think about who will be their go-to person when their parents die. You can't foresee all the questions you're going to have as a parent, and not being able to get your own mother and father's advice and guidance is a void we don't talk about nearly enough."

Unquestionably, a revolution is happening in the way generations are connected in America. While I would never tell another woman when to have a child, I think doctors should add the "I" Factor and "The Grandparent Gap" to the list of dangers they regularly discuss with patients who are embarking on a later path to motherhood.

 
 
 

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If you are over 35, you're probably aware of the increased risks of having a baby. Older women are more likely to have miscarriages, c-sections, suffer high blood pressure, and develop gestational di...
If you are over 35, you're probably aware of the increased risks of having a baby. Older women are more likely to have miscarriages, c-sections, suffer high blood pressure, and develop gestational di...
 
 
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10:20 AM on 08/23/2011
We're older parents to our son. I feel that we actually also fulfill the role of grandparents to a certain extent. Migration is a huge issue, as it is for us, and our son's grandparents are on different continents. In addition, one set of grandparents has outright rejected the responsibility that comes with being grandparents. They have no bond and they wish to be no part in his life. Another thing not mentioned is that you can arrange for substitute grandparents. It's not the real deal, but it does fulfill some of the needs. Fortunately, our son has loving substitute grandparents closeby.
02:03 PM on 08/20/2011
There are so many factors in this equation that it's hard to really consider them all. What if the grandparents weren't good parents to begin with? Do you really want their influence on your child? And there are many people who loose their parents at a young age, so their children will never know their grandparents,For developmental questions, there is plenty of reading material, other moms to discuss it with, and if you have a good pediatrician, they can answer you questions, too. There's nothing wrong with bragging to a sibling, friends, or even just posting a blog for your own enjoyment. On the other hand, there is the problem of the generational gap that was not mentioned. I was a later-in-life child for my parents, and that was a HUGE issue, and still is. Not to mention the fact that now that they're older, it has fallen on my shoulders to take care of them. Iit can sometimes be emotionally and physically exhausting. This really isn't a simple situation. There are way too many factors to consider in having a child after 36 and each parent has to take them into consideration when they have a child and weigh the pros and cons.
HUFFPOST COMMUNITY MODERATOR
myke3000
Facts are stubborn things...
11:45 AM on 08/16/2011
My girlfriend and I are considering having children, I am 40 and she is 42 (soon to be 43). I'd be interested to hear how many older first-time mothers out there heard as many scary stories as I'm hearing about the risks, yet have had healthy children. Thanks for your comments and/or advice!
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rtgmath
There has got to be a better way!
07:17 PM on 08/17/2011
My wife had our last child at age 40. Katie is a healthy and vivacious 11-year-old. The doctor monitored my wife carefully in the last pregnancy and scheduled the date for the delivery (my first three children were large and late delivered).

Not too scary, overall. Take the vitamins, exercise, be healthy and happy.
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HUFFPOST COMMUNITY MODERATOR
veggiequeenmo
Blueneck in a redneck state!
02:43 AM on 08/19/2011
I was about 3 weeks shy of 41 when I had my last child. No problems with me or my daughter. In fact, she's gifted with an IQ of 142 (and she's only 10).

Not bad for old eggs!

Both my parents died before she was born. My husbands father died when she was 2.

Not having grandparents is not a good reason to NOT have kids. (How many not's?) You know what I mean.

Why did I have kids so late? Just because that's the way it happened. I didn't plan to have kids late, or choose my job over kids - it wasn't either/or. I hadn't found the person I wanted to have kids with.

I will tell you, however, that I could feel the difference in healing from my first birth. I had twins the first time - via cessarian since they were sideways. My last was c-section, also. It took me a little longer to get back up to speed since I was about 8 years older, but I managed just fine. After having twins, a single baby is a breeze!

I wasn't scared about having a baby that late. I was heathy. I did have an amnio test - simple, really - just to be sure. Everything was fine. My blood pressure stayed low until the very end, no gestational diabetes, nothing unusual. She's be fine, I'm sure. Talk to her doctor about preparing to get pregnant, too.
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Sister Bluebird
07:22 PM on 08/10/2011
Oh I remember the "you can't use a midwife you will be THIRTEEE----FIIIIIIIVVEEEEEEE!" Its different than having a kid when you are thirty. And I think that having kids when you are younger could be better if one has a seriously good support system, but..... 35? I guess if you are unhealthy or have some underlying issue sure it could be a big deal. But honestly stop already with the fear mongering. There are always risks to being pregnant and giving birth no matter how you do it, when or where. And stressing the mommy-to-be out with predictions of doom and gloom isn't going to help her make good decisions. It will only keep her up at night and make her worry more and negatively affect her mental state and therefore her physical well being.

There is no magic death button that pops out that says: Stop all strenuous activity now including pregnancy--you are beyond your expiration date! You will die! Get in the Bubble!

Each woman is different. 35 is this context is a statistical age, and not necessarily indicative of the actual health of women who are about to turn 35 or 36 or 40 for that matter.

If doctors rely exclusively on this sort of broad statistical material to make their pronouncements over individual women without taking into account her actual state of health, then it's time to get another doctor.
07:42 PM on 08/16/2011
I know that we here in the US can't stand the fact that time marches on relentlessly, but--- when it comes to older maternity, you can't just say the woman's state of health is good, so she should go ahead and have a late life pregnancy ...none of the factors for good health matter in this calculation ... having the right weight, blood pressure, diet, exercise, pulse rate, etc. You could list every single factor for health there is, and NONE of them, nor ALL of them, can guarantee or ensure a healthy outcome for a late in life pregnancy.

That's because those factors have little to do with what the issues of late life pregnancy are -- genetic issues that will manifest in the infant, but also maternal risks of miscarriage, high BP, diabetes, etc.

If only it were so simple as to be a matter of maternal fitness....sadly, it's not.
05:35 PM on 08/10/2011
Interesting article and interesting comments. I was 39 when my only child, a daughter, was born. She is now 21 and still has both grandmothers. However, there is no guarantee that any of us will live a long life and many of us lost parents and grandparents too soon.

I don't regret becoming a mom when I did, it has been wonderful. The main drawback for me is that my daughter is now in college at a time when I would like to retire and when our family has been hit hard by the economy. I will delay retirement for a while so she can graduate and get established. Because of that and because I will be older while she's still young, I have suggested to her that starting parenthood earlier is worth considering. In the end, though, it's a decision we each make for ourselves.
10:33 AM on 08/10/2011
I NEVER read this parenting section but alas the two stories I've seen today seem incorrect and targeted against older/career mothers. The last article cited how so many women are choosing careers over children. Laughably, the author (who credits herself a writer) cites a study conducted on women between the ages of 33 and 46. I'm certianly not an expert on the subject, but I'm going to guess that plenty of those women surveyed will go on to have children meaning that **GASP** they're choosing to have careers and children - a perfectly attainable goal as demostrated by myself and my countless female colleagues with 2+ children. No mention in that article as to how maintaining a career and family is both fulfilling (for both the parents and the kids) and fiscally responsible in a rough economy. Apparently, unless you had kids before 33, you don't count. Cowardly writer closed the column to comments.. no wonder.

And then, this article warning of the DANGERS of having children when you're over 35. As if the author's doom and gloom scenario is the reality for everyone. Certainly, with a more global ecomony and people living further apart from family the lack of grandparent influence is not just a problem for the over 35 set. Yet, the author alerts that doctors should be warning patients about the "I factor and the "Grandparent gap." That's ridiculous. Laughable and ridiculous.
01:12 PM on 08/10/2011
The two articles that you mentioned don't really apply to me, but I wasn't offended by them. I found the article to be a different perspective. This article made me think about my mother and her situation when I was a child. All my grandparents had passed away by the time I came along. I remember how my mother would tell me how much I missed out by not knowing them. Having articles like this, may have helped her not feel so alone.
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Lisa Shields
Poet & Advocate For Special Needs Children
07:29 AM on 08/09/2011
I read the piece with interest. I was born later in my mother's life (36), and three of my grandparents had already died. The last went when i was three, and the only memory I have of her was her funeral.

But there are also assumptions in this article that don't carry through. The "nuclear family" has more or less vanished, with people spread all over the map. You don't have the same instance of generational families within easy access as much. Grandparents are also more likely to have active lives, and even jobs in this day and age, so I am not certain how much "support" (i.e. child care) is available.

I missed having grandparents...it was the only thing I envied other kids for, growing up. But some people are wretched parents---and becoming a grandparent does not instantly imbue them with stellar nurturing skills. I do agree that doctors don't inform women of the risks of late childbirth adequately, but the rest is sort of vague.
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ilus77
08:26 PM on 08/09/2011
Couldn't agree with you more. My child throws up in the car so we cannot go visit the grandparents often. They, however, live in the suburbs only 40 minutes away and never --- not once --- made an effort to drive and visit my daughter. They do drive into the city to visit museums and Broadway shows, though.
09:10 AM on 08/08/2011
I have to agree with this article. I was 39 when my daughter was born and 40 with my son. Both children had developmental disorders and my son aspergers. Although I read all the books and took great care, I had no mother or older female relatives to advise me during or after pregnancy and my children have grown up with no elders to share their development and childhood. All of our help has been paid rather than family and my children have missed so much that my husband and I experienced coming up among extended family. I worry that I will not be around while my son, in particular, still needs me.
09:03 AM on 08/08/2011
A child is better off having a ready, involved and emotionally mature set of parents than a slightly younger set of grandparents. There's actually not even a comparison bewteen those two things.
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ilus77
08:23 PM on 08/09/2011
So true.
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ecotopian
I am nerd, hear me geek
12:18 AM on 08/10/2011
One wonders how the human race survived with such uninvolved, emotionally immature parents. People having been having kids young for a very long time. It really didn't seem to do all that much damage. Grandparents are, and were, there to help with taking care of the child and teaching them or picking the duties of a new mother. That's why we have grandparents.
06:35 AM on 08/10/2011
The human race does not need to be psychologically stable and balanced to survive. It only needs to be physically fit, which has nothing to do with the age of the parents or the grandparents, it has to do with genes and environment.

I'm not talking about "surviving", I'm talking about "thriving", as does the article above. So, your argument is irrelevant.

It is a lot more important for a child to grow up with stable and emoitionally mature parents, who know what they're doing (versus having made a mistake), and who they are (versus still discovering themselves as adults), who have a better chance of remaining together at least during childhood. As the daughter of a very young mother, who was raised with a tremendous help from my grandparents, I would trade ten years in a second to have a more mature mother and a father who's around, rather than a young grandmother.

Besides, who's to say how the grandparents are going to behave, even if they're younger. My grandfather passed when I was 13. My paternal grandparents were a no show, as was my father (because my mother did not know what she was doing at 23).

My point is- do not base your decision to have children on the age of your parents, but on your own fitness as a parent, your own maturity and the circustances and stability of your couple. Your kids would be much better off.
11:50 PM on 08/07/2011
When we were pregnant with our second child the Dr prescribed a treatment that would have killed our child. I write about how I stopped it in this blog:http://laststopthissideoftheriverstyx.blogspot.com/2011/07/how-self-mutilation-showed-me-meaning.html

its the second half so keep reading. Bottom line, Dr's NEVER tell you what you need to know unless you ask.
09:39 AM on 08/08/2011
I read about the doctors trying to get you to have a D&C: what obviously happened is that they didn't find the heartbeat the first time and they found it the second time. But at 10 weeks, the heartbeat was there already and big time. In fact, you can hear the heartbeat by the 6th week, if not before. They must have not looked for it very thoroughly the first time.

It just drives me mad how callous and inattentive doctors are sometimes.

Good for you to have stuck up for yourself.
02:24 PM on 08/07/2011
Great article. The responses are so out of sync with what the article is about. Somehow, people take everything as a personal assault. The points made in the article are so clearly true and should be considered by women having babies. I had a child at 43 years old. This article doesn't try to make me regret my decision or make less of my mothering without the influence of grandparents in my children's life. But it's so true, I would love my kids to have more grandparent involvement in their life, not just while they're younger, but also throughout their teen years. My parents and my husbands parents have so much love to give my kids and so much parenting advice to give us. So, to the author, I apologize for the comments that are way off base. Your article was true and enlightening. It makes a point we rarely think of.
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Sister Bluebird
07:27 PM on 08/10/2011
Perhaps it's because some of us have been harassed by medical personnel who had a similar ridiculous view.
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myke3000
Facts are stubborn things...
11:35 AM on 08/16/2011
I am considering having a child with my significant other who is going to be 43. I'm just wondering, did you have more than one child and were there any difficulties, complications? I apologize if this is too personal a question to ask, but I stumbled upon this article in searching for any information on having children after the age of 42. Thanks.
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linbee50
07:53 AM on 08/07/2011
I think grandparents are important. That being said, life is not perfect; and many families are spread around the country. I have noticed that the grandchildren who live "away" really look forward to spending time with my husband and myself when they visit. They ask me questions about the years before they arrived, etc. I think the article is very accurate and informational; why say it is "bunk". However, not all children will be raised with the luxury of grandparents and that is way it is!
07:31 AM on 08/07/2011
I dont regret having any of my children in my later years...I was 40 when my last son was born. Yes\ I developed gestational diabetes but my obgyn and I managed it quite well. My son was born healthy, happy and whole. He continues to be what keeps me young. Do not let these articles frighten you and keep you from having children....it is a miracle plain and simple.
07:21 AM on 08/07/2011
and another thing...back this article up with DATA or it is bunk.
07:19 AM on 08/07/2011
Where are the articles on Overpopulation? Or is the Huffington Post too busy to rankle their religious reader's hackles?
For crying out loud Michelle Bachmann has how many? OOHH she adopted? Do they eat and consume? YES.
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MIvoter1231
I don't engage with hateful responders
09:23 PM on 08/08/2011
OK, educate yourself. She didn't adopt. She was a foster parent for very brief times with each child (I think the average was two weeks).

And if you're so worried about overpopulation, then don't have kids. But quit griping at those that feel differently. Btw, you eat and consume. So how about you start saving food by not eating and saving it for someone else? Sound good to you? Didn't think so, wouldn't to me either.