Management

Pregnancy After Age 35

Choose a preferred language

It’s a myth that being 35 or older means your pregnancy will be high risk. But people with pre-existing health problems may be at risk for complications during pregnancy. Making the right choices now and working with your healthcare provider can help make your pregnancy healthy for both you and your baby.


Things to think about

Most people who are 35 or older have normal pregnancies. But there are some things to think about before getting pregnant. Once a person reaches 35, they have a greater chance for:

  • Problems getting pregnant

  • Miscarriage

  • Fertilized egg grows outside the uterus (ectopic pregnancy) 

  • Stillbirth

  • Diabetes or high blood pressure while pregnant

  • Being tired all the time when pregnant

  • C-section delivery

  • Having babies with genetic problems, such as Down syndrome

  • Being pregnant with 2 or more babies

  • Premature baby

  • Death


Making the right choices

Before and after you become pregnant:

  • Don’t use illegal drugs.

  • Don’t drink alcohol.

  • Don’t smoke.


Keeping you and your baby healthy

Before and during your pregnancy:

  • Take 400 to 800 micrograms of folic acid.

  • Stay physically active.

  • Keep a healthy weight.

  • Stay away from harmful substances in your home or workplace.

You may need extra care if you have any of these:

  • Sexually transmitted infections

  • Diabetes

  • High blood pressure

  • Other chronic health problems


Special healthcare

  • Fertility counseling. As people age, it can be harder to get pregnant. Ask your healthcare provider how long you should try to get pregnant before seeing a specialist.

  • Genetic counseling. This helps evaluate the risk for birth defects in your baby. You will be asked detailed questions about your family health history. You may also have medical tests.

  • Amniocentesis. This test studies the fluid around your unborn baby (amniotic fluid). It can help diagnose birth defects and other health problems.

© 2000-2026 The StayWell Company, LLC. All rights reserved. This information is not intended as a substitute for professional medical care. Always follow your healthcare professional's instructions.

Start your journey toward better health

Select a primary care physician who will deliver personal care, close to home.

Find a Doctor

Need Help?

Get the right care at the right time.

Learn More
Related Articles
Read article
OB/GYN
Preparing for Pregnancy

Even before you become pregnant, your health matters to your future baby. Adopt good health habits today. And take care of any health problems you have before becoming pregnant.

Read article
OB/GYN
Tailor Sit, Trunk Turn for Back Pain During Pregnancy

Before trying these exercises, talk to your healthcare provider to make sure they are safe for you.

Read article
OB/GYN
Sleeping Positions During Pregnancy

The best sleeping position for you is on your side, especially the left side, because it allows for maximum blood flow to the fetus and improves your kidney function.

Read article
OB/GYN
Cannabis Use in Pregnancy

Marijuana is now legal in several states in the U.S. But just because it’s legal does not mean it’s safe for everyone. Marijuana use during pregnancy can harm your baby.