The Term ‘Geriatric Pregnancy’ Isn’t Just Offensive, It’s Also BS

Posted on 02/01/2023 by Boris Clair

Despite the fact that more and more people are waiting longer to get pregnant, having a baby later on in life still comes with a great deal of stigma.

The phrase “geriatric pregnancy” was once commonly used to categorise pregnancies in people over the age 35 before it was eventually replaced by the term “advanced maternal age.” Describing one’s pregnancy as geriatric or elderly was and is not only harmful, causing many people to feel high levels of anxiety about their so-called ticking body clock, it’s flat-out inaccurate.

While it’s true that the risk of experiencing pregnancy complications or infertility increases with age relative to those who are younger, the vast majority of people 35 and up have smooth and successful pregnancies. Not to mention, even if there is an issue, there are many tests and treatments available to help people over 35 go on to have healthy pregnancies in most cases.

“The most likely thing in these pregnancies is that absolutely everything will be fine,” Melissa Rosenstein, a maternal-fetal medicine specialist, and obstetrician and gynaecologist with the University of California, San Francisco, tells HuffPost.

Where the phrase ‘geriatric pregnancy’ came from

Advanced maternal age pregnancies occur when the mother is going to give birth after the age of 35. The risk of any issues goes up as you get older, according to Rosenstein.

But there isn’t anything special about age 35 when it comes to pregnancy risks and complications. It’s not like the risk of your baby having a chromosome abnormality is lower at 34 and suddenly sky rockets the next year. “It’s a gradual progression,” Rosenstein says.

The age 35 was selected decades ago when doctors needed a way to inform which pregnant patients received genetic testing. Back then, studies had indicated that people over 35 had a greater risk of pregnancy loss from amniocentesis – a procedure that evaluates the foetus’s genetics — and doctors decided that only people 35 and up would qualify for this type of genetic testing.

Now, amniocentesis is a much safer procedure, offered to all pregnant people, but there is some remaining stigma about being pregnant after 35.

These days, it’s much more common to get pregnant after 35 as more people delay parenthood and marriage in order to prioritise their careers and education, or because of other personal circumstances.

“Many to most of my patients are over 35 — it’s not really a big deal,” Rosenstein says.

While it’s true that the risk of experiencing pregnancy complications or infertility increases with age relative to those who are younger, the vast majority of people 35 and up have smooth and successful pregnancies.

The actual risks of being pregnant after age 35

Women and people with uteruses are born with all of the eggs they will have in their lifetime, and as they age, their egg supply – and quality – diminishes. With that, the chances that something will go wrong with the chromosomes during ovulation – the release of the egg from the ovary – also increases.

Research has shown that pregnant people of advanced maternal age are more likely to experience ectopic pregnancy, chromosomal abnormalities, gestational diabetes, preeclampsia and need to undergo caesarean delivery.

The risk of infertility also increases as you get older — it may take you longer to get pregnant and you may have a higher chance of having a miscarriage if you get pregnant, according to Rosenstein. But if you have regular periods every month, there is a good chance that you will be fine.

This doesn’t mean that all people who get pregnant over the age of 35 are doomed. In fact, in the vast majority of advanced maternal age pregnancies, everything is completely fine.

“When you do studies, you see that the risk of complications is higher in the older women, but the absolute risk is still very low,” Rosenstein says.

According to Jill Purdie, obstetrician and gynaecologist, and medical director at Northside Women’s Specialists of Pediatrix Medical Group, we now have more accurate tests that can be done early in pregnancy to assess if the mother or foetus have any health issues.

“With early and routine prenatal care, many pregnancy complications can be caught and treated early before they cause a significant issue,” Purdie says. Certain lifestyle choices – like maintaining a healthy body weight and exercising – may help mitigate some of these risks as well.

That said, it’s really hard to predict who is going to have trouble getting pregnant, and being pregnant, in the future. If you are concerned, it’s worth talking to your doctor about how regular, or irregular, your menstrual cycles are and when your mother went through menopause.

Having a baby is a big decision, and Rosenstein says it’s important to do it when you’re ready, at whatever age that may be.

“Although there is some increased risk as outlined above for women of advanced maternal age in pregnancy, the majority of women are able to have a successful and healthy pregnancy at a later age,” Purdie says.

Hopeful Parents Might Soon Get Paid Time Off For IVF. Here’s Why They Need It

Posted on 20/06/2022 by Boris Clair

Employees undergoing fertility treatment could soon be entitled to statutory time off work, under a proposed law being brought before parliament.

The law suggests that fertility appointments should be treated in the same way as antenatal appointments during pregnancy.

NHS England and NHS Improvement have already recently given roughly 8,000 of their staff the right to three days off a year specifically for fertility treatment, The Mail on Sunday reports. (Though it’s worth noting that free IVF treatment under the NHS has faced huge cut backs in recent years.)

Under the latest bill, proposed by Tory MP Nickie Aiken, all companies would have to give both women and their partners time off for fertility treatment. It’s hoped the change will help those who may currently be going through multiple rounds of tough IVF treatments in secret.

“Undergoing treatment while juggling a career is very tough,” Aiken said. “Many people feel they cannot tell their employer for fear of being overlooked for a promotion or being made redundant.”

Why is this new proposed law so important for hopeful parents?

Becky Kearns, Co-Founder of Fertility Matters At Work, tells HuffPost UK this law is potentially game-changing, because it gives people “permission to talk to their employer about going through treatment (if they choose to) rather than feeling like they have to hide it”.

“We know from our research that 61.1% did not feel confident talking to their employer about trying for a baby,” she explains.

“Many fear that there will be an impact to their career in asking for time off to attend appointments and so a law in place to give a statutory right and protection against unfair treatment will help them to know that this is recognised by their employer.”

She adds that IVF is often seen as a ‘lifestyle choice’ rather than a treatment for a medical condition – though the World Health Organisation describes infertility as a “disease of the reproductive system”. The proposed law would help to right this wrong.

How will this benefit people who are having IVF?

Kearns believe this will benefit hopeful parents as IVF is a gruelling process over the course of a number of weeks involving numerous, frequent and unpredictable appointments. “From my own personal experience, taking time off for fertility appointments felt very different to when I finally became pregnant and was ‘allowed’ by law the right to attend antenatal appointments,” she says.

“It not being recognised or even allowed within many organisations creates additional stress and burden on top of an already emotionally draining process. This law would mean that over time fertility appointments would also be expected, accepted and acknowledged as a statutory right.”

What are some of the work challenges women face when undergoing fertility treatment?

When going through IVF or other fertility treatments, women face “a very real fear of not being seen as committed to their jobs, of being overlooked for promotion or even selected for redundancy if their employer knows,” Kearns says.

“It’s also a hugely personal experience, one that still often has stigma and shame attached to it,” she adds.

“Planning is hugely difficult as it often depends on how your body responds to treatment and when your period starts as to when treatment can begin, the appointments can be every other day and sometimes at late notice depending on blood test and scan results.”

In a 2020 survey by the community interest company, 83% of respondents said Covid (and working from home) had made it easier to plan and squeeze in fertility treatments. But now most of us have returned to the workplace – at least some of the week – things will get harder again.

“There’s the physical challenges of the hormones that are injected, also the challenge of finding an appropriate place to administer injections and pessaries whilst at work, one woman told us she had to hide her in a sandwich box in a fridge,” Kearns explains.

“Financial worries are huge too with the cost of treatment often running into the thousands, another stress when you need to take time off work – some are told to use annual leave or unpaid leave, we found that 69.5% took sick leave during treatment.

“Most predominantly is the mental health challenge, we found that 68% felt their treatment had a significant impact on their mental and emotional wellbeing, having to hide appointments and the huge grief that this process brings about can make it even more of a challenge, to the extent that 36% considered leaving their employment due to treatment.”

Let’s hope the bill marks the start of the change that’s needed.

This Is How Men Under 30 Really Feel About Fatherhood

Posted on 22/04/2022 by Boris Clair

Women are “delaying” motherhood, or so the headlines would lead you to believe. And yet it takes two to tango if you’re hoping to conceive naturally.

When ONS data released earlier this year revealed a record number of women do not have children by the time they reach 30, the debate that ensued was a little skewed, to say the least.

Radio hosts questioned whether it was careers, the cost of living, or a desire for post-pandemic fun that was motivating women to have children later in life. The role of men in all this barely got a look-in.

But the chat did spark an interesting conversation with a friend of mine who, despite his impending 30th birthday, revealed that nobody had ever asked him about his views on fatherhood. Ever.

And actually, it might benefit us all if guys talked about this stuff, too.

Though there is one scientific study into male attitudes on fatherhood that’s periodically bandied around, we seldom hear men talking about this topic in the media – or even everyday life.

So to redress the balance, I asked a bunch of guys under 30 to share their feelings about parenthood. Here’s what they had to say:

“Being a father is just very exciting. It’s not about having that title, but rather being proud to do the things involved, have that responsibility of caring and loving for a child. We knew there would never be a ‘perfect time’, and given we were settled and agreed on having them down the line, we didn’t want to put it off any longer. It’s still bloody terrifying, but good things usually are.” – Ben Rogers (a new father), 29, South London

“I’m getting married next year and I think some family will expect us to have children soon. Personally, I’d rather wait five or six years and travel/enjoy married life first.” – Miles, 29, Hertfordshire

“As a 23-year-old with a business that will soon be turning over six figures, the thought of having a child is something that I’ve mentally delayed even thinking about until my mid-thirties as my friends that have children have had their careers put on hold and are now struggling financially.” – Ted Lawlor, 23, South London

“To be comfortable being a dad I’d need 1) to genuinely be very much in love with the woman, and expect to happily spend the rest of my life with her 2) have a house with enough room and 3) be generally financially stable enough given childcare costs. Due to my financial situation, I was living with my parents until my mid 20s, I think it is very hard to think about having children when living in your parents’ house.” – Sam, 27, Surrey

“I definitely want to be a father one day. The newly born period doesn’t appeal – sleepless nights, nappies etc – but when they can walk and talk I think it would be great fun being a dad! I would have had no issue being a young dad if it had happened.” – Jack, 29, London

“The thought of having children right now whilst I’m not settled down is a scary thought. I feel like it’s a huge responsibility that I’m not ready for yet! I want to make my stamp on the world before I bring my children into it and that’s my main focus.” – Harry Portch, 23, Reading

“Honestly? I haven’t thought about it much yet. Maybe one day, but I don’t feel the urgency yet or anything.” – Elliot, 28, Newcastle

“I’m not sure I want to be a father. But my partner is almost a decade older than me, and it means we’re grappling with a biological clock long before I expected to. We’re sensitive people who like their quiet, and worry about being consumed by childcare and regretting it. We both grew up in tense, angry households and are wary of either losing our peace or inflicting our own stress on any children. We also hate the idea of having kids out of custom or expectation when we’re unsure if it’s for us. But the prospect of missing our chance to do it biologically – especially when all her friends are having kids – is difficult, too.” – Joe, 27, London

“I’m 24 with a very stable career in the medical industry and a girlfriend that I adore, so for me, I cannot wait to have a child! My girlfriend and I have a plan to save money specifically with the child in mind so that we’re fully prepared for the magical moment.” – Jake Hanley, 24, Kent

“The earlier I have kids, the longer I’ll be around for them and my grandkids, but the cost of living and housing means this is being pushed down the road. It’s an increasingly unrealistic reality to enjoy seeing kids and grandkids grow up through life.” – Jonny Abbott, 23, Oxfordshire

“I’m equally as terrified of not having kids as I am of having kids. Knowing men who are involuntarily childless, the pain they have gone through is indescribable. Public broodiness in men is very stigmatised so I’m not surprised men aren’t willing to talk about it. I hope that changes.” – Freddie, 27, London

*Some surnames have been omitted to offer anonymity

5 Myths Debunked About How The Covid Vaccine Affects Pregnancy And Fertility

Posted on 16/11/2021 by Boris Clair

There is no pattern from any reports so far which suggest any of the vaccines used in the UK, or reactions to them, increase the risk of miscarriage or stillbirth, the Medicines and Healthcare products Regulatory Agency (MHRA) said.

It said the numbers of reports of miscarriages and stillbirth are “low in relation to the number of pregnant women who have received Covid-19 vaccines to date and how commonly these events occur in the UK outside of the pandemic”.

Myth 2: The jab will affect your fertility

There is no evidence to indicate the Covid-19 vaccine will affect fertility or the ability to have children, according to the UK’s medical regulator.

The rigorous evaluation completed to date did not show a link between changes to menstrual periods and related symptoms and Covid-19 vaccines.

The number of reports of menstrual disorders and vaginal bleeding is low in relation to both the number of people who have received vaccines to date and how common menstrual disorders are generally.

The menstrual changes reported are mostly transient in nature. There is no evidence to suggest that Covid-19 vaccines will affect fertility and the ability to have children.

Myth 3: The vaccine will affect birth outcomes

There is no evidence that having the coronavirus vaccine when pregnant is altering birth outcomes, a UK study concluded.

The research – which was the first from the UK focusing on safety outcomes for pregnant women – found similar birth outcomes for those who have had a Covid-19 vaccine and those who have not. Similar studies have been conducted abroad.

There were no statistically significant differences in the data, with no increase in stillbirths or premature births, no abnormalities with development and no evidence of babies being smaller or bigger, the research team at St George’s, University of London said.

Thousands of pregnant women in England have been vaccinated against coronavirus, with no safety concerns reported.

Myth 4: The vaccine is riskier than Covid

Some parents-to-be are worried about what the vaccine will mean for their unborn child. However, several studies have shown that the vaccine is safe for pregnant mums and their babies, especially as the vaccine does not include a live strain of the virus.

In fact, if mums choose not to get vaccinated but catch Covid, this is more likely to affect the baby.

Pregnant women who do get symptomatic Covid-19, particularly in the third trimester, are two to three times more likely to give birth to their baby prematurely, according to data from the UK Obstetric Surveillance System. Premature birth remains the leading cause of death, illness and disability in babies.

Myth 5: There are too many ‘mixed messages’ about the vaccine

Over half of pregnant women (58%) have declined the Covid-19 vaccination, according to the Royal College of Obstetricians and Gynaecologists (RCOG) and the Royal College of Midwives (RCM). The groups blame “mixed messages” about the vaccine and pregnancy earlier in the pandemic.

However, both the NHS and CDC (US Centres for Disease Control), plus the UK’s Medicines and Healthcare products Regulatory Agency (MHRA), all recommend vaccinations for pregnant people.

Earlier in the pandemic, when the vaccine was newer and research only emerging, healthcare officials did warn against vaccinations for expectant mums. However, we now know far more about the virus and the vaccines, and earlier on in the year, healthcare officials said it was safe for this cohort to get the jab and actively encouraged them to do so.

So, there are plenty of reasons to go for the jab. If you have any other concerns about the jab while pregnant or trying for a baby, chat to your doctor or midwife.

Don’t Use Your Birthday To Bash Yourself Over Your Achievements

Posted on 04/09/2021 by Boris Clair

Beyoncé, the multi-hyphenate queen that she is, has achieved a lot.

On her 40th birthday, she remains the first artist to debut at number one on the Billboard 200 with their first six solo studio albums, she has broken the record for the most Grammys won by a woman, and is one of the world’s biggest trailblazers.

Most of us pale in comparison. And when it comes to birthdays, it’s especially difficult to not tally up all that we’ve achieved.

But comparing yourself to the greats or even those around you can have serious detrimental effects. At cliched as it sounds, there is only one you, marching to the beat of your own drum towards your own timeline.

Grammy or not, there’s a lot to celebrate if you’re approaching a big birthday (let’s not forget to commend our sheer resilience in navigating the pandemic). And it seems plenty of people are doing just that.

We spoke to four people about milestone ages – and how they’re rejecting ideas of where they’re “supposed” to be.

“Time is precious and short.” – Vicky Clapham, business owner, 40, Leeds

“I actually feel ok about turning 40 – and much more accepting than reaching 30! I have more of a ‘age is but a number’ type mentality.

“For my birthday this year I’m having a party at my home with family and friends followed by a weekend away sans children with my husband, best friend and her husband. We’re going to see the Tina Turner musical and can’t wait! I’ll really enjoy doing these things that only a few short months ago wouldn’t have been an option.

“I do think a birthday can be a bit of catalyst to think about what you have or haven’t achieved, and changes that need to be made. Personally, I don’t feel like that now. It was definitely something I was more conscious about when I was younger – especially the pressure around having children, getting married, career etc.

“I’m much more self-assured and accepting now and realise that everyone is on their own path. Time is precious and short – which this last 18 months has been an incredibly stark reminder of – and you’ve just got to make the most of it, including celebrating getting older.”

“As I turn 30, I actually feel a level of freedom.” – Taimour Ahmed, mental health consultant, 30, Lisbon

Taimour feels a sense of freedom as he gets older.

“There really is societal pressure to achieve things by a certain age and in my view, it’s quite detrimental to our mental wellbeing, [causing us to] chase things and achievements we think we want, when in reality this might not be the case.

“As I turn 30, I actually feel a level of freedom, knowing that I am setting my own pace in life as opposed to living to society and other peoples’ rhythm, which effectively destroyed my mental wellbeing.

“In terms of achievements [we’re expected to reach], it’s very black and white i.e. progressing on the corporate career ladder, having a property and potentially being married, depending on your cultural context.

“In my view it’s not possible to achieve them because 1) London living is so expensive 2) we need to better understand at a base level whether or not these things are actually what we want.”

“Covid and turning 30 have made me reconsider what’s important in my life.” – Joanne Goldy, marketing specialist, 30, Isle of Man

Joanne has mixed feelings about turning 30.

“I’d love to say that I’m not sweating it, turning 30, but I do have mixed feelings. On the one hand I’m telling myself that 30 is only a number and other clichés like ‘you’re only as old as you feel,’ but I can’t help feeling a little sad that my 20s and that time of my life is over.

“I definitely feel more reflective around this birthday than I have in previous years. For my birthday, I’m hoping to have a big family get together – less to do with celebrating my birthday and more about reconnecting in light of the Covid situation. Both that and turning 30 have made me reconsider what’s important in my life.

“Ageing is an interesting one for women as many of us naturally begin to question if/when is the ‘best’ or ‘right’ age to have children. In part I feel there’s a societal expectation to have settled down by or in your 30s, but there’s also a biological pressure there too. Many female friends my age already have children and although kids aren’t on my radar right now, it’s tricky not to compare lives sometimes and wonder ‘is time running out?’. At the end of the day, there will always be societal expectations of some sort around age, but my opinion is that most people are fortunate to have the choice of whether to live up to them or not.

“I used to be very future-driven and focused on having achieved x,y,z by age x. Over the last couple of years though, my outlook has changed significantly; I now try to focus much more on living in the present (literally day to day) and avoid thinking too much about the bigger picture or ticking things off by a certain age.”

“I never beat myself about anything”– Sarah Lee, mum, 50, Worthing

“I turned 50 this year and I felt fine, and quite proud, actually. Unfortunately my birthday was spent at home with my husband due to Covid. However, he did a gorgeous breakfast spread for me.

“I never beat myself about anything, take every day as your last, do things when you can or when monies allow, don’t stress as life is too short.”

The Miracle Baby Born After 8 Rounds Of IVF And Multiple Miscarriages

Posted on 24/12/2019 by Boris Clair

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I Was Diagnosed With Fertility Problems When I Was Single – Here’s How That Feels

Posted on 08/07/2019 by Boris Clair

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Egg Freezing Is The Fastest Growing Fertility Treatment – Here’s What You Need To Know

Posted on 09/05/2019 by Boris Clair