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

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.

Adene Sanchez via Getty Images

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.

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

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.

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

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