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Authors' reply re: Advanced maternal age increases the risk of very preterm birth irrespective of parity - a population based register study.

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Updated: Mar 18, 2026

Orthotopic Ovarian Transplantation Procedures to Investigate the Life- and Health-span Influence of Ovarian Senescence in Female Mice
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Postponing parenthood to advanced age.

Ulla Waldenström1

  • 1a Department of Women's and Children's Health, Division of Reproductive Health , Karolinska Institutet , Stockholm , Sweden.

Upsala Journal of Medical Sciences
|July 8, 2016
PubMed
Summary

Delaying childbirth increases risks for rare, serious pregnancy complications like stillbirth. Older parents also report more anxiety and difficult childbirth experiences, impacting life satisfaction.

Keywords:
Advanced maternal ageadvanced paternal agedelayed childbearingpostponing parenthood

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Area of Science:

  • Reproductive Health
  • Maternal-Fetal Medicine
  • Sociology of Family

Background:

  • Delayed childbearing is a growing trend globally.
  • Understanding the implications of postponing parenthood is crucial for public health.
  • Previous research has explored various factors associated with later-life pregnancies.

Purpose of the Study:

  • To investigate medical risks and parental experiences associated with delaying childbirth in Sweden and Norway.
  • To analyze the impact of advanced parental age on pregnancy outcomes and maternal well-being.
  • To identify factors influencing the decision to postpone parenthood.

Main Methods:

  • Utilized data from Swedish and Norwegian Medical Birth Registers.
  • Incorporated three distinct cohort studies: Swedish Young Adult Panel Study, Norwegian Mother and Child Cohort, and Swedish Women's Experiences of Childbirth.
  • Compared outcomes across different age groups for first-time parents.

Main Results:

  • Postponing childbirth to age 35+ increased risks for rare but serious outcomes like stillbirth and very preterm birth.
  • Older first-time parents experienced increased anxiety during pregnancy and more difficult childbirths.
  • First-time mothers' life satisfaction declined from approximately age 28, both during pregnancy and early parenthood.

Conclusions:

  • Advanced parental age (35+) is linked to elevated risks of severe pregnancy complications.
  • Lifestyle factors, rather than socioeconomic ones, appear more related to delaying parenthood.
  • There is a need for enhanced public information regarding fertility limitations and risks of advanced parental age.