How to Have a Healthy Pregnancy After 35

Any pregnant woman having a baby over 35 is considered of "advanced maternal age," meaning her pregnancy is considered high risk for complications. Here's what to expect and how to ensure a healthy pregnancy if you're conceiving later in life.

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Geriatric Pregnancy Risks

Positive Pregnancy Test and Ultrasound Photo
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Yes, it's true: Studies have shown that women who postpone childbearing to after 35 do face some special risks, including miscarriage, premature delivery and stillbirth, gestational diabetes, chromosomal abnormalities, and fetus growth retardation.

But that doesn't mean you are destined to have a problem pregnancy. "It's a label, not a diagnosis," says Alan Fleischman, M.D., medical director of the March of Dimes, adding that older women may need a few extra prenatal exams.

If you're over 35, here's how you can boost your odds of having a healthy pregnancy by making with smarter lifestyle choices.

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Take a Prenatal Vitamin

prenatal vitamins
Melissa Punch

Above all, you should aim to be as healthy as you can before you conceive. Start taking prenatal vitamins with at least 400 micrograms of folic acid before getting pregnant to help prevent neural tube birth defects such as spina bifida, a condition in which the tissue over the baby's spinal cord doesn't close.

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See Your Doctor

Doctor Talking to Patient Sitting on Table

If you're planning to become pregnant, see your doctor for a pre-conception checkup ASAP. Your healthcare provider will be able to help you find the best prenatal vitamin. She'll also be able to answer questions about your pregnancy diet, safe prenatal exercise, and any environmental factors you should avoid for the next nine months.

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Manage Preexisting Conditions

woman talking to doctors
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Always stay on top of your regular doctor's visits to make sure any existing health problems, such as diabetes or thyroid problems, are under control. Also make sure your doctor knows you'll be trying to conceive -- and ask for advice to help keep your body in tip-top shape.

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Know Your Birthing Options

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Newsflash: A Cesarean isn't your only option. Over-40 mothers are more likely to have a C-section because of their higher rates of multiple births and medical complications, but you shouldn't have one unless it's medically necessary.

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Get Your Weight in Check

woman on scale

Lose weight if you're overweight. Women who are overweight when they get pregnant are more likely to develop problems during pregnancy (and often have more troubles with labor and delivery, too).

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Go Easy on Yourself

pregnant woman drinking coffee on the couch

Give yourself a break when you feel worn out. "Older women are more established in their routines, and they tend to want to continue doing everything they did prior to pregnancy," says Bonnie Berk, R.N., M.S., founder of Motherwell Maternity Fitness in Carlisle, PA. However, you need rest to stay healthy for you and baby.

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Boost Your Nutrition

Bowl of Apples

Time to really focus on what you're eating! Include a wide variety of nutritious foods in your daily diet. And make sure you're getting enough Folic acid, too. In addition to it being a part of your prenatal supplement, add Folic acid-rich foods in your diet; spinach, beans, lentils, and sunflower seeds are all good sources.

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Exercise Regularly

woman working out
Peter LaMastro

This is the time to get on a solid fitness plan. Join a class, dust off your running shoes, try some at-home workout DVDs -- anything that sparks your interest and gets you moving. And make sure you work out on a regular basis -- not intermittently.

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Stress (A Lot) Less

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According to the American Pregnancy Association, stress has been linked to delayed or missed periods, which can make tracking your ovulation and getting pregnant difficult.

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Develop Better Sleep Hygiene

pregnant woman sleeping
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Make sure you're getting enough sleep these days. It might be a good time to reassess your sleeping environment, too. Experts suggest ditching the TV in the bedroom -- and leave your laptop and cell phone at the door. Make the room in which you sleep an escape just for you and your partner.

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Get Vaccinated


Make sure you're up to date on all of your immunizations. Discuss with your doctor if you might be a good candidate for seasonal flu and H1N1 vaccines as well.

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Branch Out of Your Friend Group

Group of smiling friends with a baby
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Build a support group of other new mothers, even if they're much younger. You may think you have nothing in common with women half your age, but once you start talking pregnancy, the age difference will matter less.

RELATED: The Best Age to Get Pregnant, According to Moms

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