If you’re pregnant and aged 35 or more, you can’t do better than to read Rebecca Dekker’s article “Evidence on: Pregnancy at Age 35 and Older.” The article summarizes and analyzes the research into pregnancy and birth in this age group, including likelihood of becoming pregnant, risks of pregnancy (genetic, miscarriage, stillbirth), factors influencing risk of stillbirth, the value of fetal surveillance testing, the pros and cons of inducing labor, and the relationship between increasing age and cesarean delivery. Of note, midwifery care decreased use of medical intervention without increasing adverse outcomes in babies, although the population was too small to detect differences in rare outcomes such as stillbirth.
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