For many women, the timing of pregnancy doesn’t always follow a specific plan. Whether you’re focusing on your career, building financial stability, finding the right partner, or simply choosing to start your family later in life, becoming pregnant after age 35 is increasingly common.
If you’ve recently learned that your pregnancy is considered Advanced Maternal Age (AMA), you may have questions—or concerns—about what that means for you and your baby.
At Valley Perinatal, we work with women throughout Arizona every day who are experiencing a healthy pregnancy over 35. Understanding what changes, what risks may increase, and how specialized care can help can make your pregnancy journey more confident and less stressful.
What Is Advanced Maternal Age?
Advanced Maternal Age (AMA) is the medical term used when a woman will be 35 years or older at the time of delivery.
You may also hear the older term “geriatric pregnancy.” While some patients find the term outdated or even frustrating, it is still occasionally used in medical settings. Today, most healthcare providers prefer the term Advanced Maternal Age because it more accurately reflects the situation without unnecessary stigma.
Why Is Age 35 Considered a Milestone?
The age of 35 isn’t a magical cutoff where pregnancy suddenly becomes risky. Instead, research shows that certain pregnancy-related risks begin to gradually increase after this age.
Some of these include:
- Increased risk of chromosomal abnormalities such as Down syndrome
- Higher likelihood of gestational diabetes
- Increased risk of high blood pressure during pregnancy
- Greater chance of developing preeclampsia
- Higher rates of miscarriage
- Increased likelihood of cesarean delivery
- Greater chance of multiple gestation pregnancies, especially with fertility treatments
Because of these factors, women with advanced maternal age in Arizona are often referred to a Maternal-Fetal Medicine (MFM) specialist for additional evaluation and monitoring.
Does Being Over 35 Automatically Make My Pregnancy High Risk?
Not necessarily.
Many women over 35 have uncomplicated pregnancies. Age alone does not guarantee that problems will occur. However, advanced maternal age can increase the likelihood of certain complications, which is why your OB/GYN may recommend additional screenings or consultations. Your overall health plays a significant role in determining your risk level.
Some factors that can influence your care plan more than age alone are:
- Blood pressure
- Weight
- Diabetes status
- Previous pregnancy history
- Fertility treatments
- Autoimmune conditions
- Heart disease
What Additional Testing May Be Recommended?
One of the biggest benefits of modern maternal-fetal medicine is the ability to identify potential concerns early.
Women experiencing a pregnancy over 35 may be offered additional prenatal screening options, including:
Non-Invasive Prenatal Testing (NIPT)
This simple blood test screens for certain chromosomal conditions and can often be performed as early as 10 weeks.
First Trimester Detailed Ultrasound
Detailed ultrasound of the fetus as 12-13 weeks that evaluates the nuchal translucency and early fetal anatomy to detect potential fetal structural concerns and risk for chromosomal abnormalities.
Detailed Anatomy Ultrasound
Typically performed around 18–22 weeks to evaluate fetal development and identify potential structural concerns.
Genetic Counseling
In addition to counseling by maternal-fetal medicine clinicians, some patients choose to meet with a genetic counselor to better understand screening results and family history.
Growth Ultrasounds
Additional ultrasounds later in pregnancy may be recommended to monitor fetal growth and placental function.
How Maternal-Fetal Medicine Specialists Help
Maternal-Fetal Medicine specialists are OB/GYN physicians who receive 3 years of additional training focused on high-risk pregnancies.
If your OB provider refers you to Valley Perinatal, it does not mean something is wrong. In many cases, the referral is simply an extra layer of expertise and reassurance.
An MFM specialist can:
- Evaluate pregnancy risks
- Perform advanced ultrasound imaging
- Interpret genetic screening results
- Monitor fetal growth and development
- Develop personalized care plans
- Work closely with your primary OB provider
Our goal is to help you and your baby remain as healthy as possible throughout pregnancy.
What Can You Do to Support a Healthy Pregnancy After 35?
While some risk factors cannot be changed, many healthy lifestyle habits can support a successful pregnancy.
Attend All Prenatal Appointments
Early detection is one of the most important tools in managing pregnancy complications.
Maintain a Healthy Diet
Focus on:
- Lean proteins
- Fruits and vegetables
- Whole grains
- Adequate hydration
Stay Active
Physical activity approved by your provider can help improve circulation, energy levels, and blood sugar control.
Take Prenatal Vitamins
Folic acid and other essential nutrients help support healthy fetal development.
Manage Existing Medical Conditions
Conditions such as diabetes, hypertension, and thyroid disease should be closely monitored during pregnancy.
Advanced Maternal Age in Arizona: You’re Not Alone
The number of women having babies after age 35 continues to grow nationwide, including here in Arizona.
Today’s advances in prenatal screening, ultrasound technology, and maternal-fetal medicine have dramatically improved outcomes for both mothers and babies.
Being diagnosed with Advanced Maternal Age does not mean your pregnancy will be complicated. It simply means your care team may recommend additional monitoring to ensure the healthiest possible outcome.
Valley Perinatal: Supporting High-Risk Pregnancies Across Arizona
At Valley Perinatal, our Maternal-Fetal Medicine specialists partner closely with OB/GYN providers throughout Arizona to support women experiencing high-risk pregnancies, including those related to advanced maternal age.
Whether you’re newly pregnant, have questions about prenatal screening, or have been referred to an MFM specialist, our team is here to provide expert guidance every step of the way.
Schedule a Consultation
If you’ve been referred for evaluation due to advanced maternal age Arizona, Valley Perinatal offers comprehensive Maternal-Fetal Medicine services, advanced ultrasound imaging, and personalized pregnancy care throughout the state.
Contact Valley Perinatal today to learn more about how we can support your pregnancy journey.