Increasingly more women – including celebrities like Janet Jackson and Senator Tammy Duckworth – are waiting until later in life to start families. And while there are many benefits to postponing motherhood, there are some health risks that increase as a woman ages.

What are the risks? Starting in their mid-30s, women face an increased risk for miscarriage, fetal chromosomal abnormalities, high blood pressure, gestational diabetes, placental abruption, preeclampsia, early labor and are more likely to require a cesarean. The idea of women conceiving at age 50 and beyond is not as unthinkable as it once seemed – but it comes at a price that the majority of women can’t afford.

It’s important to remember that these are risks all women, no matter their age, face during pregnancy. While every woman’s pregnancy is unique, older moms-to-be often face some unique challenges. Knowing what challenges might arise and how to reduce your risk increases the likelihood you’ll enjoy a happy and healthy pregnancy.

Scott MacGregor, DO, Maternal-Fetal Medicine at NorthShore, shares his tips for staying healthy throughout your pregnancy: 

• Talk to you doctor or midwife before getting pregnant. If you are older than 35 and thinking of starting a family, talk to your doctor or midwife about the current state of your health.  He or she can assess your personal risks and recommend certain lifestyle changes or evaluations to ensure you are at optimal health prior to getting pregnant. 
• See your doctor or midwife early and regularly. As soon as you think you might be pregnant, see your doctor or midwife. The early stages are very important for any woman. Your doctor or midwife can assess your pregnancy and medical status in the early months and provide you with information to help guide you through the process.  Your doctor or midwife can also discuss your management plan and options during the pregnancy.
• Take your vitamins. Again, this is important for any pregnant woman. Prenatal vitamins should contain at least 400 micrograms of folic acid. If you are not yet pregnant but are considering starting a family, start prenatal vitamins or folic acid now. Getting the recommended amount of folic acid before pregnancy and during the first trimester helps prevent birth defects. 
• Make healthy lifestyle choices. Pregnancy is an excellent time to embark upon smart lifestyle choices. Moderate exercise—walking, swimming, yoga, stationary bike—for 30-45 minutes daily is encouraged. Make sure to maintain adequate hydration and avoid overexertion.  Cigarettes, alcohol and illicit drugs should be avoided.  Over-the-counter medications and herbal medicines should be avoided. 

Are you waiting until later to start your family? When did you have your first child?