WWL>Topics>>5-29-14 3:10pm Angela: on late-in-life pregnancies

5-29-14 3:10pm Angela: on late-in-life pregnancies

May 29, 2014|

Angela talks with Dr. Robert Maupin, Jr., of the LSU Health Sciences Center about women who had children late in life, as well as two such women - Sarah Keith and Andree Price.

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Automatically Generated Transcript (may not be 100% accurate)

Will there are more and more women trying to have children after the age of 35. The rates of first time moms age 35 to 39 is up 24%. And the increase is even higher for women forty to 44. Becoming mothers all whopping 35%. And other risks are greater for the baby and the mother but it's obviously not stopping more mature women from giving birth. Here to talk about the whole issue of what is unfortunately. Called geriatric pregnancies -- look for the such a bad phrase is doctor Robert Milton. Associate professor of clinical obstetrics and gynecology. At the LSU school of medicine. Sarah -- who gave birth at 39. To a son who is now four. And Andrei price who is 39 when she had her daughter who was now seven years ago. Thank you all thank you'll for taking time to be out here I think this is such an interest in -- I really do. First of all let's eliminate that geriatric pregnancy. Where did that come from they said 34 and older is geriatric. Well Angela. To be honest with you. In the medical community that's not a term we've ever used. In fact. You know this is sort of one of newer terms that I heard used -- think of the term that's been used in the medical community for many years which I at this point still have an issue it. As advanced maternal -- As opposed to geriatric pregnancy. But actually of interest I spent a lot of time when and I have more mature mothers who are referred to me for counseling about. Pregnancy in pregnancy management. Simply because of -- spent a lot of time. -- initially dispelling. Sort of this notion advanced maternal age. In most respects it's really more about the individual mother. In -- what we have to evaluate in terms of her. Best health parameters for successful pregnancy as opposed to just arbitrarily. Assigning -- parameters. And that is very good news we're gonna come back to those kinds of things to discuss but I I wanna go to or two mothers and have you tell dummy and it. This is her personal wasn't a surprise or this was a thought out yes on 39 years old -- 38 years old is it too late for me. Well for me it was circumstantial was definitely not surprised. I got married at 32. And I think more and more that is something that people are delaying. And I knew that I didn't want to have a family until I met the right person. And then once we were married we had Sam -- fertility obstacles to overcome. And so we finally had a baby when I was 39. It wouldn't have been my plan but it was the way that it worked out and and and of course were were thrilled. I was divorced for awhile for about eight years and -- and my husband. When I was 39. And we've got pregnant pretty much by surprise. I had. Given up on having a -- -- divorce so long and I and you I was getting older and I had. When I was married the first time previously had some fertility issues and had two miscarriages so I really wasn't hopeful. And on and it was a pretty big surprise for both of us cause we're both older he was 47 and and I was 39 at the time so. It was and miraculous thing actually is in my world it was miraculous it's I didn't expect it. Or your pregnancies difficult. Not at all non politicized from nausea. You know IE I gained very little weights I try to be Smart about it as probably the healthiest. And I am while I was pregnant because than any other time in my life I mean it's really wants -- -- I walked the united all the right things because I wanted to make sure that. I I kind of thought of this is my only chance and I needed to make it happen so and we were very lucky you know. I don't know -- that's wonderful. And we I also was really conscious of making sure that. That everything worked out as well as a cut I was conscious of my agent who worried about that. I did have to additional diabetes. But other than that it was it is a perfectly natural healthy pregnancy and delivery. You know okay well. Yes -- -- there -- you're hearing though is. Really fundamentally good understanding of one's sense of -- in terms of health. And it. Even though this may not have followed sort of the script that one might have thought about you know just from the get accustomed to speak. You know it sounds like both pregnancies were entered into with some amount of forethought in mind for months. Regarding you know what does it take to be healthy in the insurer sort of the safest and and and an optimal outcome of pregnancy and that's really what's key. In -- year. 2535. Or 45 what's key is that you actually approach the pregnancy with. Understanding and strategy. He made it sound easy and you're just the -- expect. Recognized for every -- or -- we're gonna take a break we're gonna come back and I wanna talk about the benefits of being. A more mature -- But also from the doctor some of the issues that some might face to stay with -- what you -- I'm Angela under the W. -- -- subject right now -- Women who -- Anywhere from 35 to 45 and we had two great mothers here who each had their babies when they were 39 years ago. And we also joined by doctor Robert -- and who is a professor of clinical obstetrics and gynecology. At LSU school that's. Interesting to listen how each of you ended up with your precious children. Whatever but at 39 it was a little different. And so. And I'm very impressed that you both clearly valued that this was. A wonderful thing. That's maybe little unexpected but a wonderful thing and then went in to help them. Yes definitely look for us also. My husband is ten years older than me and had then. He had had two children in a previous marriage and then. And actually happens to me. So after we were married for a few years he had reversed. And then actually had to have reversed a second. I'm not one of those -- you can average and in world -- And my husband I mean now he endured quiet and out well and I don't commercials do work they did. -- And we know how much -- And Stan and that it's really really excited. To have a third child and turn it. I'll moments absolutely. I wanna go back to -- wanna go back and see what your life is like as a mother that starts at 39. But I'd like to -- the doctor because we do here that the risks are greater. Both for mother and child could you talk about first for the pregnant mother well. I think we heard just you know mentioned a short while ago that one pregnancy experience gestation diabetes. And we know that when looking at underlying health conditions as all of a structure. We know as a fact of life you know as we enter our thirties 40s50s. The frequency of underlying health conditions such as diabetes hypertension. That's more prevalent. And so we do see as -- -- -- moves -- on the that that those conditions -- more frequent and those are clearly conditions that can have an impact. On pregnancy outcome both for the health of mom and in the it. And so either you know whether it's underlined hypertension or diabetes. Or it's pregnancy related. Hypertension -- gestation diabetes. We see that these occur more frequently. As we become more mature now with with pregnancy and so we have to account for this. Which means being mindful in terms of screening. As well as counseling patience what some of the signals maybe for some of those conditions. And being aware of you know that these are things when we have discussions either pre pregnancy early pregnancy. You know anticipate that these -- these may be things that we have to navigate. As we move later in the pregnancy so those are two examples of that clearly we see with concern some level of frequency. Are we see a higher -- caesarean births. And on on the the infants -- we see that the preterm birth rate sometimes. Move up a bit. I think we heard some discussion earlier in terms of the experience of going through fertility treatments. We know that over time fertility rates change. And so the risk of miscarriages of higher. And the need to sometimes look at additional resources in terms of fertility management. It's it's a bit more frequent. So these are things we have to we have to encounter. But we can do so successful I think that's the important message. We can do so successfully. -- as long as we have a good understanding of what we're faced. One other one other thing to think about and again going back to my point that the health of the mom is really what's key. What we see is that if we have a mom who is forty who's fit and healthy has a healthy lifestyle. They can clearly have. A far better pregnancy outcome and someone -- 2.5. Who has underlying health conditions that are present themselves. And so really mean you know the focus is that in whatever the ages. To have to look at underlying health and fitness because. Sometimes women who are younger will do worse. Because of some of the health conditions but I think there is interest you know whereas you know the the the benchmarks may be different you know if you're. Otherwise healthy have and very mindful lifestyle even you know if you're 383940. So you have to consider that but being being aware that there may be some additional risk considerations is really the first. And and what about for the baby itself we. We often appeared that there there's a higher chance of mental retardation for instance is that the case. I think that's a little bit of a misnomer bomb you know I think there are a couple of things to recognize when we're talking about physical birth defects com. For the most part that's not. Dramatically impacted by -- I think the one area that probably gets the most publicity is around Down syndrome which can be associated with changes in cognitive ability. Four for for children and individuals. We know that there is one category of chromosome disorders in which. Either there is an increased. Number and the words we normally a 46 chromosomes so we're carrying more than happy and you we have different syndrome that we can see -- their missing chromosomes and those. Those types of occurrences do. Present themselves more frequently as a function page that's the one thing that we're mindful of and we discussed. In terms of counseling and in terms of looking at options for screening and protesting. -- -- In terms of just simply developmental disorders. We don't necessarily see -- but you know a big change in in in birth defects or her mental capacity so to speak. One thing is interesting in in the study that I looked -- not too long ago is that we know that there's a higher occurrence of preterm birth. As wants a more mature with pregnancy. But there was one study that actually showed amongst children were born premature. That those were born to moms who are in their late thirties and were in their forties. Actually. Over over that window of transition in terms of being premature newborns actually do better. And so they're they're different factors that we probably don't completely understand. That those those kids actually do better even other preterm and even though they do have risks. Pre term -- -- from say a mom who is forty. Actually they're there are some studies suggest that those kids while somewhat fewer complications and preterm cute. From -- 25. And so you know there are few examples of that sentence not saying that's proven medical gospel but there there's some studies which have identified that. And so that's that's something to be aware. You know you -- very interesting that someone -- forty could have fewer issues. Than some 125 just based on health. Are you saying because I only ask this because we've done so many programs. On obesity. That in younger women who are obese are having issues in pregnancy or even getting pregnant. Without question without question we know that obesity is we should recognize that is as -- as health condition -- factor. And I think we've seen you know are major medical groups. Identified that so that we can. Apply in a medical science and and and management. Well accordingly. I have the chance to comment all along an article that was those published. About a month ago. In one of her major step for journals in fact there were several articles and identified that still birth rates. Unfortunately complicated pregnancies more frequently. That that occur amongst among others who were significantly. Overweight. And so. Yes we know that obesity is -- is a health risk not just in general. But we can have -- can decent specific health risk that occurred during pregnancy. -- time in and we clearly necessary and rates may be hiring certain types of birth complications occur a bit more frequently. We see higher occurrence of pregnancy diabetes. And we know that there is a road map four for the -- sometimes is not quite as optimal. In that setting so is so that's a condition just like hypertension. Just like diabetes just like underlying. Save significant -- or disease and other other conditions that can happen impact. It's one that we have to to to be mindful of one of the best things to two I think approach or in our approaches. When you have something that's an underlying condition. Whether it's related to obesity hypertension and etc. A planned pregnancy with 83. Conception health assessment is is really critical. With your with your view this primary care physician and importantly your your gynecologist. On that strongly endorsed by the American congress of a -- of obstetrics and gynecology. And it's also strongly endorsed by the Centers for Disease Control. And it makes a huge impact in pregnancy outcome in overall health outcomes. On win their underlying conditions we I can't emphasize that you know more. Stay with us everyone we're gonna continue talking about more mature mothers who were gonna talk to our two moms about what it's like to be forty and one year old. Right after this. Well we're talking to two moms -- sheet and on Andrei price both 39 years old. When they first gave birth and we also have doctor Robert and open -- professor. That's at LSU Health Science Center. I wanna go to our moms because I think a lot of people wonder but certainly you must have had friends who -- up. Might get when you were forty with your one year old. Might have had people they're kids in high school so -- an interesting dynamic for how you integrate your life. I definitely think so I my sisters and me and she has -- of course her daughter's fifteen now. And it is it is difference to use sort of run. As a forty year old mean. I was established -- high school English and I was department here at the time and I had a pretty significant. Work life. That I had to -- and my sister -- Is is a wonderful. You know she was younger so she was earlier in her career path and -- iPad will be more flexibility. Her and she she could. Do things differently and I could mean I was pre. School. And wanted -- I think that that sort of life that I had already setup. Was in play when I had -- one year old to the world and now and your world. And that's something that I don't think that my sister who was younger. Just yet. Her first child -- had to worry much about her -- and I mean you are older but I do think that. Has and I both agree that she uses the energy you know we will go swimming at 5 o'clock because she wants to do this things. Because we want those things for her and we don't wants I don't want her. Her memory of me to be my mom was always tired. And yeah at -- as I care I mean somebody who -- energetic and now in and did things with it but it is. FFF I don't think it gets worse I think the I think for me one of the challenges is was and continues to be. Their moms of these children my sense -- that might be younger so might be harder to connect or. We just might not have as much as in common. As. You know I guess we think about going to the playground and talking to the other parents and and more and more I think there are other. Parents that are similar in age but. I'm but it can be a little awkward sometimes in and I know I've read some things on. Different web sites that are dedicated to older moms and talk to some. Moms and my work it's apparent senator who are older who have that experience to have not necessarily feeling like they have a lot in common with the other moms that are. Of the children their their child's age -- that Andre and I have talked about being older moms is that. The grandparent -- my son has one grandparent. Among us in and I really would have liked for -- -- have met my father who died in 2005. So that's a little painful and perhaps his last support. Then there might have been and that's a difference as well. It is that the -- my. I'm my mother died in 2005. As well and some might -- a grandfather. Yeah you know she doesn't have seen experiences. That I activist and two weeks -- house. You'd have that. Living here in New Iberia only here. You don't have a theme -- year. And oh when I'm sick and needed to take -- day offices to do something. That I don't have that security. In my mother's they would. And that that is definitely. My daughter's well it's you know she. It's possible you know. Parents for her. That sort of thing that I think about as an -- You know that will be there for them. It's. Fair -- I. Those sort of things that I think about that I definitely. That may. Be there. I -- that I don't have as much safer. And way more money in the B if I'm 23. A bunch of time for them. 91. No pressure the original. -- -- -- -- -- -- -- -- -- -- Lots of pictures and talk about. My grandmother and because that was important. Assortment somewhere and I can't. The kids you have that. Have a strong instances. Self confidence and that's an experienced. It we have this heritage especially strong women. And she knows that those that. That's the -- and it. Your wonderful mother that's not -- -- another quick break we'll be right back but I also wanna hear. What some of the joys are of being holders some of the benefits. Of not being 23 but being 3940. Stay with us we'll be right back. We're back talking to some wonderful mothers who -- a baby's 39 years ago. And not in the column picture you're 39 -- -- -- you know one he's one of the Houston let's talk about some of the benefits of being a little battle. I definitely think that I have more patients. And a little bit more self awareness than I -- and I was younger hopefully by self awareness and that just makes me really be able to parent more consciously. Then I I think I would have been able to when I was younger and certainly the idea of it being sort of a hard one. Parent situation makes me really value it and and think about what at what kind of a parent I want to be in a way that I don't know maybe I would have. If I had had a baby younger but but I like to think that man maturity. It certainly. Adds to that. And we were talking in the commercial about. They're all kinds of reasons perhaps why weren't getting this increasing numbers in women who are having children later in life. Certainly it is because women have gone into professions. That before ripped open. And so now they are and that kind of commitment changes things and I think and I met on a know it a woman who was 32. And really struggled at that point and said if I'd known then that as we struggle a would've had him earlier in -- also about almost educational process. And it is somebody says mother nature kind of does dictate some things science helps. And certainly my gosh. Thank heaven for so many who want children that they do have these incredible things. I'm just curious of from the good doctor. Do men have the same issues of aging. And reproduction. Not -- Not for -- in the same way and I think it's because we were not. -- blast with the opportunity to actually host the pregnancy. Armed and I say there from the standpoint of -- There are substantial changes in physiology. In terms of the actual demands. On the Bonnie from pregnancy. For instance. The amount of blog that the heart has to pop. All throughout the entire circulation. -- including. The developing. And that. Is about 50% greater. Than for any of us otherwise walking around outside a pregnancy. And their host of other changes in demands in terms of the way the body responds. And so because of that. Because that's not something that men are faced with. It doesn't have quite the same effectiveness I think that the biggest issue as well as a fertility. This from fertility standpoint and again that often in many respects goes to one's. Fitness and and helped. And so there's a little bit more. Longevity in terms of fertility for men. If there otherwise healthy and fit in on medications that impact that. Com. But. We don't because we're not in position having actually host the pregnancy so to speak. From the changes physically that bit that we may encounter as we mature so to speak on don't have the same impact on when the child during the process. I'm curious to two to two mothers your husbands who each have children. Who are older do they feel that there are different fathers. With your children. I would say yes my husband and I know that he -- He was younger I think that it and he has. That place in his career where he has more time for doctor. He's not working time he has time he takes p.'s. You know they have daddy daughter isn't that sort of thing that. I think. Does it wouldn't happen we had children. When we were younger. And I think it is ours -- thinking they left him. He's an amazing -- He's just extra. It definitely my husband. When my -- 127 and thirty and my husband was a young Marines. When he was married the first time. In fact he had my stepson in Italy. So he. Was he had a lot more demands on his time and wives was working a lot. With Charlie he actually had a schedule where he was able to. Stay home for a few hours a day. For about half today for the first two years attorneys. So he was able to hit the luxury. Of being held hands -- dad and I think he talked to me about the fact that he wished. He had had more of that opportunity. With his first. -- I would say is this and sort of as from my father standpoint that we've because we started our family in our early to mid thirties. It's nice. At this point having teenagers. To be more at a point professionally where. I'm more control of -- mine professional responsibilities. And so when it comes to taking time to support their activities go to in the softball games and you know all the myriad of things that that we have to do running around behind teenagers. -- -- the place in my career. Well I have some leverage in control over that where you know -- you know become a dad when I was you know twenty some years old. You know I'm in in this profession are probably would have hit the teenagers in a window. Where the demands would have been such that I really wouldn't of had the flexibility. To take off to dubious of that you know when it really matter. And so there clearly are some advantages you know from the polish standpoint. But today if the whole the whole thing is so interesting it's a dynamic that we're clearly seeing a change in our. In our country and in our community and I really appreciate you all being so open about it I thank you good doctor very very much -- gonna have you back. But older can be better. I thinks that's it that's the bottom line thank you so much we'll be right back. Appreciate you all listening we'll have another great day tomorrow enjoy the rest of yours now let's go to the newsroom.