A growing share of Americans are opting to start parenthood later in life, having their first children in their late 20’s, 30’s and 40’s. In 2021 close to 1 of 5 pregnancies in America were among people 35 and older, along with almost 12 % of first pregnancies.
Women are increasingly choosing to prioritize their careers, wanting to establish themselves professionally and financially before having a child. Owning a home, earning a certain amount of money, paying off outstanding debts are also considerations.
These changes indicate strides toward greater gender equity, but health care hasn’t necessarily kept up. Pregnancies after age 35 present challenges in a medical system that was already besieged by poor health outcomes for pregnancies. The disappearance of federal abortion protections has added a new layer of complexity for Americans getting pregnant at any age, but especially for those pursuing parenthood later in life.
Pregnancy over age 35 faces higher chances of miscarriage and still birth, as well as greater risks of complications that could threaten the health of the mother to be or the fetus. As women age it is unclear that the U.S. is prepared to care for its growing cohort of older first time parents.
” The fact that it is more possible for women to have births when they want to have births seems to me to be an unambiguously good shift,” said Lucie Schmidt, an economist at Smith College who focuses on economics of the family. “But there are implications we haven’t grappled with as a society.” (from: As Americans get pregnant later in life, can health care keep up? https://19thnews.org/2023/12/pregnancy-older-parents-health-care?i…)
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