Women Over 35 Told to Keep Contraception Despite Infertility Messages

Launching its new campaign, Conceivable?, the FPA warned that age alone is not a barrier to birth.

"It's important that women realize it's entirely conceivable that just one night of unprotected sex in your late 30s, 40s, even 50s can end in an unplanned pregnancy."

Data for England and Wales shows abortion rates among women aged 40 to 44 are the same as for under-16s - four per each 1,000 women.

Other figures from the Office for National Statistics reveal women between 30 and 34 continue to have the highest fertility rate, at 113.1 per 1,000 women.

But the rate among women aged 40 and over has more than doubled since 1988, from 5.1 to 12.6 per 1,000 women, with more than 26,000 live births to women in this age group in 2008.


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Rise in unwanted pregnancies shows women remain fertile beyond age of 35

Stock photo by mmagallan
THE myth that women become infertile when they hit 35 is being exposed.

More and more of us are having unplanned pregnancies in our late 30s and 40s.

While many over 35s do struggle to conceive, figures show the birth rate in over 35s has shot up.

The truth is, if you are still having regular periods and unprotected sex, you could become pregnant.

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Sex after 40? Women get a chance to talk about it

Picture by bjearwicke
Here’s a wake-up call for anyone who thinks mature women don’t have to think about unwanted pregnancies.

Half of the pregnancies among women over 40 are unintended and 65 per cent result in abortion, said Kelty Moser, executive director of the Pictou County Centre for Sexual Health in New Glasgow.

Rising divorce rates mean more women in mid-life are encountering new sexual partners than in the past, and they aren’t accustomed to using condoms because the practice wasn’t taught when they went to school more than 20 years ago, Ms. Moser said.

Read more: http://thechronicleherald.ca/NovaScotia/1122584.html

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Mom or Grand Ma...menopause Knows

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Whenever you see an older woman with a baby are your first thoughts, "Oh, what a sweet grandbaby!" Ha! You better hold your tongue.

It's more likely one of two things: A baby who has been desperately awaited by a previously infertile couple, or a baby that is a surprise gift, as result of a menopausal missed call. The latter scenario is more common than you'd expect - more than 70% of pregnancies to women over 40 were not planned.

Read more: http://www.articlesbase.com/health-articles/mom-or-grand-mamenopause-knows-744936.html

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Calculate probability of spontaneous ongoing pregnancy

I tried doing some calculations for a 48 year old woman (oldest age they list) and got:

The calculated probability of a spontaneous ongoing pregnancy within one year is: 36.1%
__________________________________

Note the page says:
This probability is not reliable in case of :

* - Women with ovulation disorders
* - Men with severe male factor (Total motile sperm count = volume x concentration x % motility <>
* - Women with 2-sided tubal pathology.


Try it out at: http://www.freya.nl/probability.php and let me know what you get!

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Despite physical toll, more over-40 women having babies

Kim Cabral of Brewster thought she was in early menopause. Instead, she found out she was pregnant.

In April 2006, Cabral gave birth to her third child, William, at age 45. During the pregnancy, she was "shocked and scared," so convinced was she that at her age the baby would be born with birth defects. She also discovered that childbearing is a different story after 40.

"I was preparing myself for (birth defects) by talking to friends and doing research," says Cabral. "I can tell you that having a child in my 20s, 30s and 40s had extreme differences each time."

Cabral is hardly alone in learning that lesson. On March 16, Oscar-winning actress Halle Berry, 41, gave birth to her first child, a girl. The number of U.S.-born women ages 40 to 44 giving birth has tripled since 1982, according to a recently published report from the Public Policy Institute of California. The numbers rose during that period from 3.5 to 10.5 births per 1,000 women.

Sally Goldberg, a parenting specialist and author of "Constructive Parenting" (Allyn & Bacon, 2001), points to an "increasingly complex society" for those escalating figures, with women getting married later and waiting longer to have children.

"A major reason for waiting longer is getting their careers under way. Another is the rise in infertility," she says. "It takes a while to determine that infertility is a factor and then even more time to treat it. A third reason is finances. It costs a lot to raise a child, and many couples need the time to save up for the responsibility."

But women have so many responsibilities these days that having young children can be especially stressful for women in their 40s.

Besides full-time jobs outside the home, Goldberg says, "Moms also have the mom-full-time job — basically 40 hours of work plus the additional 24/7 responsibility." Many moms are also students, full time or part time, plus "we all know it takes hours of work to take care of a home, and hours of work to love, honor and cherish a mate." Mom care — the hairdresser, clothes shopping, doctor visits, etc. — "all take time, so the list goes on."

Different decades

In her 20s, Cabral had had tons of energy, bodysurfing waves off Wellfleet the day her water broke with the first baby. And it was a good thing she had that energy.

"My son Rob was and still is my most active child. He could do a running flip from the ground at 3," she says. "I was also very socially active and took Rob to a lot of (political) demonstrations."

While carrying her second child at age 33, Cabral was "thrilled." As director of Kit Anderson House shelter in Hyannis, she worked until three days before her due date.

"I gave Rob a birthday party at an arcade — and that night, delivered Autumn. She was born in less than three hours, and Rob and Autumn have the same birth date! But I was so exhausted being a working mom, I didn't get to enjoy her babyhood like I wanted."

Time went on, and Cabral became a preschool teacher. Life changed when she started feeling strange.

"I figured out I was pregnant with William by the second month because my period hadn't come and I was tired and dizzy all the time," she says. "With William, it was entirely different from the beginning, mostly from the fatigue factor and I had morning sickness from the second month throughout the rest of the pregnancy. ... Then I had an ultrasound — and there he was — it looked like his hand was waving."

Cabral's doctors immediately let her know she had beaten the odds: There is only a 7 percent chance that a woman in her 40's can conceive naturally. Most women that age conceive through artificial insemination or donor eggs. There were also warnings.

"The OB-GYN laid it down for me," she explains. "At this age there was a huge risk factor. Down syndrome is the biggest risk for women in their 40s." In addition, the risk of miscarriage increases with age.

So it should come as no shock that this most recent pregnancy was hard for Cabral.

"I left my job two months early. I was so exhausted I just knew I couldn't do both."

Benefits, too

Being an at-home mom has been a different experience. Cabral acknowledges, "I felt isolated at first, but as William grew, we joined baby yoga and play groups. It's true I don't meet many women my age that are mothers, but that's OK. I have to also say this time around is very tiring, but I love every minute."

Stacey Horton, 43, of South Yarmouth is the mom of Will, 6, and Olivia, 3. She agrees with Cabral.

"Universally, our children are a gift," she says. "They bring us joy and teach us our most valuable lessons. They allow us to stay youthful and express our heart's desires."

There are definite benefits to having a baby later in life. The chief one that Cindy Horgan, family support coordinator at Cape Cod Children's Place in Eastham and co-creator of its parenting station, sees is that women over 40 "have a good sense of who they are and tend to be focused on guiding a young child because they aren't focusing on their own identities."

But, like Cabral, Horton feels having young children later in life can be challenging:

"My energy level is not what it used to be, and my stress level has begun to soar. Although our children get along very well, there are typical sibling rivalry issues. These can be extremely challenging, especially being someone who doesn't handle conflict very well. Again, a lesson for me."

Since Will had been born three months prematurely, her second birth was meticulously monitored.

Fortunately, Horton says, "Other than the typical three months of nausea, my pregnancy was fairly easy. Our daughter was born three weeks early, which was perfect for me."

Advances in medicine that allow that monitoring have helped more women conceive after age 40 and stay healthy during those later-in-life pregnancies. While there are more risks for that age group now, the risks were even greater a generation or two ago.

Taking a chance

One mother of six — who did not want her name used, but is affectionately called "Mama Jean" by friends and family — had her sixth child at age 41, in 1964.

"I was lucky to have six kids without any problems back then, especially since my blood was RH negative, which could cause health problems to the baby," she says. "I only stopped having children at 41 because the doctor told me I'd be taking a chance at my age to have more."

Back then, Mama Jean shares, "I would have kept having children if I'd been younger."

But nowadays, with priority on education and career before kids, women are willing to wait to give birth. And Cabral offers encouraging words:

"Doctors use new ultrasounds now that trace every physical aspect of the baby to determine the baby's health. So they know early on of any serious developmental and/or physical delays."

Using these new techniques, Cabral was given an ultrasound when she was less than four months pregnant, and then another when she was seven months along. She went through a variety of other medical monitoring, including a stress test, and doctors finally decided to induce labor to encourage the birth. William was a healthy, 9.4-pound baby.

More risks, more stress, more physical challenges — yet over-40 moms say the prize of the tiny life is worth it.

"My daughter has brought me such joy from the moment she was born," Horton says. "Although having one child would have been more manageable, I can't imagine our lives without my daughter. She is a beacon of light and a great sibling."

Cabral agrees. She marvels: "Each child is special, but when you're older, you cherish each little thing. My husband and I were at the playground the other day and he said, 'What would we be doing now without William?' I answered, 'We'd be home watching TV.'"

Source: http://www.capecodonline.com/apps/pbcs.dll/article?AID=/20080330/LIFE/803300305/-1/NEWS

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From 'menopause' to baby for mum

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A 40-year-old woman told by a doctor she was starting the menopause gave birth to a baby seven hours later after having had no idea she was pregnant.

Amanda Morgan, from Neath, gave birth to her 5lb 6oz (2.43kg) daughter Caitlin after leaving the surgery.

She was told she was having the "classic signs of early menopause", but her condition had been misdiagnosed.

The Royal College of Midwives said cases like hers were very rare, but fast labours were often uncomplicated.

The legal secretary, who already had two sons aged 13 and 10 from a previous relationship, described how she gave birth to Caitlin at home 11 months ago.

"It was a complete shock to me," she said. "I'd had no morning sickness or tiredness and had absolutely no bump at all.

"I'm 40 and had decided not to have any more children. I thought my baby-making days were long gone.

"I had only put on about a pound in weight but just thought I'd been snacking too much in the run-up to Christmas."

She gave birth within minutes of breaking the news to her partner Chris Grinter, 42, of the menopause diagnosis after she had seen her doctor.

'Overjoyed'

"My mum died from cancer so I worried there might be something seriously wrong.

"But I was very reassured when my doctor said I was experiencing the classic signs of the menopause. She then booked blood tests at hospital to check my hormone levels."

She returned home after the appointment and complained of feeling "exhausted". She had gone to the bathroom when she felt a "crippling pain".

"There was no time to even shout out to Chris - it was that quick.

"A strange calm took over and with one push Caitlin was out. She barely cried, just wriggled.

"I grabbed a towel and wrapped her in it. I was in a state of shock but also quite calm."

She said her partner's "face went white" when he saw the baby. "He was just gobsmacked - I don't think he could take it all in and I can't blame him."

Mr Grinter dialled 999 and paramedics arrived to cut the cord as she lay in the bathroom.

They were taken to Singleton Hospital, Swansea, and she was told she was six months into her pregnancy when Caitlin was born. The baby was in a ventilator and allowed home after five weeks.

The family are ready to celebrate her first birthday on 19 February.

"Caitlin is Chris's first baby so he's particularly thrilled. We had discussed having a baby - but decided against it because of my age.

"Even now I look back on photos just a few weeks before I had her and cannot believe I was pregnant.

"But Caitlin is the most adorable baby and we are all overjoyed to have her. She is also the easiest baby - a bit like my pregnancy."

Sue Jacobs of the Royal College of Midwives said: "This is only the third time I've come across one like this in my 25 years as a midwife.

"But women do occasionally experience what seem like periods in pregnancy.

"In such cases it's because the bleeding is caused by the placenta and just happens to coincide with period dates.

Source: http://news.bbc.co.uk/2/hi/uk_news/wales/south_west/7211940.stm

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