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Pregnant at 41: Fears and ensuring a safe delivery

Dr Nandita Palshetkar | Answer |Ask -Follow

Gynaecologist, IVF expert - Answered on Nov 04, 2024

Dr Nandita Palshetkar is the medical director of Bloom IVF.
She is a pioneer in ICSI, laser hatching, spindle view, oocyte and embryo freezing, IMSI, in vivo vaginal culture, metabolomics, embryoscope and spindle check technologies.
With over 30 years of experience, Dr Nandita is managing 10 centres across India.
She has written over 100 papers, edited 25 books and given over 1,000 lectures and speeches.
She has also won several prestigious awards, including the Dronacharya Award (2021), the Bharat Gaurav Award at the House of Commons in London (2014) and the Inspiring Gynaecologists of India (2018) to name a few.
Dr Nandita completed her MBBS from Grant Medical College and Sir J J Hospital, Mumbai, and her MD in obstetrics and gynaecology from Mumbai University."... more

Asked by Anonymous - Oct 10, 2024Hindi

Health

I am 41 and my husband is 45. After 3 miscarriages, we are having our first baby after 10 years of marriage. I am scared and anxious because of my age. Will there be any complications to the baby? My gynaec has advised some genetic tests but I am worried about the results. How can we ensure to have a safe delivery for a healthy baby?

Ans: Since you are 41 years old, had three previous miscarriages, and were conceiving after ten years, there were certain measures that needed to be taken.
1) To have a BOH profile completed in order to gain insight into specific blood characteristics that aid in determining whether aspirin or low molecular weight heparin (blood thinner) is necessary.
2) Taking age into account, keeping an eye on blood pressure, blood sugar, and weight growth during pregnancy
3) To use an early screening scan for routine screening to find any type of congenital abnormality, use an anomaly scan or NT scan with dual markers.
4) To use nipt for accurate trisomy 21, 13, and 18 diagnoses
5) To do routine prenatal screenings with routine blood work and scans
6. To keep up wholesome eating practices. Protein supplements or a high-protein diet in the form of powder or biscuits.
7) To practice meditation yoga. Breathing techniques to preserve mental health
8) To adhere to your obstetricians' advice on the choice between vaginal birth and elective LSCs
9) To take multivitamins together with iron and calcium supplements.
10) To finish the influvac and tetanua vaccination program with booster shots

DISCLAIMER: The answer provided by rediffGURUS is for informational and general awareness purposes only. It is not a substitute for professional medical diagnosis or treatment.

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Asked by Anonymous - Jan 19, 2023Hindi

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Hi Dr I had my first child at 31. My son is 6 years old now. I would like to try for a second child. Do you think it would be okay? How can I check and ensure I have a healthy pregnancy? Will my age be a factor in the health of the second child?

Ans: 31 seems to be an appropriate age for sure to plan the next baby. Since you are beyond 30 years of age, it would be worth while doing a basic health checkup around your hormones and basic sugar levels, vitamin D B12 and hemoglobin levels before planning the pregnancy starting folic acid supplementation. Would be appropriate. Stopping any kind of recreational drugs, smoking or alcohol and bit of lifestyle optimization like increasing proteins, fresh fruits, green vegetables, nuts, seeds and berries and the diet and starting some form of exercise would be useful. To ensure a smooth pregnancy.
Anti-mullerian hormone or AMH levels prior to planning a pregnancy will be helpful in discerning the fertility, the probability of getting pregnant and also. Appropriate or good image levels usually ensure a healthy pregnancy during pregnancy screening of the baby with a Nuchal translucency and nasal bone or level one scan bit around 12 weeks, a double marker subsequent to the scan if need be. A NIPT screening and a level 2 ultrasound usually, or level 2 ultrasound or an anomaly scan usually ensure that the fetus is more or less normal. If any other advanced investigation is needed, that too can be done during pregnancy. To ensure the the health of the baby.

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Question by Hemant - Apr 06, 2023Hindi

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Hi i m 41 yers old and my wife is 40 .we have one child. We planned next kid one year back but after 7 month my wife got some complications and after doctors advise we abort that ..now i want another chance but my wife not ready ..she is always wory about age. Can we plan or not or it will any difficulty in delivery. Please guide us. Thanks.

Ans: Hello. It is true that with increased maternal age chances of birth defects in the child are higher, however, we now have very good methods of checking for these defects early on and taking preventive action one way or another. If both of you are desirous of another child, I would say it is quite safe to try in the next 2-3 years also. All the best!

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Question by SHASHANK - Jun 15, 2023Hindi

Relationship

I'm 48 unmarried n looking gorward to get married. I once suffered with bladder cancer which is cured. Also takes medicines for epilepsy which is under control. I'm in contact with a 45 yrs old girl who is feeling unsecured of getting married as she thinks that its too late to get married n there will be complications in conceiving a baby. Pls help how i can assure her a good life even if we are not able to hv our baby. Is it really a problem in having a baby at this age?

Ans: Having a baby at your age can be challenging, but it’s not impossible. Plus there is your medical history to consider. With the help of medical science today, however, there are a lot of options available for you to explore. That said, the grounds for marriage should not be whether or not you can have a baby together. Many couples opt not to have children even when they can. Marriage is spending the rest of your lives together as a couple, not merely to have babies. If that is her mindset, maybe it’s not the best idea to keep pursuing her.

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Asked by Anonymous - Nov 28, 2024Hindi

Health

What are the chances of your baby having Down syndrome if you conceive after 35? My husband is 39 and I am 37. We are planning to have a baby but I am also worried about these complications. Please help.

Ans: Considering your age 37 and husband 39 and planning to have a baby
The chance of having a child with Down syndrome increases with the mother's age:
Age 25: The chance is about 1 in 1,200
Age 35: The chance is about 1 in 400
Age 40: The chance is about 1 in 100
Age 45: The chance is about 1 in 30
If you're over 35 and thinking about getting pregnant, you can:
Get genetic counseling to learn more about your risk
Get regular checkups
Eat a variety of healthy foods
Get regular exercise and plenty of rest
Avoid smoking, vaping, drinking alcohol, and using cannabis or other drugs
To start folic acid (vit B6 and B 12) and DHA 3 months prior to conception.
Learn about prenatal testing for chromosomal conditions like your gynae will perform serial ultrasound at different trimesters like NT SCAN, anomaly scan, fetal 2 D echo and blood markers like dual marker and NIPT to rule out any form of congenital anomalies.

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Question by yashu - Jan 08, 2025Hindi

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Hi I have a 5 years old son now I’m planning a second child, 6 months back I got pregnant but at 12 weeks I had a miscarriage. I’m 36 years old I don’t have any health issues. My baby was also fine.but still I had miscarriage????now I’m again pregnant after 6 months now I’m again having same problem doctors are says this is not a healthy pregnancy I have to abort it...I’m so worried about it. It will be my second abortion I don’t know why this is happening to me.

Ans: History noted
You are being 36 years with one delivered child and 1 miscarriage one at 12 weeks and another at early pregnancy:
It is advisable to Diagnostic evaluation should include maternal and paternal karyotypes, assessment of the uterine anatomy, and evaluation for thyroid dysfunction and immunological causes, APS, and selected thrombophilia's. In some women, evaluation for insulin resistance, ovarian reserve, antithyroid antibodies, and prolactin disorders may be indicated.
To do semen analysis also
To check for DNA FRAGMENTATION
TO DO hysteroscopy to evaluate the uterine cavity and rule out chronic endometritis.

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Dear Sir, I did my BTech from a normal engineering college not very famous. The teaching was not great and hence i did not study well. I tried my best to learn coding including all the technologies like html,css,javascript,react js,dba,php because i wanted to be a web developer But nothing seem to enter my head except html and css. I don't understand a language which has more complexities. Is it because of my lack of experience or not devoting enough time. I am not sure. I did many courses online and tried to do diplomas also abroad which i passed somehow. I recently joined android development course because i like apps but the teaching was so fast that i could not memorize anything. There was no time to even take notes down. During the course i did assignments and understood the code because i have to pass but after the course is over i tend to forget everything. I attempted a lot of interviews. Some of them i even got but could not perform well so they let me go. Now due to the AI booming and job markets in a bad shape i am re-thinking whether to keep studying or whether its just time waste. Since 3 years i am doing labour type of jobs which does not yield anything to me for survival and to pay my expenses. I have the quest to learn everything but as soon as i sit in front of the computer i listen to music or read something else. What should i do to stay more focused? What should i do to make myself believe confident. Is there still scope of IT in todays world? Kindly advise.

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Question by Visu - Aug 01, 2025Hindi

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I am 61. I have a partial removable denture(upper). I also have bridges in both upper and lower. I was suggested to go for implants. Will it be okay to go for implants at a later part of the life. Is it safe both health and moneywise ? Will it be cheaper if we go for full implant with 4 in one ; if so it may need to wait for few more year let other teeth will also fall.. Please guide and advise on implants

Ans: Hello

Please be assured, AGE isn't a barrier for implants. But overall health is a factor. Your dentist will assess your bone density, gum health, and general medical history before he places your implants.

Implants have some definite advantages over removable dentures. They provide a stable and secure fit, improved chewing and speech.
And with proper care may last for 10-15 years or more.
On the negative side, upfront cost of implants can be higher, surgery cannot be avoided and healing can take 3-6 months.

Cost-wise, Implants can be more cost-effective in the long run.
"All-on-4" implants might be cheaper than individual implants, but waiting might lead to deterioration of bone health, making the process more complex.

Consult your dentist about:
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- Timeline for the procedure.

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My 12 year old son has 2 parallel lines of teeth. One front and the other behind. So far in the behind only 2 teeths are there one in each side. Will this cause any serious issues for him? He has speech problem. Could this be the reason? Does he need to take any immediate corrective procedure?

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My front teeth is broken I fell down from my bike while dog is chasing me . I went to dentist i got broken teeth cemented . dentist advised me not to chew anything with cemented teeth it's a life time instruction. It is very discomfort to me .Is there any treatment such that I can chew even with repaired tooth

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Hello Sir/Mam, Currently I'm investing in SIP as per below for the last 3 years, my goal is to achieve 2 crores by the next 10 years. Please suggest me if these MFs are good or any rebalancing is required. I'm planning to increase the SIP by 10% each year. Parag Parikh Flexi Cap - 5K Aditya Birla SF BAF - 2K SBI Large & Midcap - 5K Quant Small Cap - 3K SBI Gold Fund - Growth - 5K Canara Robeco Large cap - 5K Thanks.

Ans: Hello & thanks for writing to me.

Your portfolio is well-allocated across flexicap, large & midcap, small cap, BAF and gold, offering a balanced mix of growth, stability and diversification.

Given your 10-year horizon, keeping a higher allocation towards flexicap and large & midcap funds is appropriate, as these categories help manage volatility while still capturing long-term growth. The small-cap exposure adds additional long-term growth potential, while the Balanced Advantage Fund (BAF) provides stability through its dynamic asset allocation. Your gold allocation further supports diversification and can cushion the portfolio during equity market stress.

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My married ex still texts me for comfort. Because of him, I am unable to move on. He makes me feel guilty by saying he got married out of family pressure. His dad is a cardiac patient and mom is being treated for cancer. He comforts me by saying he will get separated soon and we will get married because he only loves me. We have been in a relationship for 14 years and despite everything we tried, his parents refused to accept me, so he chose to get married to someone who understands our situation. I don't know when he will separate from his wife. She knows about us too but she comes from a traditional family. She also confirmed there is no physical intimacy between them. I trust him, but is it worth losing my youth for him? Honestly, I am worried and very confused.

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I understand how difficult it is to let go of a relationship you have built from scratch, but is it really how you want to continue? It really seems to be going nowhere. His parents are already in bad health and he married someone else for their happiness. Does it seem like he will be able to leave her? So many people’s happiness and lives depend on this one decision. I think it’s about time you and your BF have a clear conversation about the same. If he can’t give a proper timeline, please try to understand his situation. But also make sure he understands yours and maybe rethink this equation. It really isn’t healthy. You deserve a love you can have wholly, and not just in pieces, and in the shadows.

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Asked by Anonymous - Dec 02, 2025Hindi

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Hi Anu, My husband doesn't do house chores. We both work full-time, but I still end up cooking, cleaning, and doing laundry. When I ask for help, my partner will say, ‘Just tell me what to do,’ but then he conveniently forgets. Maybe he doesn't like it or he is genuinely forgetful. I have tried many ways to make him explain. Once I only did my share of laundry to make him realise but he simply ignored. Every week this pattern repeats. Is this normal? How can married couples divide responsibilities fairly to avoid fights?

Ans: Dear Anonymous,
Every home has a different routine and share of responsibilities. So, there's no standard norm to challenge it as normal or not!
So, if you want your husband to pitch in, then say it in clear terms, especially since he has told you to tell him what to do.
Once you have told him, do make sure to ask him: Will you find it convenient to do it now or later? If later, when?
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Question by Santosh - Oct 20, 2025Hindi

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Feeling alone in the world and iam not having any close friends everybody is busy with their works and family, help me what to do

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A humble effort in this direction can change the state that you are in.

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DISCLAIMER: The content of this post by the expert is the personal view of the rediffGURU. Investment in securities market are subject to market risks. Read all the related document carefully before investing. The securities quoted are for illustration only and are not recommendatory. Users are advised to pursue the information provided by the rediffGURU only as a source of information and as a point of reference and to rely on their own judgement when making a decision. RediffGURUS is an intermediary as per India's Information Technology Act.

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