Pregnancy Over 35: What You Need to Know
By Dr Stephen Cole — Obstetrician, Melbourne
More women than ever are choosing to start or grow their families in their mid-30s and beyond — and that’s a positive thing. If you’re 35 or older and considering pregnancy, or already pregnant, you’ve likely come across terms like “advanced maternal age” or “high-risk.” But what do they really mean? And what should you expect?
At my practice in Melbourne, I see many women in their late 30s and early 40s — and the overwhelming majority go on to have safe, healthy pregnancies and births. Here’s what you need to know.
👩⚕️ Is Pregnancy Over 35 Really “High Risk”?
Technically, yes — from a medical standpoint, age 35 and up is considered advanced maternal age. But don’t let the term scare you. It simply means we take extra care to monitor certain factors.
The risks do increase slightly with age, including:
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Higher chances of gestational diabetes and high blood pressure
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Slightly increased risk of chromosomal conditions like Down syndrome
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A higher likelihood of needing a C-section
But risk doesn’t mean inevitable. It just means we watch more closely — and that’s where tailored care comes in.
🩺 What Does Care Look Like?
With private obstetric care, you’ll benefit from:
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Early and thorough screening
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Regular monitoring of your baby’s growth and your health
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Options like NIPT (non-invasive prenatal testing) for chromosomal screening
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Flexible birth planning based on your preferences and medical needs
As an obstetrician with experience in high-risk pregnancies and twins, I’m here to help you feel informed and supported every step of the way.
💬 Common Questions I Hear from Women Over 35
“Can I still have a natural birth?”
Yes — many women over 35 go on to have spontaneous labours and vaginal births. We’ll talk about your wishes and tailor care accordingly.
“Do I need IVF?”
Not necessarily. Age can affect fertility, but many women conceive naturally well into their late 30s and early 40s.
“Will I be treated differently?”
At my practice, you’ll never be reduced to a number. You’re a person, not a statistic — and your care should reflect that.
🤰 You Deserve Personalised, Calm, Expert Care
Pregnancy over 35 isn’t a medical emergency — it’s a life stage.
With expert support, close monitoring, and a calm, personalised approach, you can enjoy your pregnancy feeling confident and cared for.
If you’re looking for a private obstetrician in Melbourne with experience in advanced maternal age, high-risk pregnancies, or twins, I’d be honoured to support you.
📍Let’s Talk
Appointments available in East Melbourne.
You can deliver privately at Epworth Freemasons, St Vincent’s Private, or Frances Perry House.