Questions often arise as to the advisability of pregnancy at certain ages. Advanced maternal age is associated with increased risks of pre-eclampsia, gestational diabetes, incidental medical problems, aneuploidy and miscarriage. While this may sound overwhelming, and translates into increased maternal mortality , the vast majority of mothers in their forties will deliver satisfactorily and should not be deterred from conceiving unless there are specific issues for concern. Often concern about ane-uploidy and miscarriage has a greater influence than maternal disease.
There are occasions when it is advisable to conceive at a younger age than planned, that is, in the presence of mild renal failure a satisfactory outcome may be anticipated, whereas a delay with consequent loss of renal function may result in a very-high-risk pregnancy. The natural history of background medical conditions must be considered when advising on optimal age for conception.
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The first trimester is very important for the mother and the baby. For most women it is common to find out about their pregnancy after they have missed their menstrual cycle. Since, not all women note their menstrual cycle and dates of intercourse, it may cause slight confusion about the exact date of conception. That is why most women find out that they are pregnant only after one month of pregnancy.