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Fertility & Conception
Should women over 40 continue to reproduce.... knowing all the risks??
Pamela13

2495 posts

Posted by Pamela13 on Nov 20, 2009 at 07:09 AM

     

Ok. If you've even glanced at the recent Sarah Palin thread about her book, you know that the topic of her son has become highly discussed. This chart was presented by a poster:

RELATIONSHIP OF DOWN SYNDROME INCIDENCE TO MOTHERS' AGE

Mothers Age

Incidence of Down Syndrome

Under 30 Less than 1 in 1,000
30 1 in 900
35 1 in 400
36 1 in 300
37 1 in 230
38 1 in 180
39 1 in 135
40 1 in 105
42 1 in 60
44 1 in 35
46 1 in 20
48 1 in 16
49 1 in 12

Source: Hook, E.G., Lindsjo, A. Down Syndrome in Live Births by Single Year Maternal Age.

 

Pretty startling statistics.

Armed with this info, do you feel that women over 40 should be making babies... knowing the risks? Down Syndrome is just one of many.

2nd question: If they do continue to procreate, should they do testing beforehand to find out if there's a problem? Why or why not?

How do you feel about this issue?

Replies
166
SAHMto3angels

754 posts

by 

 on Nov 20, 2009 at 07:19 AM

  

  

 If drug addicts and alcoholics can reproduce knowing their chances of having a child with a problem then who is anybody else to stop someone due to their age!!!!!!!!!!!

  

IceePrincess

11937 posts

by 

 on Nov 20, 2009 at 07:21 AM

  

  

PERSONALLY, 30 was my "cut off" age - however, if a woman wants to have a baby at 50, that's her choice. I might not necessarily agree with it, but I'm not the one raising the baby.

ETA: No to the testing...MY baby is MY baby, regardless of whether he/she has DS.

  

Emmers

734 posts

by 

 on Nov 20, 2009 at 07:25 AM

  

  

my anut was 40 and another aunt 38. both tested + for down's and neither of the children had it. So, i dont have a opinion either way as long as the parents know the chances and feel they are prepared for it.



Em

  

Pamela13

2495 posts

by 

 on Nov 20, 2009 at 07:38 AM

  

  


originally posted by IceePrincess

PERSONALLY, 30 was my "cut off" age - however, if a woman wants to have a baby at 50, that's her choice. I might not necessarily agree with it, but I'm not the one raising the baby.

ETA: No to the testing...MY baby is MY baby, regardless of whether he/she has DS.


ICP: I didn't do testing either and I was 38 when I had my son; however, do you think maybe the reason people test isn't necessarily so they can decide to abort... but maybe it's so they can prepare? You know, learn about the disease, prepare emotionally for what it may be like, talk to other parents, etc... ? I could see that being helpful.

  

IceePrincess

11937 posts

by 

 on Nov 20, 2009 at 07:41 AM

  

  

I guess if you go into testing, with no intent to abort regardless, I wouldn't have a problem with it.

  

mommyville

9325 posts

by 

 on Nov 20, 2009 at 07:44 AM

  

  

It's a woman's choice to have a baby whenever she pleases.



 


 

  

M2JAZ

9460 posts

by 

 on Nov 20, 2009 at 07:45 AM

  

  

At age 21 I was pregnant with DS and my quad test came back saying there was a pretty high chance DS had down syndrome.

The quad test is not all that accurate.

Then there were all of the extra ultrasounds where they did measurements of his body every couple of weeks.

Then there is the  Amniocentesis. The really big needle they stick in your stomach and withdraw fluids to test. Or there is CVS the doctor takes cells from tiny fingerlike projections on the placenta called the chorionic villi and sends them to a lab for genetic analysis.  Both  these tests are invasive and carry a small risk of miscarriage. 

 

The amnio and CVS test were not an option for DH and I. Because regardless of if DS had Down Sydrome or not we were having him. So there was no reason  to take that small risk of a miscarriage.

 

Then there are  2  of the risks of miscarriage.

Being over age 35.

Stress.

Do I feel women over age 40 would need to have testing done before they had the baby. No. They should have a choice as well all do.   The testing gives a slight risk of miscarriage.  Their age already gives them a higher chance of miscarriage.  The stress of worrying after the very inaccurate quad test is enough to cause someone to have a miscarriage. 

The most stressful time of my life was from the time I had the results come back from the quad screen until the day I had DS and he didn't have down syndrome.  I wasn't stressed about him having it I was stressed that as a first time mother I wouldn't be able to deal with all that comes along with a child that has down syndrome.

 

Everyone has genetic factors. I'm at a higher risk for diabetes due to my mother , grandmother and great grandmother having it.  Should my mother of needed a test because I was at a higher risk? www.genetichealth.com/DBTS_Genetics_of_Type_1_Diabetes.shtml

I have crohns disease. I didn't know I had it until after I had DS. It is genetic.  Should I have not had him because there is a chance he could have it?

Here is a long list of genetic diseases. www.wrongdiagnosis.com/g/genetic/subtypes.htm

Should a women need to be tested for all of them before she procreates?

 

 

 


All marriages are happy. It's living together afterwards that is difficult.

  

Pamela13

2495 posts

by 

 on Nov 20, 2009 at 07:54 AM

  

  

Nice post, M2 - I agree.

I was 38, already considered A.M.A. ( bad words, advanced maternal age). Already at a higher risk of miscarriage because of my age. When I read up and talked to my OB about the amnio and CVS, it was a no brainer. Why further increase the chance of losing the baby entirely? Plus, I just don't like getting things "stuck" in me.... the procedures themselves grossed me out. :)

  

again2

343 posts

by 

 on Nov 20, 2009 at 07:57 AM

  

  

With my 16 yr old (I was 19) they did the AFP test, it came back a high likelyhood of downs.  She was fine.  I was 36 when I had my 9mth old.  I did have all the early testing, I went to Childrens and talked with a genetic counsler.  If you looked at my age alone there was a higher risk but going through my family history ect my risk went down to that of a 25 yr old.  I also had the blood work and the early ultrasound where they measure the babys fat pad in the kneck.  I had the testing primarly so I could prepare my 16 yr old if there were going to be problems.  However, I hold no judgement to those who due the testing with the option of abortion.  To answer the orginal post, I think people should due what is best for them.  My bestfriend had a baby at 44 and they are a very happy family.

  

PurpleSodaPop

3278 posts

by 

 on Nov 20, 2009 at 08:01 AM

  

  

I didn't test for a few reasons. #1 my parents did with me. Came back with all sorts of things that were wrong with me. My mom was 38.  I'm fine(ish guess it depends on who I ask, lol) I also didn't test because it didn't matter to me and if there was a problem I didn't want to worry about it the rest of my PG, and if it turned out wrong like it did with me I would hurt someone for making me worry. 

 

 

 



 

 

  

 

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