If you had asked me when I was a young career girl just setting out in the world whether I would be having a baby in my forties, I would probably have told you absolutely not. Back then, pregnancy in your forties seemed to be an accident of fate, not something a woman would, or could actively choose. Despite this, I had my children at 43 and 45 (I’m now 54) and I know that I have been extremely lucky.
My grandmother had a child at 45 so, whether or not there is a genetic predisposition to being able to have children later in life, I’m still aware that I managed the best feat of my life just in time.
Pregnancy in your forties
Is natural conception still possible?
What was surprising was just how long it took. Despite being in my 40’s I somehow thought that conception would be nothing short of immaculate and when it took over a year, I found myself reading numerous books on improving your fertility the natural way and taking my temperature every morning to track ovulation.
My temperature never seemed to budge. Tracking the ‘ten most fertile days’ made sex about as exciting as cardboard and turned it from recreational fun to a chore and a duty.
I suffer an early miscarriage
I lost my first child at approximately 6-7 weeks. The charmless consultant gynaecologist we saw made it clear that he viewed this miscarriage as nothing more than a missed period. “You can hang on to see if there’s a heartbeat”, he told us, “or we’ll have you in and whip it out”. A managed miscarriage at home was the option we eventually took, wanting to see if the initial scans were wrong. They weren’t.
It was back to the temperature taking and the headstands for about another year until, one Valentine’s evening, having practically given up, we went out for a romantic meal and got ever so slightly sloshed.
Caitlin was born the following November. And then, the October before Caitlin’s 1st Birthday, Ieuan was conceived. Having waited so long for Caitlin, we assumed it would take a couple of years to give her a sibling. I should have listened to my wonderful midwife who told me that once you have had a child, it’s as if your motor starts to work properly and that I shouldn’t be surprised if it didn’t take long.
We were aware of the risks of late pregnancy. I had a nuchal translucency scan (which we paid for) with Caitlin and amniocentesis (on the NHS) with Ieuan. What we would have done in the event of any genetic problems, I still couldn’t tell you.
I had two perfectly healthy pregnancies
Aside from a slightly low iron level for which I was required to take supplements in order to be admitted for Ieuan’s Caesarian, I sailed through both pregnancies.
As an older mother, I was put under the care of a consultant and this led us down the route of a hospital birth close to an operating theatre and surgeons rather than the candle-lit water birth in a nearer hospital I fancied.
I suffered the discomfort of permanent indigestion for the first trimester with Caitlin and very mild morning sickness with Ieuan but that was it.
I did put on a lot of weight (4 stone) with Caitlin but I found that eating cheese was the only thing that stopped the terrible heartburn.
Both babies were born by Caesarian
Caitlin was delivered by emergency Caesarian as her breathing became laboured due to the umbilical cord becoming wrapped around her neck. Ieuan was born by elective Caesarian. I did have the option of a VBAC (vaginal birth after Caesarian) but given my age, preferred the reassurance of a swift and managed delivery.
The recovery time after a Caesarian is something to consider. I had anti-clotting injections and had to wear special socks for a few days and, of course, driving and lifting were no-nos. My recovery from both C-sections was swift and, apart from having to have antibiotics for an infected scar, I was quickly back on my feet.
I do think that having two Caesarians close together may have had an effect on my abdominal muscles and my back but that could equally be a factor of all the weight I gained.
I struggled to breastfeed
I really wanted to breastfeed but after 10 weeks with Caitlin, we discovered she really wasn’t putting on weight so we swopped to Formula. When Ieuan was born he went straight on to bottle feeding.
I found breastfeeding challenging and certainly not the straightforward experience I was expecting. There’s an art to getting your baby to latch on and you may well need to be shown how to do it. Of course, some mums take to it like a duck to water, but I wasn’t one of them.
I should point out too that I find the bullying of those mums who choose to have their babies by Caesarian or those who, for whatever reason, choose not to breastfeed totally obnoxious. Luckily I have not experienced either but I do know mums who have. In these cases, it really isn’t the baby who needs to grow up.
Why didn’t I do it sooner?
I have friends older than me who have had children at an equally late age. I also have quite a few friends in their mid-thirties who think that they have all the time in the world to reproduce, when the truth is, the clock is ever ticking. Some of my friends must look at me and think “well, SHE did it” but it’s easy to kid yourself, isn’t it?
I regret not having had my children at least ten years ago. In the end, my career (as a Marketing Manager and later Director) simply could not match up to the joy of having kids but I didn’t meet my husband until I was 41.
This is the dilemma facing many women. Do we put our heart and soul into a career and hope that Mr Right will just come along, by which time we may no longer be fertile or able to carry a child? Or do we pursue a partner and children whilst we are still in our most fertile years, hoping that we can resume our education and career when the children are in school?
Can Women Ever “Have It All”?
I am a great fan of the late Helen Gurley Brown (who, with her husband, created the Cosmopolitan magazine empire) and read her book “Having it All” (still available from Amazon) from cover to cover in my early twenties. Helen believed the sky was the limit – primarily in terms of work and sex, but I think most women will agree that today, “having it all” is an impossibility. That said, I’d still recommend Helen’s work just to admire her incredible work ethic and zest for life.
I’m now faced with the prospect of staying as fit, healthy and mentally ‘young’ as possible. Not so much because I worry about the opinion of other mothers (although I’d be lying if I said I was totally immune to it), but for the sake of my children. As Hubby says “well, we just can’t conk out early”…
Pregnancy in your forties is not a decision to be taken lightly. All pregnancies are life-changing and I think older mums face a different set of challenges in terms of juggling their health challenges with the needs of young children. Facing the fact that you might not have as long with your kids as younger mums can be hard – but there are no guarantees of long life at either end of the age spectrum, are there?
If you are considering pregnancy in your forties, I’d advise visiting your GP to check you are fit and healthy before trying to conceive so that you give yourself and your baby the best possible chance of a successful pregnancy and a healthy delivery.
The process may take quite a while and you may find out that you need help to conceive but it is better to discover this early on rather than risk the heartache of miscarriage and other pregnancy complications.