Health Information and Tools > Patient Care Handouts >  Pregnancy After Age 35: Care Instructions

Main Content

Pregnancy After Age 35: Care Instructions


A pregnancy in which you're 35 or older on your due date is also called a pregnancy of advanced maternal age. You're likely to have a healthy baby. But a pregnancy at this age has a greater risk for problems than one at a younger age. These problems include preterm birth and preeclampsia. They also include gestational diabetes, problems with the placenta, and genetic problems.

Most of these problems can't be prevented. But finding problems early can help your doctor or midwife know how to work with you to keep you and your baby as healthy as possible. This is why your doctor or midwife will want to check you for diabetes. Your doctor or midwife will also check your blood pressure and urine at every visit. High blood pressure and protein in urine are signs of preeclampsia.

You can decide if you want to have tests to find out if your fetus has certain genetic problems, such as Down syndrome. Fetus is the medical term for a baby before birth.

There are many things you can't control about pregnancy. But there is a lot you can do to help you have a healthy pregnancy. Do your best to eat well. And try to get plenty of exercise and rest.

Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor or nurse advice line (811 in most provinces and territories) if you are having problems. It's also a good idea to know your test results and keep a list of the medicines you take.

How can you care for yourself at home?

  • Talk with your doctor or midwife about prenatal screening tests. These can help find Down syndrome and other possible problems.
  • Eat a variety of healthy foods, like vegetables and fruits, whole grain foods, and protein foods. And choose foods that are good sources of calcium, iron, and folate. You can try dark leafy greens, fortified orange juice and cereals, almonds, broccoli, dried fruit, and beans.
  • Talk to your doctor or midwife about an exercise plan. You may enjoy walking, swimming, and prenatal yoga.
  • Make sure that you get enough folic acid. Folic acid helps prevent some birth defects, especially if you take it before you get pregnant. Your doctor or midwife will tell you how much you need. You can take folic acid pills.
  • Take your prenatal vitamins.
  • Drink plenty of fluids. Dehydration can lead to contractions. If you have kidney, heart, or liver disease and have to limit fluids, talk with your doctor before you increase the amount of fluids you drink.
  • Check with your doctor or midwife or pharmacist before you take any over-the-counter medicines, natural health products, or home remedies.
  • Do not drink alcohol or use cannabis or other drugs. They can be harmful to your baby. If you need help with quitting, talk to your doctor or midwife.
  • Do not smoke or vape. If you need help quitting, talk to your doctor or midwife about stop-smoking programs and medicines. These can increase your chances of quitting for good.

When should you call for help?

Watch closely for changes in your health, and be sure to contact your doctor or nurse advice line if you have any problems.

Where can you learn more?

Go to

Enter C333 in the search box to learn more about "Pregnancy After Age 35: Care Instructions".

Care instructions adapted under license by your healthcare professional. If you have questions about a medical condition or this instruction, always ask your healthcare professional. Healthwise, Incorporated disclaims any warranty or liability for your use of this information.