My sister is 45y, peri-menopausal & due with 1st child

My older sister is 45 year old, peri-menopausal and is due with her first child (conceived naturally) in April. She did not chart, use OPKs, or do anything other than go off the pill. It can happen.

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My grandmother had babies well into her 40’s, her last child was born when she was 47.

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The babies were born in May and she was 43, and then she turned 44 in June!! She will be 45 this June and the twins will be 13 months!

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I asked SIRM who their oldest patient had been (for successful IVF with own eggs) and, if I remember correctly, they said 45.

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Pregnancy after fifty: profile and pregnancy outcome in a series of elderly multigravidae.
Department of Obstetrics and Gynaecology, University of Leicester, UK.

A series of seven women aged 50 years and over was studied over two years to analyse patient profile and pregnancy outcome. All were first-generation immigrant Asian multigravidae who were Muslims of low socio-economic status and who had never used contraception. The median age at booking was 52 (range 51-59 years) and the median parity was nine.

One woman had gestational diabetes and one had an antepartum haemorrhage. There were few intrapartum or puerperal problems but an increased rate of Caesarean section (28.6%) was noted. There were no stillbirths, neonatal deaths or congenital anomalies in this series. The mean birth weight was 3.3 kg and the mean gestation at delivery was 39.2 weeks. There was no significant perinatal morbidity.

Five of the seven women declined further family planning advice. A possible relationship between race, parity and age at menopause is discussed.

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