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Pregnancy after 35: Healthy moms, healthy babies

Make healthy choices

Taking good care of yourself is the best way to take care of your baby. Pay special attention to the basics:

  • Make a preconception appointment. Talk to your health care provider about your overall health and discuss lifestyle changes that might improve your chances for a healthy pregnancy and baby. Address any concerns you might have about fertility or pregnancy. Ask about how to boost the odds of conception — and options if you have trouble conceiving.
  • Seek regular prenatal care. Regular prenatal visits help your health care provider monitor your health and your baby's health. Mention any signs or symptoms that concern you. Talking to your health care provider is likely to put your mind at ease.
  • Eat a healthy diet. During pregnancy, you'll need more folic acid, calcium, iron, vitamin D and other essential nutrients. If you're already eating a healthy diet, keep it up. A daily prenatal vitamin — ideally starting a few months before conception — can help fill any gaps.
  • Gain weight wisely. Gaining the right amount of weight can support your baby's health — and make it easier to shed the extra pounds after delivery. Work with your health care provider to determine what's right for you.
  • Stay active. Regular physical activity can help ease or even prevent discomfort, boost your energy level and improve your overall health. It can also help you prepare for labor and childbirth by increasing your stamina and muscle strength. Get your health care provider's OK before starting or continuing an exercise program, especially if you have an underlying condition.
  • Avoid risky substances. Alcohol, tobacco and illegal drugs are off-limits during pregnancy. Clear any medications or supplements with your health care provider ahead of time.
  • Learn about prenatal testing for chromosomal abnormalities. Ask your doctor about prenatal cell-free DNA (cfDNA) screening, a method to screen for certain chromosomal abnormalities in a developing baby. During prenatal cell-free DNA screening, DNA from the mother and fetus is extracted from a maternal blood sample and screened for the increased chance for specific chromosome problems, such as Down syndrome, trisomy 13 and trisomy 18. Diagnostic tests such as chorionic villus sampling and amniocentesis can also provide information about your baby's chromosomes or the risk of specific chromosomal abnormalities, but also carry a slight risk of miscarriage. Your health care provider can help you weigh the risks and benefits.