The Reality of Late Marriage and Late Childbearing: Risks and Hopes of Advanced Maternal Age

The trend of late marriage and late childbearing is becoming increasingly prominent in Vietnam, driven by socio-economic changes and women's increased participation in the workforce. However, this trend significantly elevates the risks associated with pregnancy and childbirth for both mother and child. The article highlights cases of couples in their late 40s and 50s who are seeking to have children. These couples often pursue pregnancy and childbirth at an advanced age after experiencing past tragedies, such as losing children in accidents, or after years of infertility treatments. However, pregnancy at this age is associated with a decline in egg quality and an increased likelihood of health complications, including hypertension, preeclampsia, and gestational diabetes. Statistically, the chances of miscarriage and congenital abnormalities or neurodevelopmental delays in the fetus also rise. For instance, the probability of a child born to a mother over 45 having Down syndrome is reportedly about 60 times higher compared to a 25-year-old mother. The rate of Cesarean sections also increases with maternal age. Medical professionals often explain these risks thoroughly and advise couples to reconsider. Nevertheless, for couples with a strong desire for children, efforts are made to provide the best possible support. Infertility treatments, particularly in vitro fertilization (IVF), have lower success rates with advancing maternal age, leading to greater financial and emotional burdens. While the article mentions a successful birth for a woman in her 50s, it also suggests that many couples face harsh realities. In Vietnam, approximately 3.1% of children under 17 have disabilities, with congenital factors accounting for 55-65% of these cases. Parental age, especially mothers over 35 and fathers over 45, is cited as a risk factor for congenital disabilities in children. Reports also indicate instances where couples have fallen victim to dubious online information or unlicensed medical facilities, leading to significant financial loss and health detriments. Experts emphasize that childbirth should be predicated on the safety of both mother and child, recommending that women complete childbearing before the age of 35. They also stress the importance of contraception even during the perimenopausal period and the need for strict screening and close monitoring by experienced obstetricians once pregnancy is confirmed. The underlying reasons for delayed childbearing include societal pressure to achieve economic stability and the need to balance career development. However, experts urge individuals to prioritize their health and the well-being of their children, making decisions based on scientific evidence.