I have seen both a midwife and a maternal-fetal specialist for most of my pregnancies. I have a tendency to miscarry, most of them have been between 12-16 weeks, but two were earlier and one was later. All of my miscarriages happened before the age of 35–none since then. My last pregnancy I was 37. Due to a “marker” on the ultrasounds, I was told that my risk for having a Down’s Syndrome child was increased to 1 in 80 instead of 1 in 100. I was offered a blood test that could tell me with 99% accuracy if our baby did have DS which we declined. I know many moms who have children with DS, ironically most these moms had their babies before they were 30, probably because they didn’t think of being tested and therefore didn’t abort. None of these children are in diapers into adulthood as someone posted on another thread said they would be, nearly all hold jobs and are very capable of living a good life. I cannot see how it would be something I would fear. There are much worse things, some of which I do find concerning, but DS is not one of them. The maternal-fetal medicine specialist also pointed out that the majority of women having children in their 40’s and beyond are already high risk for complications and fetal defects because they conceived with medical procedures and not naturally. Women who get pregnant using clomid, IVF, IUI, and all the other procedures and medications are more likely to miscarry, have complications, give birth prematurely, develop diabetes and preeclampsia, as well as have children with various defects/diseases/chromosomal problems. This is across the board for fertility treatment, not just older moms. He also pointed out that these women are more likely to have multiples and that also increases the risks. This doctor was very clear that an otherwise healthy woman in her early 40’s that naturally conceived a baby is not nearly as high risk as the statistics indicate, but most regular OB’s, other doctors, and the general public tend to not realize that these statistics include ALL women of the same age group with no distinctions. Personally I also wonder how the effects of ABC plays into this. Many women are on the pill or have IUD’s from their teens until close to age 40 when they finally decide a baby fits into their plans. This also could play into the whole increased risks/decreased fertility statistics, but I guarantee that will never be stated publicly. That is far to politically incorrect.