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Kindly tell me the risks of pregnancy in women over 40.

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

I had a c-section with my first pregnancy 19 years ago. I have fallen in love with a wonderful man who does not have kids. I and my fiance have been discussing and are planning to have a baby.

I am concerned if I am able to have a VBAC delivery with my second pregnancy since my first pregnancy resulted in an emergency C-section. Also, I am 48. What are the risks of pregnancy in women over 40?
Answered by Dr. Sravanthi Nuthalapati

Education:

MBBS

Professional Bio:

Dr. Sravanthi Nuthalapati is a skilled and compassionate Obstetrician and Gynecologist. Her expertise includes high-risk pregnancy management, infertility evaluation, menstrual disorder treatment, PCOS management, and comprehensive prenatal and postnatal care. She is also well-versed in minimally invasive gynecological procedures and is committed to providing personalized and evidence-based care for women’s health at every stage of life.

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Hello,

Welcome to icliniq.com.

Pregnancy at the age of 48 years definitely come with certain risks like an increased risk of chromosomal abnormalities due to the defective ovum being released.

Also there may be a difficulty in the conception itself. VBAC (vaginal birth after cesarean) delivery has to take into a lot of factors into consideration like the cause for previous LSCS (lower segment cesarean section), the gestational age at which you had cesarean, the present baby weight, and if there is a spontaneous onset of labor or not and many other factors.

I would suggest you go for an opinion from your gynaecologist before planning for a conception and take a pre-conceptional counselling so as to avoid any complications possible during pregnancy.

I hope this helps.

Thank you, and take care.

Regards.

Medically reviewed by Dr. K. Shobana
Published At September 26, 2017
Reviewed At October 31, 2025

Education:

MBBS

Professional Bio:

Dr. Sravanthi Nuthalapati is a skilled and compassionate Obstetrician and Gynecologist. Her expertise includes high-risk pregnancy management, infertility evaluation, menstrual disorder treatment, PCOS management, and comprehensive prenatal and postnatal care. She is also well-versed in minimally invasive gynecological procedures and is committed to providing personalized and evidence-based care for women’s health at every stage of life.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Education:

BDS

Professional Bio:

Dr. K. Shobana is a Dental Surgeon specializing in oral health and dental care. She is skilled in preventive dentistry and provides oral hygiene education. She can do restorative treatments such as fillings and crowns. She can handle periodontal problems such as gum diseases and periodontitis. She can do root canal treatment.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

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Dr. Sravanthi Nuthalapati
Dr. Sravanthi Nuthalapati

Obstetrics and Gynecology

Education:

MBBS

Professional Bio:

Dr. Sravanthi Nuthalapati is a skilled and compassionate Obstetrician and Gynecologist. Her expertise includes high-risk pregnancy management, infertility evaluation, menstrual disorder treatment, PCOS management, and comprehensive prenatal and postnatal care. She is also well-versed in minimally invasive gynecological procedures and is committed to providing personalized and evidence-based care for women’s health at every stage of life.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality
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