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The implications for ageing pregnant women are a greater likelihood of a high-risk pregnancy and, for local NHS providers, a need for increased resources with improved care pathways in primary and secondary care and more specialists who are trained to look after medical diseases in pregnancy. This chapter covers the effect of age on the occurrence of systemic medical disorders that have an impact on pregnancy, such as hypertension, obesity, diabetes, ischaemic heart disease and cancer. The UK government has recently focused on bringing maternity care into the community. Women contemplating delaying pregnancy should be informed of the health consequences of this and advised that completion of childbearing in their 20s will greatly reduce their obstetric and medical risks. A growing number of women are requesting assisted reproductive technologies (ART) to conceive in their 40s and 50s.
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