Key Takeaways
- Women aged 42 have a 5% chance of natural conception per menstrual cycle compared to 20% at age 25
- Monthly fecundity rate drops to 1% for women at exactly 42 years old due to diminished ovarian reserve
- Cumulative 1-year pregnancy rate without intervention for 42-year-olds is 10-15%
- Donor egg IVF success at maternal age 42 reaches 50-60% live birth rate per transfer
- Autologous IVF live birth rate for women 41-42 is 11.4% per cycle (CDC 2021)
- Cumulative live birth rate after 3 IVF cycles at age 42 is 25-30%
- Hypertensive disorders occur in 15-20% of pregnancies at maternal age 42
- Gestational diabetes risk is 3 times higher at age 42 (12-15% incidence)
- Placental abruption risk doubles to 1.5% in women 42 and older
- Live birth rate for singletons at 42 is 60% of pregnancies
- Neonatal ICU admission rate is 25% for babies born to 42-year-old mothers
- Low birth weight (<2500g) incidence is 12% at maternal age 42
- Postpartum hemorrhage risk is 10% higher at 42 (5% rate)
- Gestational hypertension resolves in 90% but chronic HTN develops in 20% post-42 pregnancy
- Maternal mortality ratio is 2.5 times higher at 40+ (25 per 100,000)
Pregnancy at forty two is possible but comes with significantly lower odds and higher risks.
Birth Outcomes
- Live birth rate for singletons at 42 is 60% of pregnancies
- Neonatal ICU admission rate is 25% for babies born to 42-year-old mothers
- Low birth weight (<2500g) incidence is 12% at maternal age 42
- Congenital anomaly rate is 4-5% similar to younger but chromosomal issues higher at 1:100
- Apgar score <7 at 5 min in 8% of deliveries at 42
- Perinatal mortality rate is 15 per 1000 at age 42
- Breastfeeding initiation rate is 75% but continuation lower at 42
- Macrosomia (>4000g) risk is 15% due to GDM in older mothers
- Term delivery rate (37+ weeks) is 75% at 42 vs 85% under 35
- Small for gestational age 15% at 42
- 5-minute Apgar 10 in 85% but respiratory distress 10%
- Congenital heart defects screening positive 2% at 42
- NICU stay average 5 days for 20% of births at 42
- Jaundice requiring phototherapy 12%
- Hypoglycemia in newborn 15% from maternal GDM at 42
- Twins perinatal mortality 4x higher but 2% at 42 IVF
- Long-term neurodevelopment normal in 95%
- Birth defects overall 6% including trisomies
- Emergency C-section 30% at 42
Birth Outcomes Interpretation
Fertility Rates
- Women aged 42 have a 5% chance of natural conception per menstrual cycle compared to 20% at age 25
- Monthly fecundity rate drops to 1% for women at exactly 42 years old due to diminished ovarian reserve
- Cumulative 1-year pregnancy rate without intervention for 42-year-olds is 10-15%
- AMH levels in 42-year-old women average 0.5-1.0 ng/mL, indicating low fertility reserve
- Antral follicle count at age 42 typically ranges from 3-7 follicles, signaling reduced fertility
- Spontaneous pregnancy rate after 6 months trying at 42 is under 5%
- Egg quality declines such that 80% of oocytes at 42 have chromosomal abnormalities
- Live birth rate per cycle for natural conception at 42 is 1 in 100
- FSH levels exceed 10 IU/L in 70% of 42-year-old women attempting conception
- Time to pregnancy exceeds 12 months for 85% of 42-year-olds without fertility treatment
- IVF cycle yield at 42 averages 2-3 mature eggs
- Spontaneous abortion rate post-conception at 42 is 40%
- Estradiol response to stimulation poor in 60% at 42
- Live birth probability after 1 year unprotected intercourse at 42 is 12%
- Oocyte atresia leads to 90% loss by age 42
- Conception odds ratio 0.2 vs age 30 at 42
- IVF oocyte retrievals average 6 at 42 with high dose
- Aneuploidy rate 70% in embryos at 42
Fertility Rates Interpretation
IVF and ART Success
- Donor egg IVF success at maternal age 42 reaches 50-60% live birth rate per transfer
- Autologous IVF live birth rate for women 41-42 is 11.4% per cycle (CDC 2021)
- Cumulative live birth rate after 3 IVF cycles at age 42 is 25-30%
- Pregnancy rate per embryo transfer for 42-year-olds using own eggs is 22%
- Ongoing pregnancy rate from blastocyst transfer at 42 is 15%
- IVF success with PGT-A screening at 42 yields 20% euploid embryo transfer success
- Multiple pregnancy rate in IVF at 42 is 15% due to fewer embryos
- Cycle cancellation rate for poor response in IVF at 42 is 40%
- Live birth rate per started IVF cycle at 42 using mild stimulation is 8%
- Frozen embryo transfer success at maternal age 42 is 18% per transfer
- Mild ovarian hyperstimulation risk 5% in IVF at 42
- Blastocyst formation rate 25% from eggs at 42
- PGS euploid rate 15-20% at maternal 42
- Cumulative delivery rate after 4 cycles IVF at 42: 35%
- ICSI fertilization rate 60% at 42
- OHSS incidence 2% in older IVF patients at 42
- Ectopic pregnancy rate 3% in IVF at 42
- Thaw survival of embryos 95% but implantation 12% at 42
- Natural cycle IVF success 5% at 42
- Embryo quality grade 1-2 only 20% at 42
- Donor sperm IVF at 42 own eggs 12% success
IVF and ART Success Interpretation
Maternal Health
- Postpartum hemorrhage risk is 10% higher at 42 (5% rate)
- Gestational hypertension resolves in 90% but chronic HTN develops in 20% post-42 pregnancy
- Maternal mortality ratio is 2.5 times higher at 40+ (25 per 100,000)
- Depression risk post-partum at 42 is 18%
- Cardiac complications during pregnancy occur in 1% of 42-year-olds with prior conditions
- Weight retention >10kg post-partum in 40% of women at 42
- Thyroid dysfunction risk doubles to 10% during pregnancy at 42
- Urinary incontinence prevalence post-delivery at 42 is 30%
- Anemia recovery post-partum 80% at 42 with supplements
- Chronic fatigue syndrome risk post-pregnancy 10%
- Hysterectomy rate within 5 years 5% higher at advanced age
- Osteoporosis screening recommended, bone density loss 2% post
- Insulin resistance persists in 25% post-GDM at 42
- Pelvic floor repair surgery 15% lifetime at older first birth
- Cardiovascular events 1.5x within decade post-42 pregnancy
- Breast cancer screening adherence 90% post-pregnancy
Maternal Health Interpretation
Pregnancy Complications
- Hypertensive disorders occur in 15-20% of pregnancies at maternal age 42
- Gestational diabetes risk is 3 times higher at age 42 (12-15% incidence)
- Placental abruption risk doubles to 1.5% in women 42 and older
- Preterm birth rate is 18% for singleton pregnancies at 42
- Preeclampsia incidence reaches 10% at maternal age 40-44
- Cesarean section rate is 50% for first-time mothers at 42
- Stillbirth risk is 1 in 100 at 42 vs 1 in 200 under 35
- Intrauterine growth restriction affects 12% of fetuses at maternal 42
- Venous thromboembolism risk increases 4-fold to 0.5% at 42
- Polyhydramnios occurs in 8% of pregnancies over 40
- Oligohydramnios risk 7% at 42
- Cervical insufficiency treated in 5% of 42-year pregnancies
- Chorioamnionitis rate 4% higher at advanced age
- Labor induction rate 45% at 42
- Post-term pregnancy risk reduced to 2% due to monitoring
- Deep vein thrombosis prophylaxis needed in 20% at 42
- Shoulder dystocia 5% in older GDM mothers
- Amniotic fluid embolism rare at 0.01% but higher risk
- Fetal macrosomia adjusted odds 1.8 at 42
- Meconium aspiration 6% in term births at 42
Pregnancy Complications Interpretation
Sources & References
- Reference 1ACOGacog.orgVisit source
- Reference 2NCBIncbi.nlm.nih.govVisit source
- Reference 3FERTSTERTfertstert.orgVisit source
- Reference 4ASRMasrm.orgVisit source
- Reference 5HUMREPhumrep.oxfordjournals.orgVisit source
- Reference 6MAYOCLINICmayoclinic.orgVisit source
- Reference 7REPRODUCTIVEFACTSreproductivefacts.orgVisit source
- Reference 8CDCcdc.govVisit source
- Reference 9PUBMEDpubmed.ncbi.nlm.nih.govVisit source
- Reference 10SARTCORSONLINEsartcorsonline.comVisit source
- Reference 11HFEAhfea.gov.ukVisit source
- Reference 12EUROSTEMCELLeurostemcell.orgVisit source
- Reference 13RBMOJOURNALrbmojournal.comVisit source
- Reference 14SARTsart.orgVisit source
- Reference 15AJOGajog.orgVisit source
- Reference 16TOMMYStommys.orgVisit source
- Reference 17OBGYNobgyn.onlinelibrary.wiley.comVisit source
- Reference 18THELANCETthelancet.comVisit source
- Reference 19DIABETESJOURNALSdiabetesjournals.orgVisit source
- Reference 20AHAJOURNALSahajournals.orgVisit source
- Reference 21ACCacc.orgVisit source
- Reference 22THYROIDthyroid.orgVisit source
- Reference 23BMJbmj.comVisit source
- Reference 24COCHRANELIBRARYcochranelibrary.comVisit source
- Reference 25ACADEMICacademic.oup.comVisit source
- Reference 26THROMBOSISRESEARCHthrombosisresearch.comVisit source
- Reference 27PEDIATRICSpediatrics.aappublications.orgVisit source
- Reference 28HEARTheart.orgVisit source
- Reference 29PUBLICATIONSpublications.aap.orgVisit source
- Reference 30WHOwho.intVisit source
- Reference 31ENDOCRINEendocrine.orgVisit source
- Reference 32CANCERcancer.govVisit source
- Reference 33NATUREnature.comVisit source






