Health: Enter the 40-plus super mum

A week ago 40yearold TV celebrity Raageshwari Loomba was in the news after she declared her pregnancy With this she joined the likes of Halle Berry Salma Hayek Eva Mendes and Celine Dion all of who have been pregnant after touching 40 Back home Shilpa Shettys late pregnancy at 38 had got some attention too But gynecologists tell us that it is now too commonplace to be surprisedHalle Berry was four months pregnant when she was posing for the photocall of Things We Lost in the Fire 26 October 2007 She was 46 at the time Pic courtesy AFPIn fact with the progress in modern medicine to treat infertility remarriages and demanding careers in the urban centres pregnancies above 40 have as much as doubled in the last five years informs Dr Kunjal Bathija who practises at Bombay Hospital amp Medical Research Centre in Marine Lines There are several cases of very late over 50 years successful pregnancies now With the right kind of care and counselling it is not unachievable she affirmsNicole Kidman in 2008 pregnant at 42 PicAFPAge no barHer words find support in Pramila and Pramod Desai of Goa The Desais had lost their only child who was 25yearsold and after a period of grief and loneliness they decided to have another child Pramila Desai was 52 then and they approached Dr Amol Lunkad in Pune who is the chief in vitro fertilisation IVF specialist at Indira IVF Pune In this process of fertilisation the egg and sperm are manually combined in a laboratory dish and then the embryo is transferred to the uterus There have been no complications till now and the baby is fivemonths old One should never lose hope Pramod Desai saysSalma Hayek in June 2007 pregnant at 40 Pic AFPDr Lunkad informs that he treats several such patients every year from all over the country In the previous year he handled over 200 cases of women who over 45 and wanted a child We have helped many menopausal women give birth However treating infertility at later age is a super specialty field and often the patients are misguided For example a lot of doctors are unaware that pregnancy is possible post menopause he says But this is changing now and the first pregnancy after 30 is increasingly becoming the norm with the second after 40 according to Dr Mugdha Raut who is the managing director of Rauts Womens Hospital in Santacruz E There are many reasons but mostly late marriages remarriages or demanding jobs she saysA word of cautionShe however clarifies that the fears pertaining to very late pregnancies are not entirely unfounded There can be complications like pregnancy related diabetes thyroid or blood pressure and the mother would need intense monitoring and care she saysDr Lunkad says that like any pregnancy one can never be completely sure about its success But the process of fertilisation in case of infertility or menopause is completely safe It is during childbirth that complications happen Achieving fertility is very different from pregnancy care he says The doctors also informed that a lot of women who wanted to be single mothers after 40 had approached them and given birth aided by a donor Dr Bathija recounts a case where a Mumbaibased patient Shilpa Das name changed who was 41yearsold had lost her husband She wanted a child and was fine with a donor of good qualityNew age motherThough many are taking advantage of the advances of medical science in this field there are superstitions and irrational beliefs stopping some According to Dr Lunkad some people still consider assisted pregnancies and sperm donations immoral It is a taboo in some communities And some people consider it immoral he says But as things stand 40 seems to be the new 20 or 30 for mothers to be