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Selecting and Screening Recipients: Advanced Reproductive Age

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Principles of Oocyte and Embryo Donation

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Abstract

An increasing number of women in modern Western society are choosing to delay childbearing in order to pursue vocational and educational goals. As a consequence, the number of first births to women of advanced maternal age (35 years old and greater) and advanced reproductive age (40 years old and greater) has been increasing. This broad trend toward older motherhood is occurring in all major US race and ethnic groups. In the USA today, one in seven babies is born to women 35 years of age or older. The number of babies born to mothers older than 35 years old was 603,113 in 2008 compared with 367,828 in 1990. This represents a 64 % increase in this older age group, while the total number of US births grew only 2 % during this same time period.

These widespread trends are due to an increasing number of women choosing to pursue their career, thus deferring marriage and family. The widespread use and many forms of effective birth control permits reproduction to be planned, even scheduled. The average age of individuals entering marriage is rising, divorce is more prevalent, and second marriages are also more common. The increases in birth rates in the older maternal age groups are likely in part due to the success of fertility treatments. The widespread application of in vitro fertilization (IVF) has changed the public perception of fertility. Contemporary couples are increasingly confident that they will achieve fertility when they are ready to start a family socially and financially.

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Authors and Affiliations

  1. Division of Reproductive Endocrinology and Infertility, Department of Obstetrics and Gynecology, College of Physicians and Surgeons, Columbia University, New York Presbyterian Hospital-Columbia University Medical Center, 622 West 168th Street, PH-16, New York, NY, 10032, USA

    Briana Rudick M.D.

  2. Division of Reproductive Endocrinology and Infertility, Department of Obstetrics and Gynecology, Keck School of Medicine, University of Southern California, 2020 Zonal Avenue, IRD Room 534, Los Angeles, CA, 90033, USA

    Richard J. Paulson M.D.

Authors
  1. Briana Rudick M.D.
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  2. Richard J. Paulson M.D.
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Correspondence to Richard J. Paulson M.D. .

Editor information

Editors and Affiliations

  1. , Center for Women’s Reproductive Care, Columbia University, 1790 Broadway, New York, 10019, New York, USA

    Mark V. Sauer

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© 2013 Springer-Verlag London

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Rudick, B., Paulson, R.J. (2013). Selecting and Screening Recipients: Advanced Reproductive Age. In: Sauer, M. (eds) Principles of Oocyte and Embryo Donation. Springer, London. https://doi.org/10.1007/978-1-4471-2392-7_6

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  • DOI: https://doi.org/10.1007/978-1-4471-2392-7_6

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  • Publisher Name: Springer, London

  • Print ISBN: 978-1-4471-2391-0

  • Online ISBN: 978-1-4471-2392-7

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