
With improvements in science and fertility treatments, more women are having children after 35. A pregnancy where the birthing person is older than 35 used to be called a "geriatric pregnancy" but is now referred to as "advanced maternal age."
What does it mean to conceive at 35 or older? What are the potential risks of an advanced maternal age? In this article, we'll explore the costs and risks associated with pregnancy after 35, helping you understand what to expect and how best to save and prepare for this exciting journey.
A woman’s best reproductive years kick off in her late teens and peak through her late 20s. Once she hits 30, fertility starts to dip a bit. The most significant decline in fertility then happens between the mid-to-late 30s.
Although fertility starts to decline rapidly in the mid-30s, it is absolutely possible to conceive, have a healthy pregnancy, and deliver a healthy baby at 35 or older. However, if you’re over 35 and having trouble getting pregnant, fertility treatments may be needed. Here's what you can expect fertility treatments to cost.
|
Type of fertility treatment |
Estimated costs in private hospitals |
Estimated costs in semi-private hospitals |
Estimated costs in government hospitals |
|---|---|---|---|
|
Intrauterine Insemination (IUI) |
RM800 - RM2,500 |
RM1,000 - RM1,500 |
<RM800 |
|
In Vitro Fertilization (IVF) / Intra Cytoplasmic Sperm Injection (ICSI) |
RM10,000 - RM30,000 per cycle |
RM8,000 - RM,15,000 |
RM3,000 - RM5,000 |
Pregnancies of women with advanced maternal age are linked to higher risks of complications for both mother and baby.
Medical assistance costs to treat or manage some of these complications for the mother are as follows.
|
Type of medical interventions |
Estimated costs in private hospitals |
Estimated costs in government hospitals |
|---|---|---|
|
Insulin injections to manage gestational diabetes |
RM500 - RM1,000 per month |
RM1 - RM5 per month |
|
Hypertension-related treatments |
RM2,927 - RM4,716 (costs per hospital admission) |
RM1 - RM5 (monthly medication costs) |
|
Assisted delivery during labour complications (forceps/breach/vacuum) |
RM1,300 - RM4,000 |
RM50 - RM600 |
|
Cesarean section |
RM6,000 - RM15,000 |
RM100 - RM800 |
Premature babies or babies with low weight will likely need medical care in the Neonatal Intensive Care Unit (NICU). NICU costs can vary depending on the level of care required for the baby’s condition, as outlined in the table below.
|
Hospitalisation |
Estimated costs in private hospitals |
Estimated costs in government hospitals |
|---|---|---|
|
NICU |
RM145 - RM5,000 per day |
RM1.50 - RM300 per day |
Although advanced maternal age pregnancies have higher risks of complications, with the right approach, you can support a healthy pregnancy journey.
Alongside a healthy diet, here are some key supplements to consider, along with what you can expect in terms of costs.
|
Vitamins |
Function |
Estimated Cost |
Recommended Dosage |
|---|---|---|---|
|
Prenatal multivitamin |
Provide vital nutrients like folic acid, iron, and calcium for maternal health and fetal development. |
RM 2.30 - RM3.30 per capsule |
Consult your doctor for a prenatal vitamin that has the right balance of vitamins for you. |
|
Active folate (Vitamin B9) |
Supports optimal embryonic development. |
RM 0.20 - RM1.00 per capsule |
400 - 800 mcg per day |
|
Omega-3 (DHA) |
Optimises the baby’s health and increases the chances of supporting a viable pregnancy. |
RM 0.75 - RM 3.70 per capsule |
A minimum of 300 mg per day |
|
Coenzyme Q10 (CoQ10) |
Supports higher egg quality in women over the age of 35. |
RM 1.00 - RM 4.40 |
100 - 600 mg per day |
More and more couples are choosing to have children later in life. This choice can come with significant advantages, especially regarding financial stability. Here are some key advantages of having a baby after 35.
While pregnancy after 35 comes with its own set of challenges, it is entirely possible to conceive, carry, and deliver a healthy baby with the right knowledge, preparation, and medical care.
Understanding the potential risks and associated costs, from fertility treatments to prenatal care, can help you make informed decisions and feel empowered throughout your journey. For additional financial support throughout your journey, explore the female essential insurance / takaful packages that comes with maternity benefits.
💡 The information provided above is purely for educational purposes.
References
1. Juhi Modi. “Geriatric Pregnancy: What are the Risks?” (2024). https://www.buzzrx.com/blog/geriatric-pregnancy-what-are-the-risks
2. Cleveland Clinic. “Advanced Maternal Age” (2024). https://my.clevelandclinic.org/health/diseases/22438-advanced-maternal-age
3. Rusul Ismail. “Pakar Kongsi Prosedur IVF Hospital Kerajaan Dan Swasta” (2024). https://siraplimau.com/pakar-kongsi-prosedur-ivf-hospital-kerajaan-dan-swasta/
4. Editor. “Cost of Having a Baby in Malaysia” (2024). https://www.qoala.my/en/blog/financial-management/cost-of-having-a-baby/
5. Gina Jaeger, PhD. “Nutritional Tips for Optimizing Pregnancy After 35” (2024). https://www.nordic.com/healthy-science/pregnancy-nutrition-over-35/
6. Hospital Selayang. “Deposit Kemasukan Wad” (2024). https://jknselangor.moh.gov.my/hselayang/index.php/en/public/charges-payment/ward-admission-deposit
22 May 2025
4 min read