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This chapter presents a discussion between fertility experts on ageing mother and medical needs. Framing the age for pregnancy is an individual's problem and women should have children in their 20s. The first pregnancy increases the risks of pre-eclampsia. No woman should be bullied into a pregnancy when, or if, she does not want to. However, it is recommended that women should be counselled that it is better to have children in your 20s. The graphs show that fertility falls with age, and miscarriages and complications increase with age on the J-shaped curves available in family clinics. Family planning used to be about planning families - now it's merely about contraception. Gordon points out that the real numbers of maternal mortality are very small. That is only because obstetricians work fantastically hard to keep them low. For every woman who dies, at least a hundred others go to intensive care, and several thousands will have a severe morbidity of childbirth such as a hospital admission, complication, induction or caesarean section.
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