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In conclusion, High risk pregnancy age refers to women 35 years or older at delivery, associated with increased risks such as miscarriage, gestational diabetes, hypertension, and chromosomal abnormalities. To reduce these risks, regular prenatal care and a healthy lifestyle are crucial. Key tests include first-trimester screenings and genetic assessments. Despite challenges, older parents may benefit from emotional maturity, financial stability, and life experience, fostering a supportive environment for their children. By adhering to medical advice and making informed choices, women of advanced maternal age can promote healthier pregnancies and outcomes.