Being a mother after 40 is no longer a strange thing. It may just be a lifestyle choice or it may be that it has not been possible to get pregnant before. It may involve emotional reasons or it may have been more important to invest and create good foundations in your professional career. There may also be financial reasons or job instability. We can identify many reasons to explain the situation. But what is certain is that the age of first-time pregnant women has been increasing . Does this have any implications for pregnancy? What about the health of the woman and the baby growing inside her? Pregnancies after the age of 40 are clearly different from others because they involve more differentiated prenatal care and surveillance . And this difference is due to the higher risk of some complications, both from the maternal point of view and from the fetal point of view. Hence, the role of the obstetrician and the follow-up and surveillance carried out during the pregnant woman's journey are so important. Meet the obstetrics-gynecology clinical team from Hospital da Luz network. The content published in the Health Guide is intended for the general public and is provided for informational and educational purposes only. It does not replace individual medical assessment, diagnosis, or personalized clinical advice from a qualified healthcare professional. The content is produced or reviewed by physicians and other healthcare professionals at Hospital da Luz and is based on the knowledge available at the time of publication or the most recent update, as indicated at the beginning of each item.