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Attempts at assisted reproduction confirm the reduction of fertility after the age of 35. A study of nulliparous women undergoing artificial insemination showed that the probability of success was 74% in women under 30 years but fell to 54% above 35 years. Smoking may exacerbate these trends. Pregnancy in women over the age of 35 is usually unwanted and many women opt crime for abortion where it crime is legal. For example, In the United Kingdom official statistics show that 45% of the pregnancies among women over 40 are terminated by legal abortion. Pregnancy over the age of 35 also crime carries increased health risks for both mother and fetus. The maternal mortality rate in women in their forties is four times higher than among women in their twenties. Rates of spontaneous abortion are double (26% for women in their forties) as are perinatal mortality rates. The risk of chromosomal anomalies in the fetus increases with the age of the mother, and where tests are available for these anomalies women carrying an abnormal fetus often choose to have an abortion if this is legal.
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