- likelihood to get pregnant
- likelihood to bring child to term
- health risk to mother during pregnancy and child birth
- health risk to baby during pregnancy and child birth
- increased likelihood of multiple birth defects
- increased likelihood of genetic abnormalities
I'm not casting aspersions. My wife and I had kids when she was 38 and 40 respectively. But, the numbers for the risks are stark.
None of this touches on industrialization and higher education, which seem to be the more universal effects, even if one of their bigger effects is merely to delay motherhood.
- Stress on the relationship of trying and failing for a long time - Stress of fertility treatments, if needed - Likelihood of dealing with inevitable miscarriages on the way to a birth - Overall "medicalization" of pregnancy in middle age, and the stress of all that contact with the medical system