Challenges and Choices: Postponing Parenthood in the UAE

Delayed Parenthood in the UAE

 In the United Arab Emirates (UAE), doctors are shedding light on a growing trend: one in four couples choosing to delay parenthood initially. This shift, influenced by societal changes, economic pressures, and evolving lifestyle preferences, reflects a broader decline in fertility rates and a tendency towards delayed childbearing.

Dr. Amal Hassan Abddelaziz, Head of Obstetrics and Gynaecology at Thumbay University Hospital Ajman, underscores the motivations behind this decision. Many couples opt to focus on their careers or attain financial stability before starting a family. However, delaying parenthood can present challenges, including difficulties conceiving and increased reliance on assisted reproductive technologies (ART), as fertility diminishes with age, particularly for women.

The UAE has witnessed a significant decline in fertility rates over the years, with the total fertility rate dropping from 4.5 children per woman in 1990 to 1.4 in 2019. This decline is attributed to various factors, including changing societal attitudes and values towards family size.

Moreover, the average age of first-time mothers has been steadily rising, with statistics showing an increase from around twenty-six years old in 2010 to approximately thirty years old by 2020. Late pregnancy poses significant challenges due to declining fertility, as a woman's reproductive capacity peaks in her early to mid-20s and declines thereafter, accelerating after 35 and significantly dropping after 40, increasing the risk of complications such as miscarriage and birth defects.

Dr. Hoda Soliman, Consultant Obstetrics and Gynaecology at Al Zahra Hospital Dubai, notes the prevalence of delayed parenthood in recent years. Pregnancy after the age of 35 or even 40 has become increasingly common, reflecting a shift towards starting families later in life.

However, delayed pregnancy is not without risks. Advanced maternal age is associated with a higher incidence of medical conditions during pregnancy, including gestational diabetes and hypertension, as well as an increased likelihood of chromosomal abnormalities in babies, such as Down syndrome.

To address these challenges, Dr. Lobna Sallam, Obstetrics and Gynaecology specialist at Prime Hospital Nad Al Hamar, advises couples to seek medical advice and counseling before making decisions about parenthood. Understanding the risks and potential complications can help couples make informed choices about their reproductive health.

Khaleej Times reached out to expatriate couples who have postponed parenthood, shedding light on their experiences and challenges. For couples like Sarah and Ahmed, demanding careers and lack of family support in childcare have been significant factors influencing their decision to delay starting a family. However, this postponement has led to difficulties, including issues related to infertility, prompting them to explore various fertility options, including assisted reproductive technologies like IVF.

Similarly, Anil and Priya Menon, who initially wanted to strengthen their relationship before becoming parents, encountered challenges when they decided to start a family later in life. Despite facing complications and significant financial costs associated with fertility treatments, their persistence ultimately led to the joy of parenthood.

In conclusion, the decision to postpone parenthood in the UAE is influenced by a myriad of factors, including career aspirations, financial considerations, and societal norms. However, this choice is not without its challenges, underscoring the importance of seeking medical advice and support when navigating the complexities of family planning.