I had my last one a couple of weeks before I turned 42. My OB wanted me to see a high risk OB just because of my age. We have really crappy insurance and didn't have the money to pay for that. So, I made a compromise with the doc that if the screening ultrasound was abnormal that I would go to the high risk doc. It was normal and so I continued as I had with my other pregnancies. For my 4th I was also AMA (36) but they somehow missed that so I didn't get harassed with that pregnancy at all.