Many women defer pregnancy during medical school and residency training. This often places them at advanced maternal age during their pregnancies or attempted pregnancies.Risks associated with advanced maternal age are well known, including higher rates of birth defects andassociated complications with pregnancy.2-6 The use of assisted reproductive technologies (ARTs) also increases with advanced maternal age. For women who do become pregnant during residency, there are issues related to workload,radiation exposure, patient logs, and long hours, leading tophysical and emotional stressors that could increase risks associated with pregnancy