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In this powerful and informative episode of Musings of a Geriatric Mama, Kedna Amey sits down with developmental and behavioral pediatrician Dr. Nidsy Mejia Roque to discuss one of the most frequently asked questions surrounding motherhood later in life:

Is there really a connection between advanced maternal age and autism?

Together, they unpack what research actually shows, while addressing the cultural myths, stigma, and fear that often surround conversations about neurodiversity, autism spectrum disorder (ASD), ADHD, and developmental delays.

Dr. Roque shares her evidence-based perspective as a specialist who works closely with children and families navigating developmental diagnoses. She explains how autism and ADHD are diagnosed, what red flags parents should look for, and why early intervention can make a meaningful difference in a child's development.

Most importantly, this episode provides reassurance to women who are choosing motherhood later in life — whether in their 30s, 40s, or beyond — reminding listeners that risk does not equal certainty and that motherhood journeys are deeply personal.

Listeners will walk away feeling more informed, empowered, and supported as they learn how to move from fear toward clarity and confidence.

If you are a high-achieving woman navigating identity, ambition, and motherhood, this episode offers both medical insight and emotional encouragement.

You are not alone in this journey.

Key Takeaways

• Research shows increased risk does not mean certainty
• Both maternal and paternal age can influence developmental risk factors
• Early intervention improves long-term outcomes
• Autism and ADHD exist on a spectrum and present uniquely in each child
• Parents should not blame themselves for developmental diagnoses
• Cultural awareness can help reduce stigma around neurodiversity
• Advocacy plays an important role in accessing support services
• Children with developmental differences can live fulfilling, independent lives
• Balance in parenting approaches is essential for long-term development
• Faith, knowledge, and support can coexist in the motherhood journey

Chapters

00:00 Introduction to Advanced Maternal Age and Developmental Health
05:15 Dr. Nidsy Mejia Roque's Journey to Developmental Pediatrics
08:54 Understanding Developmental and Behavioral Pediatrics
11:34 Common Conditions in Developmental Pediatrics
13:27 Defining ADHD: Medical Perspectives
16:24 Understanding Autism Spectrum Disorder
19:50 Red Flags for Autism Spectrum Disorder
23:26 The Importance of Early Intervention
25:09 Cultural Perspectives on Neurodiversity
28:56 Breaking Myths and Fears Surrounding Diagnoses
30:19 Understanding Advanced Maternal Age and Developmental Risks
36:56 Navigating the Diagnosis: Resources and Support for Families
42:17 The Journey of Children with Autism into Adulthood
46:19 Empowerment Over Fear: Making Informed Choices in Motherhood
50:49 Finding Balance in Parenting: Discipline and Flexibility
54:28 The Impact of Generational Perspectives on Parenting
58:57 _musings of a geriatric mama YouTube Video outro.mp4

Find Dr Roque: https://www.instagram.com/dr.nidsymejia/

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