Our expert says:
There is an increased risk of Down syndrome in women over 40 years of age. There are tests that can be done to determine this during the pregnancy.
In terms of the 3 caesareans, she would need another caesarean in this pregnancy. The incisional hernia can probably be repaired at the same time. I would suggest that she sees a gynaecologist and discussed all these issues with him/her.
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