I had my 5th about a month short of my 42nd birthday. My older ones were 21, 11, 10 and nearly 2. She’s now 4.
It was the tail end of Covid, but I had no extra/better care than with any of the others, just the standard nhs set for mums having second plus (so fewer appointments than a ftm) I do think my NHS trust was a bit too relaxed tbh.
I did have to have blood thinners I think from 28wks til 6wks pp with 4 and 5 I was older, obese and had more than 3. And aspirin early on.
I was offered induction between 40-41wks due to age and due to the demand ended up being offered 41wks exactly - so really no concern/consideration for being over 40 as I think a lot of trusts induce before 40wks.
She was probably my trickiest pregnancy as I had a huge bleed at 12wks caused by a subchrionic haematoma. And it was in lockdowns/homeschooling/had a baby already. My 4th at 39/40 was actually my best pregnancy in terms of health and wellbeing.
Her birth was fine, she came out in 2hrs. I recovered quickly/well.
Now she’s 4 she’s a much adored sibling with a huge personality. We wouldn’t be without her and she is great company for her 6yo brother. I’m super lucky that they all get on well, much better than my sibling and I did.