Alexandra Grant, a 52-year-old artist and philanthropist, has sparked widespread attention with the announcement of her pregnancy earlier this year. Her story is not only a medical marvel but has also captured public interest, particularly with the heartfelt support from her partner, renowned actor Keanu Reeves. However, a pregnancy at this age raises significant health concerns. Below is a detailed exploration of Grant’s journey, Reeves’ touching gesture, and the potential challenges she may face during her pregnancy.

A Pregnancy at 52: A Medical Marvel

Alexandra Grant, currently residing in Los Angeles, California, has become a focal point of public fascination after announcing her pregnancy at 52. Known for her artwork centered on language and text, Grant is also recognized for her long-term relationship with Keanu Reeves, which began in 2019. Drawing parallels with similar cases, such as Alexandra Hildebrandt, a 66-year-old woman who gave birth in Berlin in March 2025, it’s likely that Grant utilized donor eggs or frozen embryos, combined with hormone therapy, to sustain her pregnancy. Hildebrandt delivered a healthy boy weighing 7 pounds 13 ounces via C-section at Charité Hospital in Berlin. However, her doctor, Wolfgang Henrich, cautioned about the heightened risks for older mothers, particularly those with a history of multiple C-sections.

At 52, Grant’s body may have already entered menopause or perimenopause, making natural conception highly unlikely. According to the American Society for Reproductive Medicine (ASRM), pregnancy at this age is typically only possible through in vitro fertilization (IVF) with donor eggs, as the uterus can still support a fetus with proper hormonal support. While this is a remarkable achievement, a pregnancy at an advanced age carries significant health risks for both mother and baby, requiring meticulous medical oversight.

Keanu Reeves’ Support: A Touching Gesture

Amid the public spotlight, Alexandra Grant has received special attention from her partner, Keanu Reeves, the star of John Wick and The Matrix, who is renowned for his kind heart and private nature. According to a close source cited on X on May 20, 2025, Reeves sent a handwritten letter to Grant after learning of her pregnancy announcement. In the letter, he expressed deep admiration for her courage and determination to pursue motherhood at 52. “I am profoundly moved by your story. You are a testament to how love and hope can transcend all limits,” Reeves wrote, as quoted on X.

Beyond words, Reeves reportedly reached out to a charitable organization supporting older pregnant women to ensure Grant receives the best possible medical care. This gesture aligns with Reeves’ reputation for quietly supporting individuals and causes without seeking attention. A user on X commented, “Keanu Reeves proves once again he’s the best of Hollywood. Supporting Alexandra Grant like this is truly special!” Reeves’ involvement not only provides emotional encouragement for Grant but also raises awareness about the challenges of late-age pregnancies.

Potential Pregnancy Complications at Age 52

Pregnancy at 52 is far from straightforward, and Alexandra Grant may encounter several serious complications, including:

Hypertension and Preeclampsia:
Older women face a higher risk of gestational hypertension, which can lead to preeclampsia—a dangerous condition involving high blood pressure and organ damage. A 2017 study in Washington state found that the risk of severe maternal complications, including preeclampsia, rises significantly in women over 50. For Grant, doctors may recommend low-dose aspirin to mitigate this risk, as advised by the American College of Obstetricians and Gynecologists (ACOG).
Gestational Diabetes:
Gestational diabetes is common among older pregnant women. A documented case on PubMed of a 65-year-old pregnant woman revealed she developed gestational diabetes, managed through diet. Grant may require early and frequent diabetes screening, especially if she has a history of obesity or other risk factors.
Risk of Preterm Birth and Low Birth Weight:
Pregnancies at advanced ages often result in preterm delivery or low-birth-weight babies. A 2012 Live Science study indicated that women over 50 undergoing IVF have a higher risk of preterm birth, particularly with multiples. If Grant is carrying a single fetus, this risk may be lower, but regular ultrasounds will be essential to monitor fetal development.
Cardiovascular Complications:
Pregnancy doubles the body’s blood volume, placing significant strain on the heart and blood vessels. At 52, Grant’s blood vessels may be less elastic, increasing the risk of cardiovascular issues. Dr. David Cohen from the University of Chicago has warned that older women need thorough cardiovascular screening before pregnancy, including echocardiograms and stress tests.
Risk of Bleeding and Uterine Abnormalities:
A PubMed case of a 65-year-old pregnant woman reported antepartum hemorrhage due to placenta previa, ultimately requiring a hysterectomy after a C-section. Grant may face similar risks, especially if she has a history of uterine surgery or abnormal placental attachment.
Risk of Fetal Abnormalities:
Even if Grant used donor eggs from a younger woman, the risk of fetal abnormalities increases with maternal age. According to ACOG, women over 35 have a higher chance of having a child with Down syndrome, with the risk escalating with age. Prenatal screening tests, such as blood tests and nuchal translucency ultrasounds, will be crucial for early detection of abnormalities.

An Inspiring Yet Challenging Journey

Alexandra Grant’s story is a testament to the advancements of modern medicine and an inspiration to many about the power of love and perseverance. Keanu Reeves’ heartfelt support underscores the significance of her journey, showing that even major celebrities can be touched by deeply personal stories. However, Grant’s pregnancy at 52 comes with significant risks, necessitating intensive medical care and support from her family and community.

As Alexandra continues her path to motherhood, the public watches with a mix of admiration and concern. Will she overcome these challenges to safely welcome her child? Only time will tell, but for now, Alexandra Grant’s story stands as a symbol of hope and courage.