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I think there might be a difference here in that you are NOT a career stay at home mom (clearly with going to med school that would eliminate that).
Remember I'm one of 5 and that youngest to oldest we are 14 years apart. My mom was in her mid-50s by the time I turned 18 (I'm the youngest). Also, she doesn't have a college degree so starting from scratch in your mid-50s to pursue medicine is pretty unrealistic.
If the OP were to have a kid now she'd be almost 50 (and that's a big IF) when her kid turned 18.
I FULLY AGREE with you when you say do either BUT DO IT WELL. In the long run what's most important is happiness and to live with no regrets. Do either and it will is probably the best summary.
I AM a career stay at home mom, but I'm tapering off

I'm not disrespecting your mom, but I've always found an abundance of rich experiences that I might have not pursued had I been working a typical job. I have 4 children, and heaven knows it's demanding, but it's not 24 hours per day.
So I think it's in the lens that you look at your life. It's NEVER too late to change your path. You should encourage your mom to try something new and exciting. Clearly you turned out very bright, so she did a good job!