Over the past decade, the number of primigravid women aged "for 30" has doubled.
Unlike a couple of dozen years ago, now women are considered older than 40 years with the first pregnancy. What caused such a shift in the age, understand no wonder. The medicine has stepped far ahead, now a woman who was previously considered sterile may have even more than one child.
Physicians retain the fruit, which until recently had no chance of breathing. Not a hindrance and many chronic diseases of the future mother, which are typical for a woman who decided on a pregnancy after 30.
On the one hand, this gives an advantage to women who decided to conceive a second child at a later age and again to experience the joy of motherhood.
On the other hand, many young families postpone the creation of posterity "for later", preferring to gain stability, status in society and improve well-being. Some are just afraid of not coping with their parental responsibilities. As a result, the first pregnancy is obtained after 30 years, when chronic diseases are already acquired, and the egg is produced half as often. What you need to be ready for "not quite young" mom, how to assess the degree of risk and minimize it - about everything in order.
Is age important?
Doctors agree: a couple who wants to have children should begin the examination in a specialized clinic as early as possible. If necessary, you can manage to treat diseases that interfere with fertilization and bearing, because the older people become, the lower the chance of conception of a healthy child. After all, the onset of pregnancy is a multi-stage, rather complicated process.
To successfully start a woman's pregnancy there must be several factors:
• ovulation;
• fully functioning fallopian tubes;
• optimal structure of the endometrium for embryo implantation.
In addition, in sperm, men must have mobile spermatozoa of the correct structure, in sufficient quantity.
The disadvantage of at least one of these factors makes pregnancy after 30 impossible. The task of physicians is to identify the missing stage and have time to carry out its correction-treatment.
Pregnancy after 30: why it is difficult to get pregnant
Many studies have confirmed the fact that, since 30 years, the genital functions of the female body are being suppressed. This is due to a number of factors.
Not enough eggs
At birth, each girl is endowed with a limited number of eggs. Annually up to 23 years from one million eggs remains only 200. And, with the ideal cycle and ovulation, monthly from the follicle comes out on average one or two eggs. All anything, but, except for ovulation, eggs are lost as a result of illnesses, and after the lapse of years - "grow old", their quality decreases. Such eggs can no longer fertilize.
Loss of uterine fertility
With age, the woman's ability to conceive is reduced due to gynecological chronic diseases (endometriosis, fibroids, inflammatory processes), a decrease in blood flow to the reproductive organs, and resistance to uterine hormones. As a result, complications with implantation of the embryo and miscarriage of pregnancy.
Functional infertility
Pregnancy is impossible for 30% of women after 35 years. The cause of infertility is commonplace - the natural aging of tissues, the age-related extinction of the functions of the uterus and ovaries, starting from 28-30 years. It occurs due to the insufficiency of the circulatory system, and is reflected in the organs - first there are changes in small arteries in the fallopian tubes, spikes and scars are formed. Often, inflammatory diseases of the uterus and ovaries lead to this. Cure such infertility is possible only with the use of microsurgery.
Than pregnancy is dangerous after 30 years
First of all, the doctor should find out the cause of late pregnancy. If the couple tried to conceive, but pregnancy did not come, then there is a possibility of a lack of hormones in a woman. If you do not make timely treatment, you may have a miscarriage. Progesterone deficiency can be filled with artificial drugs that take up to 16 weeks of pregnancy. This is the smallest problem that can await the future "Mom in Ages".
Diabetes of pregnant women
The probability of its occurrence to 35 years is doubled. As a result of diabetes, the risk of premature birth, pre-eclampsia, diabetic fetopathy, complications of the placenta and stillbirth is greatly increased. In addition to general medical therapy, a strict diet is required, as well as insulin injections.
Miscarriage
Pregnancy after 30 years is associated with an increase in the probability of miscarriage to 17 percent. This happens not only with the inevitable age-related changes in the body as a whole - miscarriages are caused by aging of eggs, which lead to genetic disorders incompatible with fetal growth.
Cesarean section
A woman who has decided to become pregnant after 30 years, reduces the likelihood of natural delivery at 26%. By 35-40 years up to 40% of pregnant women are forced to go to cesarean section.
Complications during childbirth
A significant decrease in tissue elasticity is characteristic, which leads to the risk of ruptures in the birth canal and bleeding. Placental problems, much weaker labor activity - all this is in most cases inherent in "age".
Pathology of the placenta
Problems with presentation, chronic placental insufficiency and premature detachment are what an older woman should prepare for. Pathological conditions of the placenta often lead to the birth of a child with low weight, intrauterine hypoxia, as well as to complicated and premature birth.
Multiple pregnancy
Full readiness for twins, triple. Researchers have proved that the age of a woman from 35 to 39 years greatly increases the probability of twin births.
Exacerbation of chronic diseases
Each chronic disease acquired during a lifetime will remind you of itself during pregnancy. A special danger is the pathology of the kidneys and the cardiovascular system. Pregnancy in many cases causes arterial hypertension, and if a woman has already suffered from her symptoms, then the condition can reach pre-eclampsia or severe manifestations of gestosis.
Infection Defeat
With age, the probability of acquiring a woman with an STD is much higher. Chlamydia, cytomegalovirus, genital herpes or genital warts, and similar diseases. Until a certain time, many STDs are asymptomatic, they can be identified only through medical research. In pregnancy, in connection with the suppression of immunity, these diseases can manifest themselves in full force, harming not only the pregnant woman, but also the fetus. The aggravation of such diseases often leads to the need for a cesarean section.
How to prepare for pregnancy after 30 years
Carrying a child, a woman exposes the body to a strong long-term stress both physically and psychologically. Planning a pregnancy after 30, you need prepare physically, giving the body more time. Very beneficial in terms of relaxation and psychological support of yoga or swimming, meditation.
The key to the success of "age" pregnant women is an advance visit to the gynecologist and a full medical examination. Since the risk of pathology increases over the years, parents are encouraged to undergo various studies to avoid the birth of a child with a dangerous genetic pathology. Do not be afraid of tests, but listen to the opinion of doctors.
Pregnancy and childbirth will force the body to mobilize, use all reserves and forces to the remainder. Therefore, in order to facilitate his task and to protect the child, one should not be lazy and do not save, and pass Complete examination to exclude:
• exacerbation of chronic diseases before pregnancy;
• Diseases;
• Sexually transmitted infections;
• diseases of the genital organs and inflammatory processes in them.
Based on the results of the studies, the doctor prescribes the necessary treatment and vitamin complex. The organs of the future child are formed in the first trimester of pregnancy, this is the most dangerous period for the fetus. If at the time of conception the woman's body will be in a normal state, she will abandon bad habits and continue moderate physical activities, then the chance to easily bear the bearing and give birth to a full-fledged child naturally is very high.
During pregnancy, pregnant women after 30 years necessarily carry out several diagnoses of congenital malformations and prevent fetal development anomalies. Blood from the vein for the determination of genetic pathologies is taken from 16 for 20 a week. If the result does not give an accurate answer, then additional tests are prescribed. Women after 40 years spend all available genetic analyzes, since the probability of deviations is increased.
Invasive additional diagnostics include a chorine biopsy (the tissue from which the placenta forms) in the first trimester, and chordocentesis (through the vessels of the umbilical cord takes blood from the fetus) in the second trimester of pregnancy.
The professional approach of doctors and the consciousness of the future mother will lead to a healthy pregnancy and reduce the risk of complications.
How to be, if you do not get pregnant after 30
They carried out all the tests, prepared for the maximum, recovered from everything that was, and what was not, and the pregnancy does not come. Many couples drop their hands. But for today, physicians can, it would seem, "impossible" with the help of artificial insemination. The diagnosis of "infertility" now sounds not as hopeless as before.
But IVF is not only a miracle cure for infertility - the procedure has a lot of "No". In vitro fertilization is a complex process, preparation for which takes quite a long time for treatment, and the maximum chance of a successful pregnancy is 30%. The onset of pregnancy with the first IVF is more likely a rarity. Couples try to do it five or more times, spending their energy and finances.
With IVF, pregnancy is more often accompanied by complications: embryo implantation, ectopic pregnancy, premature interruption, and many others. Usually pathologies are caused by the condition of the patient, when the functions of the organs are lost with age. If the state of health of a pregnant woman is satisfactory, then with IVF pregnancy and after 30 will come quickly.
But the long-awaited two strips reduce the experienced problems to "no."
Parents who decide on in vitro fertilization, you need to be ready for multiple pregnancies. This is a very frequent "side phenomenon".
A positive aspect of IVF is also the fact that the future child is surely immune from genetic abnormalities.
We give birth to ourselves?
Births in pregnant women after 30 are often complicated by ruptures, mild labor and bleeding. To avoid these symptoms, you need to hold special gymnastics for the muscles of the perineum, as well as maintain the general tone of the body.
The issue of delivery is very important for pregnant women after 30, is it possible to give birth, or is it necessary to have a cesarean? To remove possible complications during childbirth and to protect mother and child, doctors recommend that a cesarean section be administered to all pregnant women after 40 years. But forcibly pregnant no one will force to lie under the knife, so it's up to her to decide. If the physical condition of the mother is normal, there are no problems with the heart, myopia, pressure is normal, and the pelvic size is optimal, doctors easily agree on natural childbirth. Otherwise, it is better to operate. The negative aspect of pregnancy after 30 is that the woman is much longer than the young, recovering from childbirth.
At 38 week, the expectant mother "aged" is put in the hospital and the date and method of delivery are chosen. The hospital will be offered to use programmed delivery with the help of injections of hormones provoking generic activity.
Most women planning a late pregnancy, gives birth to fully healthy children.
Therefore, a woman can safely decide on the first, or the next pregnancy, because she already has life experience, welfare, she has something to share with her little "miracle" - it's time to learn the joy of motherhood!