Late pregnancy

Late pregnancy.  Photo from http://creative.gettyimages.com

With end 1970 s began the rapid growth in the number of women giving birth at the age of forty, and even forties. For a quarter century, the number of births among women 35-39 years has increased by 90%. And by 87% in the number of young mothers who 40 or more.

Whereas fifteen years ago, "starodyaschimi" called25-year-olds girls, but today the term is used to refer to mothers older than 35 years, and is quite rare. There has been a significant shift age limit women capable of getting pregnant and giving birth.

Unplanned pregnancy

To begin with, the current standard of life involves sexual activity and regular sex life in women who are not only "over 30", but also "40" and "50." Thus, of course, preserved, and the very possibility of getting pregnant.

In this case, a fairly large number of pregnancies in adulthood are unexpected (and unwelcome) for women. This is evidenced by at least the fact that, according to statistics, more than 70% of pregnancies in the late reproductive age (after 35 years) are interrupted by induced abortions.

After all, most women35-40 years has decided to focus on family planning, and pregnancy — the result of neglect contraception or ineffectiveness of previous methods of contraception. Thus, for example, there are cases when the physiological method of contraception, based on the calculation of favorable days for conception, "fails" in connection with the violation of the cycle as a result of natural aging changes in a woman's body.

Many women are rightly believe that with age, their ability to conceive decreases, and cease to pay due attention to contraception. However, the decline of fertility is not tantamount to infertility and the risk of accidental pregnancy in middle-aged women nepredohranyayuscheysya is often higher than that of young and resort to contraception.

Although at present in women over 40 years remains only one in ten pregnant, do not forget that 20 years ago, the number of births was significantly less, so there is an encouraging trend — fewer women admit unwanted pregnancies, more women, " accidentally "became pregnant in middle age, decides to give birth — not only saving the life of conceiving a child, but in thesome degree returning their youth.

Planned Pregnancy

Increasingly, women are deliberately delaying having children "for later" — to achieve career success, and housing, and just before her marriage, as of late age of marriage has increased. And it's not a fad and not moods, it is an objective trend. After all, if physical maturity modern man reaches much earlier than its ancestors, while social maturity, when a person is ready to create a family and raising children, as he alone, without outside help, can provide families and children a decent life, there comes a by the age of thirty. Rather, it is in this — the main reason that so "aged" today's young parents.

However, large enough and the number of women who are not late delivery first. The increased rate of divorce in modern society leads to the fact that a lot of women aged 30-40 years remarries and want to have a baby in the new marriage.

But also it is a faithful spouse35-40 years often appear possible "to have a second child" — they have a strong position on the job, a stable income, a good apartment. And — what is remarkable — not just the desire to have a second child, but to have children of different sexes. Polls show that the expectations associated with the appearance of a child of a particular sex, not much harder for those parents who are waiting for the first-born, and those who want it for the eldest daughter of a brother or sister has certainly grown-son. This explains the fact that the third pregnancy women are more likely to end delivery, if the two oldest children — gay.

But who decided to get pregnant women older than 35 years are often faced with the fact that the conception of their age represents a significant challenge (it does not matter whether a woman wants to give birth to first child, a second or third child). After all, a woman's ability to conceive starts to decrease somewhere after 30 years, so it is not surprising that the older the woman, the more time it will take to get pregnant. This is due to different reasons. Over the years, women have reduced the number of ovulations — increasing the number of menstrual cycles pass without the formation of an egg, and pregnancy in a cycle, of course, is impossible. Many women develop with age, diseases such as endometriosis (a disease of the mucous membrane of the uterus associated with hormonal imbalances and preventing the implantation of the embryo), obstruction of the tubes in which hit the egg in the uterus becomes impossible, etc. Appear and various extragenital diseases (not directly related to the sexual sphere), preventing a pregnancy. For example, if a woman is under 30 years old the chance to become pregnant within one menstrual cycle is 20%, then women over 40 — only 5%.

However, as we have said, is that for conception takes more time does not equal infertility. And we should not waste time if pregnancy does not occur after a year of sex without contraception, should consult a doctor to identify the reasons that prevent conception. Most women over 35 can get pregnant, carry and give birth to a healthy baby, and modern medicine is powerless to help them do that.

Pregnancy is a long-awaited

Touching on the theme of pregnancy in adulthood, we can not say about women, for whom the opportunity to become pregnant only through medicine has become the only chance to experience the happiness of motherhood. Among visit the clinic for IVF (in vitro fertilization, ie fertilization "in vitro") — the last hope of women with a diagnosis of "primary infertility" — a lot of those to whom and for 30 and even 40. The chances of having these women two times smaller than the young, but it is at least some odds in comparison with the diagnosis, which 20 years ago sounded ruthless verdict. Today, doctors urge women not to delay the treatment of infertility and seek the help of assisted reproductive technologies, because the younger the patient, the greater the chance of success.

But it is today, when the world has been living for more than a million people born with IVF. A forty-year woman with primary infertility 20 years ago did not have the opportunity to resort to this procedure (first child "test-tube" came to light only in 1978, and a far cry from Russia), 10 years ago did not have money for the work of such manipulations, and only now can try to get pregnant. Certainly, the development of assisted reproductive technologies, particularly in vitro fertilization — one of the factors behind the recent rise in the number of pregnancies and the "aged" young mothers.

However, many years of infertility lechivshayasya, almost desperate woman, and a happy mother of two teenage boys so waiting for the girl, and prosperous, "businesswoman" finally make time for procreation, and the woman did not even think about marriage, but suddenly married and mature lady, striving to keep her young husband — they all became pregnant, will face some of the same problems. Let's leave aside the question of history and pregnancy talk is about them — about the medical features of pregnancy in adulthood, about how women behave, what to fear and what to prepare in this position.

Problems later in pregnancy

Be warned: we are going to talk about the problems, complications and risks, leaving aside all the undoubted charms and advantages associated with late pregnancy. The purpose of this article — do not scare the woman ponders whether or not resolved at such a crucial step, and warn of the difficulties she will h
ave to face, and to identify ways of overcoming them.

We distinguish in the discussion of this question two themes: the dangerous pregnancy in middle age for the mother and what problems may arise in the child "old" mothers. Of course, we must remember that such a division would be largely arbitrary, because the pregnant woman and the fetus is a single organism, and almost all of the problems of the mother in some way affect the child.

The risk for women

  • Miscarriage. If women younger than 30, the risk of miscarriage is 10%, in women 30-39 years, he is now 17%, and for women 40-44 years increases to 33%. Increased risk of miscarriage associated not only with the age-related changes of the female body, but also to the aging of eggs themselves, which resulted in a much more there is a conception of the fetus with serious genetic disorders.
  • Placental problems (chronic placental insufficiency, placenta previa, premature detachment of the placenta).
  • Exacerbation of chronic diseases. Pregnancy can cause exacerbation of almost any of the chronic diseases, and with age the probability of women having such diseases is only increasing. Of course, require continuous medical supervision pregnancy with chronic kidney disease. More than careful medical management of pregnancy is necessary for diseases cardiovascular system, in particular in hypertension. Hypertension itself is a fairly common complication of pregnancy, and if the woman before suffering the disease, pregnancy may impair its overall condition, increasing the risk of preeclampsia or eclampsia (a condition characterized by high blood pressure, swelling, and the presence of protein in the urine). The most severe manifestation of preeclampsia — eclampsia (convulsions) — can seriously disrupt the nervous system up to stroke and coma with severe brain damage.
  • In women older than 40 years is 3 times more likely than 30, pregnant women develop diabetes. Gestational diabetes requires adherence to diet and perform special assignments (approximately 15% of women injections of insulin). Women with diabetes during pregnancy increases the risk of: pre-eclampsia, preterm birth, placental complications, specifically affecting the fetus — diabetic fetopathy, stillbirths.
  • Multiple pregnancies (age 35-39— The peak of twin births). Complications during birth (most likely the weakness of labor, a greater risk of fractures soft birth canal due to reduced elasticity of tissues, bleeding caused by placental problems, etc.).
  • Caesarean section. In nulliparous 35-40 years, the probability of delivery by cesarean section was 40% older than 40 years — 47% (while only 14% of women younger than 30 years old give birth by caesarean section).

Risk to the child:

  • Premature birth.
  • Low weight.
  • The danger of hypoxia during labor.
  • The risk of chromosomal abnormalities in the fetus.

Unfortunately, with age, the risk of parents having a child withany chromosomal abnormalities increases dramatically. This is due to the different and not fully explored the reasons, among which are the reproductive cells and aging, and increasing with age, time of exposure to the different pathogenic factors and toxic substances. (By the way, due to gene mutations and increase the percentage of miscarriages in older women — emerging from the cells with damaged chromosomes embryos are viable.)

Age of mother

The risk of Down's syndrome in children

25

1 of 1250

30

1 of 952

35

1 of 378

40

1 of 106

45

1 of 30

49

1 of 11

The number of diseases caused by chromosomal abnormalities, is sufficiently large, however, the most well known and most feared by parents causes Down's syndrome — a combination of mental retardation and physical disabilities caused by the presence of one extra 21 minutes chromosome. The likelihood of a child with Down syndrome increases with the mother's age (see table).

However, as can be seen from the same table, even fifty years women have a great chance (greater than 90%) of having a healthy baby, but in general 97% of women who had received prenatal research, receive confirmation that the probability of a full-fledged child they have is the same as and in younger women.

In addition, recent trends in prenatal diagnosis gives the family an opportunity at a sufficiently early stage of pregnancy to examine the fetus and to identify (and more — delete) any deviations. Take a survey of this kind would have been out of place and a young woman, the more you can not ignore medical and genetic advice to those who entered the age of "at risk". Incidentally, some of physicians is in the prime of prenatal diagnosis sees one of the reasons for the increasing number elderly mothers: women have the confidence that after forty and will give birth to a healthy baby.

***

So, what did the data show numerous studies? Paradoxically, they are optimistic: they say that the vast majority of women who dared to late delivery, giving birth to healthy babies!

You have to relive or discover for the first time the happiness of motherhood. You already live in the world and possess the wisdom which is not in their twenties, you already know: nothing gets nothing, without works, sacrifice and effort, you have enough strength and patience to overcome all difficulties. The love the feelings that are born with this child will change your life. Happiness is a mother's love and pride for their child, the second youth — all you have to survive in the coming years, but it is now, in the 9 months, you will be required attention, concentration, restlessness, iron will and self-discipline, and sometimes a willingness to self-sacrifice.

 

Like this post? Please share to your friends: