Gynecology

Preparing for pregnancy or how to give birth to a healthy child after forty

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A woman’s desire for self-realization and to achieve something in this life pushes further and further thoughts about pregnancy and family. If earlier, at 23–25 years old, a girl was considered an old maid, now even at 30 this cannot be said, because the majority are beginning to think about marriage and children precisely at this age.

Late pregnancy

Disputes on this issue have been going on for a long time, and even specialists of this profile cannot come to a common opinion. Some consider late births a danger to women and children, while others hold positive views and support the decision of “mature” men and women to become parents again or for the first time.

Before succumbing to anxiety and concern about middle-aged, mature mothers are recommended to understand concepts such as calendar, psychological, and biological age. Each woman is an individual organism, a separate unique system that develops independently of others. Some girls mature at a very early age, and their bodies, respectively, are aging earlier, while others, the process of maturation and aging is slowed down, and a woman at 45 can feel herself by 30 according to her psychological and biological age criteria. Therefore, pregnancy can be late only on the calendar, and for health reasons and psychological readiness just right. If a woman in 40 still feels maternal potential in herself, then you need to use it, especially if there is zeal and desire.

Late pregnancy becomes much more dangerous if there are serious age-related disorders in the health system, which often happens. In this case, it is necessary to study well all the pros and cons of late conception.

Positive sides

The more positive the future parents are, the more likely the pregnancy will be calmer and more confident. On the one hand, late pregnancy carries some advantages for both parents and baby:

  1. Life experience in the background. Those situations, which in their youth seemed catastrophic and led to panic, in adulthood are already perceived softer and simpler. The past years have given experience and knowledge to “adult” parents, have brought up a proper attitude to life and family values. All their thoughts will be occupied by raising a child, and not dreams of noisy parties and plans for career development.
  2. Reliable foundation of family life. A woman in her 40–47 years who decided to become pregnant, as a rule, already has a reliable and loyal partner next to her. By this age, the relationship of the couple was repeatedly tested in different situations and life's vicissitudes, which provided a strong family foundation. In addition, by the fourth or fifth dozen, the family already has its own dwelling, and the housing problem is not on the agenda. In such a family, the child will be very comfortable.
  3. Improving health. Late delivery can delay the onset of menopause. It can be easier and more painless. In addition, childbirth at 40–47 years can reduce the risk of osteoporosis and stroke, and reduce the likelihood of problems with the hearing aid and urinary system.

Problems and dangers

When it comes to the possibility of becoming pregnant after 45-47 years, as a rule, doctors recommend to think about this decision well, because the carrying of the fetus and the birth itself often occur with various complications and difficulties. Planning a pregnancy at that age must be done consciously, deliberately and with the maximum diagnostic level. So, the main risks and problems of late pregnancy:

  1. High risk of having a child with mental or physical disability. At 47 years old, the chances of having a baby are small, as from about 30 a gradual decrease in the number of eggs begins. In addition, there is no guarantee that their condition will be excellent, because there is a danger of chromosomal abnormalities, which can subsequently leave an imprint on the mental or physical development of the fetus. Genetic counseling is extremely necessary for an “adult” mother throughout pregnancy in order to identify pregnancy problems in time and, if possible, eliminate them.
  2. The risk of complications during childbirth. By the years 40–47, a woman’s body has already accumulated a number of health problems, including a couple of chronic diseases. Increased blood pressure, disorders of the musculoskeletal system, cardiovascular diseases and other unpleasant diseases can cause various complications during gestation and delivery.
  3. What seemed simple in his youth would be difficult. That energy potential characteristic of young people in adulthood, when already 40–47 years old, is significantly reduced. And this fact must be taken into account before you decide to get pregnant. During the first few months, a newborn baby requires intense attention - sleepless nights, moods, abdominal pains, teeth, etc. Therefore, a “mature” mother should prepare herself morally and mentally for pleasant, but complexities.
  4. High risk of miscarriage. According to statistics, about 50–55% of “age-related” pregnancies end in miscarriage before the onset of 20 weeks.
  5. Postpartum recovery. Women who have given birth in adulthood have a higher risk of postpartum hemorrhage and infections.
  6. The risk of cesarean section - 45%. If the pregnancy is late, and besides the first, then the birth will be much more difficult than that of young colleagues. Fabrics over time lose their elasticity and harden. Such a state becomes an obstacle to natural childbirth. A rare doctor will allow a woman to independently drive the fetus out of the womb. In this case, a cesarean section is a necessary measure to keep the child and mother alive and healthy.
  7. Older parents. If the parents at the time of the child's birth were 45 years old, then by the time he enters school, they will be 52 years old, and this is the age of the grandparents. The child will need active pastime, but due to age-related changes in the body, elderly parents will not be able to fully give it to him. Given the average life expectancy of 70 years, there is a high probability of not surviving until the birth of grandchildren. No matter how sad it may sound.

FAQ

The Internet is actively discussing the topic of late childbirth, and women ask many questions that they want to get a thoughtful and reliable answer. Here is a list of the most popular ones.

Question: How long does it take for mature parents to successfully conceive a child?

Answer: Even in 40 years, every second woman has the opportunity to become pregnant without much effort, but after 45 such a chance is given only 1 out of 10. If all attempts failed for half a year, then the couple cannot do without the help of specialists.

Question: Is it true that late childbirth rejuvenates a woman both physiologically and psychologically?

Answer: According to doctors, this is a myth. Rejuvenation of the body does not occur at all, rather the opposite. Late pregnancy is stressful for the body. It sharpens and reveals the processes occurring in a latent form. In addition, pregnancy causes a serious restructuring of the hormonal system, exerts pressure on the spinal column, affects the functioning of the heart, and so on.

But a woman who gives birth psychologically can feel herself a young mother, but only in her heart and not for long, because menopause is not far off.

Question: How to start preparing for pregnancy "mature" parents?

Answer: Definitely from a visit to a specialized doctor and passing all necessary examinations to both women and men. With age, the fertility system of both partners reduces its capabilities and depletes reserves, hence the difficulty in conceiving. Historically, if a couple cannot get pregnant, then the problem is in a woman. This is a misconception. According to statistics, in 40% of cases of infertility, the function of childbearing is violated in men. Therefore, the expectant mother and father should be ready for thorough inspection.

Question: How to solve the issue of smoking, if a woman smokes all her life? It is believed that you can not throw. Is it so?

Answer: Stop smoking and you need as soon as possible. Tobacco, drug and alcohol addiction negatively affect the course of pregnancy and the process of intrauterine development of the fetus. The myth that at such an age to quit smoking can not be invented by the smokers themselves, so as not to limit themselves from dependence developed by years.

One smoked cigarette can cause a half-hour spasm of the arteries of the uterus, through which blood, enriched with oxygen, goes to the fetus. As a result, its respiratory capacity is suppressed, and along with it pulmonary pathologies, physical and psychomotor developmental delays, and brain diseases develop. Women who smoke have a higher risk of having a dead child. Quitting smoking, a woman increases the chances to bear and give birth to a healthy baby.

Question: What caused a large percentage of abortions (about 70%) during pregnancy at 40–47 years?

Answer: The most common cause of abortion in “mature” age is unplanned pregnancy. Many women believe that pregnancy after 45 years is impossible, since this is the time of menopause and find themselves trapped in their own ignorance. While menstruation takes place, pregnancy is possible.

When pregnancy happens, the woman becomes afraid of surprises, then realizes her age, the presence of existing children and makes an abortion.

Women deliberately go to the abortion, as they are not afraid in the future of its main consequences - infertility. Hence, a large percentage of abortions. Such fear is characteristic of young girls who have plans to get pregnant and have children.

Of course, all the disadvantages of late pregnancy upset and discourage, but still they do not stop the "adult" parents on their way to what they want.

Benefits of pregnancy after 40

Probably the biggest advantage is the fact that you were in no hurry to have children. You had time for personal growth, in order to see the world. You are most likely well-established in terms of finances and careers. If you have a regular partner, you have had the opportunity to get to know each other well in different circumstances, which provides a solid foundation for your future family.

It is also obvious that older mothers (who are mostly better educated than younger mothers) make more reasonable decisions as parents. They are more prone to breastfeeding and, according to one recent study, eat healthier foods.

Waiting with the birth of a child is also reasonable from a financial point of view. One study says: “Women who have worked for many years before giving birth to a child usually leave the maternity leave earlier. They have stronger ties with the employer and it’s easier for them to return to part-time work if they want it than to leave the labor market altogether. ”

Family psychologists believe that the best time to give birth to a child is between 27 and 33 years old, but also note that parents after 40 are often more attentive to their children than young parents, they had enough time to travel and gain rich life experience. . They are less subject to financial pressure and more calmly treat such things as grand parties and the 60-hour work week. After 20 or 30 you are too demanding of yourself as parents, it seems to you that if something goes wrong, it will be a real disaster and you will experience tremendous stress, and a more adult parent, as a rule, will not worry so much about such things.

Cons of pregnancy after 40

The main disadvantage, when you postpone the birth of a child for age after 40 years, is that the longer you wait, the harder it is to get pregnant.

This is important because 15 years before menopause, the number of eggs that ripen in a woman’s body begins to decline. Those eggs that mature can have chromosomal problems. This increases the risk of miscarriage and birth defects.

The vitality of an egg in a woman slightly over 40 is very different from that of a woman in 45-49. The ability to conceive a woman after 40 is rapidly decreasing. Your chances of getting pregnant at 41 are much higher than at 43.

A recent study report published in the journal Fertility and Sterility confirms this data. Studies have shown that 40-year-old women undergoing appropriate treatment have a 25% chance of becoming pregnant with their own eggs. By 43 years, these chances fall to 10%, and by 44 years - to 1.6%. Among women who managed to get pregnant, cases of miscarriage were: 24% among 40-year-olds, 38% among 43-year-olds and 54% among 44-year-olds.

Conceptionists warn that rare women may become pregnant with their own egg after 46 years. It's like a lottery, someone always wins. But do not rely on the fact that the next time it will be you. (Note: if you do not want to get pregnant, do not take this information as a reason to refuse contraception after 46 years. In any case, you must wait for the time when you can be sure that you have stopped ovulating).

Using a donor egg cell greatly increases the chances of getting pregnant. This is what most famous late-moms do.

Another disadvantage - complications during pregnancy. After 40, you are more prone to such things as high blood pressure and diabetes during pregnancy, problems with the placenta and complications during childbirth. Women over 40 are at greater risk of having a low-weight or premature baby.

Pregnancy pregnancy is also more common among late-moms. And studies show that children born to older mothers are more susceptible to diseases such as type 1 diabetes and high blood pressure (hypertension).

And do not forget about your partner, age can affect his fertility too. Although men are able to conceive even after 60, and even after 70 years, the quality of sperm deteriorates with age and the risk of genetic defects increases. Recent clinical trials have found a link between father's age and genetic abnormalities, such as Down syndrome and schizophrenia.

All these disadvantages are discouraging, but remember that some women become pregnant after 40. However, many of them have no complications during pregnancy and give birth to healthy children. In addition, although in adult moms the risk of facing complications during pregnancy increases, this risk remains relatively low.

Another note: despite the fact that there are some financial advantages in waiting for the birth of a child, but do not forget about the other side of the medal - if you postpone the birth of a child, most likely you will have to work until a later age, you have there will still be financial obligations at the age when most of your friends will be resting.

Your chances of success after 40

About two thirds of women after 40 have trouble conceiving. Time is merciless. According to leading experts in the field of infertility, after 40 your chances of getting pregnant during the menstrual cycle are 5%. With active attempts during the year, the probability of getting pregnant is 40-50%, compared to 75% for women after 30. By 43 years, the chances of getting pregnant are reduced to 1-2%. This is due to the maturation of the egg. Since the beginning of adolescence, when you have about 300,000 eggs, you lose about 13,000 eggs per year. By the age of 37, about 25,000 eggs remain in the body of a woman. And from this moment their number is rapidly decreasing. By the age of 43, the stock of high-quality eggs is almost dry and your chances of getting pregnant are very small.

The chances of facing genetic complications also increase after 40. The probability of having a child with Down syndrome is 1: 110, and at 45 years old - 1:30. For this reason, doctors recommend that patients undergo similar examinations such as amniocentesis and chorionic villus biopsy.

First-timers after 40 years in 43% of cases resort to cesarean section (compared with 14% of first-timers after 20). However, some experts believe that this is due to the fact that doctors attribute women of this age to the “high-risk group” even if the pregnancy passes without complications.

Today, there are a number of new treatments that allow women to become pregnant at a later age, using methods of assisted reproductive technology.

Although the effectiveness of IVF decreases after 35 years, the chances of success with the use of donor eggs remain high and 28% of cases end in giving birth to a healthy baby.

For a woman after 40 years using a donor egg 20-year-old or 30-year-old woman, the risk of miscarriage and chromosomal defects corresponds to the age of the donor woman!

We provide answers to frequently asked questions of patients for whom this topic is relevant and important, so:

The best moment to have a baby?

The most favorable period for the birth of a child nature has defined from 20 to 35 years. И не напрасно - зачать в 20-25 лет значительно легче, т.к.the ovaries at this age are still young and healthy, and the woman herself has not yet had time to accumulate a bunch of chronic diseases in her "luggage". The percentage of childless women of this age period and the risk of miscarriage is minimal. Childbirth is also easier: 80% of women give birth at a young age in a natural way.

For subsequent births, the best interval is 3 years. During this time, the woman's body has time to recover, that is, to go through a period of rehabilitation after childbirth.

Is it true that without the help of specialists, it is difficult for a woman over 40 to have a healthy child?

In this matter you should not approach so categorically. If a woman is healthy, then she will need help rather than help.

Imagine a woman who is intelligent, educated, has reached a certain professional and social status, who has decided that it is time to give birth. How to start preparing for pregnancy?

With a joint visit with a husband specialist. The fact is that a similar age for conception is also reflected in the reproductive function of a man. Often, potency (the ability to develop and maintain an erection for a certain time) and fertility, or fertility (the presence of spermatozoa that can fertilize an egg) are completely unrelated. Since biblical times, women have traditionally been blamed for the absence of children in the family, but now we know that in 40% of cases in infertile couples, the reproductive function is impaired in the stronger sex. The reasons for this may be different, but infectious diseases have always come first.

A woman after 40 years of age can suffer from infertility due to age?

Female fertility begins to decline many years before menopause, despite the regularity of the menstrual cycle. Although there is no strict definition of the duration of a woman’s reproductive health, the occurrence of infertility is more likely after 35 years. This is primarily due to age-related changes in the tissues, which entail a decrease in their functional characteristics. Chronic inflammatory diseases caused by infection, here also play a role. That is why the first step in the planning of pregnancy requires a survey of partners for the presence of pathogenic flora, which prevents both conception and successful bearing and birth of a healthy child.

However, despite the known facts of a decrease in the fertility of a woman many years before the onset of menopause, first of all, when planning a pregnancy, it is necessary to examine a man when planning a pregnancy. A woman’s examination of suspected infertility is complex, expensive, and time consuming, while her partner’s verification is relatively simple, fast, and inexpensive.

Suppose that the reproductive function of the husband is normal. What is offered in the future woman?

An examination of a woman who is planning a pregnancy does not stop after her visit to the clinic. It is only carried out from simple to complex, with step-by-step receipt of the results of the survey. Ultrasound, biochemical blood tests are performed, blood tests for hormones are necessarily performed.

And what is the difference in the survey of twenty and forty year old women?

After 40 years, a woman has an increased risk of having a baby with congenital abnormalities. These include heart, gastrointestinal, musculoskeletal, or genetic diseases such as the well-known Down syndrome. The age of the father is important here too. In a third of cases of Down syndrome, it is the pathologies in the male chromosome that are “to blame”.

Of course, the risk of any genetic disorder resulting from an accidental mutation is present even in a young woman. But with age, the mechanism is broken, allowing to distinguish a healthy embryo from a patient, and if a young organism more often simply rejects such a fetus, then after the critical age, the spontaneous mutations become larger, and the defense mechanism does not always work.

In addition, in women of this age group, concomitant diseases develop or become more acute during pregnancy. Pregnancy is a big burden on the female body, and the manifestation of such diseases is completely undesirable during this period. To prevent such complications during pregnancy, a woman is examined by related specialists before conception (general practitioner, cardiologist, endocrinologist, otolaryngologist, vascular surgeon). If necessary, 2–3 months before the planned pregnancy, treatment of chronic diseases is carried out with the obligatory further observation of the woman during pregnancy by an adjacent specialist.

Thus, the examination of a woman before pregnancy planning is the identification and elimination of adverse factors and, in a sense, the preparation of a future pregnancy management plan.

How to deal with smoking, that if a woman by the age of 40 has been smoking a lot for a long time? There is an opinion that in no case should you quit during pregnancy?

Of course, we must quit before the planned pregnancy. Smoking, drug and alcohol use are the most evil adverse factors for future pregnancy and fetal development. Only the woman herself can eliminate this terrible factor. Eliminate completely and unconditionally! No decrease in the number of cigarettes smoked or episodic alcohol use. This can only reassure themselves.

After one cigarette you smoke, there is a spasm of uterine arteries that carry oxygen-enriched blood to the fetus, which lasts 20 to 30 minutes. The fetal respiratory movements are suppressed, nicotine and other toxic substances appear in his blood, which ultimately leads to an increase in mortality, development of pulmonary pathology, delayed psychomotor development and encephalopathy.

According to statistics: in women, even smokers moderately (from 1 to 9 cigarettes per day), the death of newborns is 20.8% higher than in women who do not smoke. And this figure increases to 25.9% if a woman smokes more than 10 cigarettes a day. And this means that smoking half a pack of cigarettes a day leads to the birth of a dead child in every fourth case. Do we need even stronger evidence of the harm of smoking?

Nicotine is excreted in mother's milk, so a nursing woman, if she smokes, poisons her child, who will grow weak, frail and more susceptible to various diseases than children whose parents do not smoke.

What else should be considered a woman who decided on the first pregnancy after forty years?

Increased suspiciousness. Women planning their first pregnancy after the age of forty are psychologically more vulnerable than twenties. They are more prone to feelings, opinions of others, depressions. They constantly ask themselves questions: “Will everything be okay? And if something goes wrong?”. They are more consciously approaching their pregnancy.

Among obstetricians there is an opinion that emotional disorders can negatively affect the process of conception. And if a complete gynecological examination of a woman and an andrological examination of a man did not reveal any abnormalities, it is worth contacting a psychologist.

Suppose a woman has responsibly approached pregnancy planning, but healthy children are not always born. Why?

The birth of a healthy child depends not only on preparing for pregnancy, but also on how a woman bears a child. So all nine months it is necessary to observe regularly and follow the recommendations of specialists. Cases of birth of children with disabilities in health are found in parents at any age. In most cases, this is the choice of nature.

What is meant by regular observation?

First, early turnout for registration on pregnancy, which will eliminate chromosomal, hereditary diseases and fetal malformations.

During the physiological course of pregnancy, repeated visits to an obstetrician-gynecologist with test results and the conclusions of related specialists are recommended in 7–10 days, and then 1 time per month up to 28 weeks. of pregnancy. After 28 weeks of pregnancy - 2 times a month. With the identification of comorbidities in pregnant women and over the age of 35 years, the frequency of observation by an obstetrician-gynecologist increases.

Special observation requires women with chronic comorbidities at risk.

What are the features of the pregnancy management program in the “For Birth” clinic?

In our clinic, we rely on an individual approach to each family couple that has come to us, as well as the experience and knowledge of our specialists: you can make an appointment for any time, for any day of the week, including Sunday. Despite the large number of patients, there are no queues, the doctor does not think about the flow of patients, each woman is given the required amount of time, without haste and fuss, a personal program is drawn up for the woman. A woman's condition and the state of health of the fetus is constantly monitored, all tests can be taken without queues, instrumental studies are performed without delay, if necessary, on the day of treatment to the clinic. To adjacent experts do not need to make an appointment for a month, all can be visited in one day, which, as a rule, is problematic in an ordinary antenatal clinic.

That is, after forty you can give birth to a healthy child?

Medicine today has a stock of methods and technologies that allow a woman of any age to get pregnant, keep the pregnancy and give birth safely. But doctors are not wizards. Healthy offspring cannot be obtained without the personal interest of future moms and dads, who still have to remember that, according to psychologists, having given birth to a long-awaited child, they experience a second youth - not only physically, but also in relationships with each other!

Advantages of late pregnancy

Spontaneous pregnancy at 45 is the exception rather than the rule. At this age, if a couple or woman decided to acquire offspring, she comes to the question responsible:

  • timely examination,
  • fulfills the doctor's recommendations on the body's vitamin support, nutrition and treatment of existing ailments,
  • cares about the mode of work and rest,
  • refuses bad habits
  • Do not wear tight tight clothing.

At the age of 45, a woman took place as a specialist, as a person, made a career and strengthened her financial situation. Having decided to conceive, she intends to devote maximum time to the upbringing and development of the child.

Cons of late pregnancy

With age, a person does not become healthier. It must be remembered that to bear and give birth to a healthy child is not yet the parental role. He needs to grow. In the first year of a baby's life, mother needs to be prepared for constant lack of sleep. As soon as the child began to walk, you need to prepare to spend a lot of time on the street in motion.

It is sometimes difficult for young parents to maintain the physical activity of their offspring, especially since it will be difficult to make them age parents.

The child grows fast and heavy. You need to be ready to carry on hands 10-20 kg of live weight. The spine is not every young mom can withstand such a load. Moreover, a woman who already has changes in the intervertebral discs or joint problems will have a tough time.

By the time a child enters school, a woman will be slightly over 50, which means that on average she will be 2 times older than the other parents. From a psychological point of view, it may not be comfortable for her or the child. By the time of graduation, such a mother will be already retired. And you need to think in advance how she can help her child continue her studies.

The very process of carrying a child at such a mature age is fraught with many difficulties, problems and complications. Most women in the premenopausal period:

  • already suffering from hypertension,
  • have hypertrophic changes in the myocardium,
  • propensity for varicose veins or thrombophlebitis,
  • have chronic gastrointestinal pathology,
  • suffer from diseases of the musculoskeletal system (arthritis, arthrosis, osteochondrosis, intervertebral hernia, etc.),
  • and other more or less serious pathologies.

You need to be prepared to exacerbate these diseases. After the age of 45 and over, the risk is higher:

  • development of severe gestosis, preeclampsia and eclampsia,
  • disruption of pregnancy for up to 20 weeks and early labor,
  • development of hypertonicity of the uterus and hypoxia,
  • development of placental insufficiency,
  • weak labor and the need for operative delivery,
  • giving birth to a child with genetic abnormalities due to the accumulation of errors in the genetic material,
  • the appearance of a child with impaired connective tissue development, that is, with various dysplasias (hip dysplasia, additional chords of the heart, an incorrect bite), with disorders affecting the organ of vision.
  • gaps in labor, postpartum hemorrhage, which requires prompt measures, up to uterine amputation, thrombosis and other complications,
  • the recovery period after childbirth lasts longer.

Dysplasias are not fatal, the extra chord does not affect the functioning of the heart. The maximum that can be expected from it is an easy murmur in the heart. Incorrect bite is easy to correct, and even hip dysplasia can be treated with timely diagnosis.

But these children have a higher risk of developing valvular heart disease, diseases of the joints, and still very many connective tissue pathologies.

After 40 years, a woman enters a pre-menopausal period. This means the body begins to prepare for the withering of childbearing function. Less sex hormones are produced. Tissues, including the uterus and vagina, become less elastic.

By this age, most women had had inflammatory diseases of the genital organs, some had gynecological surgeries, someone had many abortions. This not only reduces the chances of conception, but also the chances of a successful full-term gestation.

At the age of 40 years and older, a woman rarely has enough milk to fully breastfeed a baby. She has to feed the crumb mixed or adapted mixture. This makes the child’s immune system less prepared to fight infections, but more likely to develop allergic reactions.

Different people, different opinions

The opinion of experts in the matter of late pregnancy is far from unanimous. Everyone acknowledges that the older the woman, the higher the risk for her and for the child. But a responsible approach to carrying and giving birth to a baby can compensate for age-related deficiencies.

It is also believed that late labor can postpone menopause and related pathologies (osteoporosis, stroke) to a later date. Climax in women who give birth in adulthood, usually passes softer and more physiological.

What to do if a woman began to have climacteric changes; she did not pay attention to contraception and became pregnant? The decision can be made only by herself with the participation of the future father of the child.

Doctors usually advise to think carefully before conceiving a child at this age, but if conception has already taken place, the expectant mother has all the chances to endure a full-fledged child. Simply, it will require more thorough supervision and it will be necessary to pass all tests, including genetic ones, in a timely manner.

Difficulties of conception after 45 years

If the couple met late or realized after 40 years, that life is on, and there are still no heirs, and thought about the continuation of the race, it is worth weighing the pros and cons. It is necessary to take into account not only the biological, but also the psychological age of future parents. If the couple feels older at the age of 40-45 years, then there is no point in thinking about the child.

If the future parents led a healthy lifestyle, feel at their prime, are alert and active, why not raise the issue of the continuation of the race.

At this age, the chances of successful conception are lower than those of a couple of optimal child-bearing age. By 40 goals, a woman has a reduced number of eggs, there may be hormonal disorders. The mucous lining of the uterus does not grow as well as in adolescence, which may impede the introduction of the embryo.

But the modern level of medicine allows the age couple to have a successful conception, a normal pregnancy and the birth of healthy offspring. If a woman in 40-45 years showed signs of pregnancy. The first thing she should do is get an appointment with a gynecologist.

The complexity of the late conception

If the couple is thinking about procreation, when the expectant mother is over 45, it is worth considering the pros and cons. Sometimes the biological age of a spouse leading a healthy lifestyle is much less than her age in a passport, but still you should not forget about the psychological readiness to become a mother.

Difficulties in conceiving at this age are present, since a woman after 30 years has a decrease in the quantity and quality of eggs required for fertilization. To prepare the body for late conception, a course of stimulation of the ovaries is carried out to produce hormones. After passing a series of necessary tests, a gynecologist prescribes a cycle of special preparations lasting 6-8 months.

Methods of planning pregnancy after 40-45 years

At any age it is worth preparing carefully for future motherhood. С годами прибавляются хронические, приобретенные заболевания, поэтому вопросу планирования и обследованиям своего организма стоит обратить большое внимание. С чего начать:

  1. Посетить гинеколога и пройти назначенные обследования вместе с будущим отцом ребенка. На данном этапе могут выявиться скрытые инфекции, о которых вы не знали.
  2. В приоритете должен быть здоровый образ жизни. Particular attention should be paid to physical exertion, aimed at strengthening the abdominal muscles and back.
  3. Exclude from the diet of harmful foods, coffee, alcohol.
  4. Provide yourself with good nutrition, rich in natural vitamins and minerals.
  5. To refuse from bad habits.
  6. To walk in the fresh air, to make jogs.
  7. Eliminate stress, worry less.
  8. Normalize your weight before you give birth, those extra pounds do not need anything during pregnancy.
  9. There is an opinion that vitamin E increases fertility. You can drink a vitamin complex, after consulting with your specialist.

How big are the chances of having a healthy baby?

Modern medicine claims that with relative health and the great desire of a woman to become a mother, the chances of getting pregnant, carrying out and giving birth to a healthy child at Balzac's age are great. Even in his youth, no one is immune from unwanted pathologies, diseases or complications during pregnancy. It is necessary to maximize the level of health of the body before conceiving, to eliminate alcohol, smoking, get rid of excess weight.

Yes, genetic material is not the same as in youth, malfunctioning of the reproductive system is possible, but the use of various methods to identify genetic abnormalities of the fetus allows you to recognize violations and take action in the early stages. From the age of 40, a genetic consultation is considered necessary for the expectant mother.

Contraindications for late pregnancy

If we talk about contraindications to gestation and late childbirth, then it is of great importance to assess the overall health of the woman, her inner mood and lifestyle. The presence of the following factors will adversely affect attempts to get pregnant, so you need to try to exclude them:

  • reproductive disorders,
  • high body mass index
  • high blood pressure
  • the presence of hidden infectious diseases.

In Russia, the most common method of fertilization after 45 years is the IVF procedure, if it is impossible to get pregnant naturally. In Europe, because of the possible risks to women at this age, it is not carried out. Using this method of getting pregnant, you need to remember that it will take more attempts to achieve a successful result than at a young age.

There is no guarantee of the success of artificial insemination, and even the latest medical developments may be powerless against changes in the female body during this period. Reluctance to undergo a thorough diagnostic examination before conception due to its high cost or inaccessibility is another significant reason for unsuccessful attempts to become pregnant. Patience, financial investments, correction of lifestyle in the direction of proper nutrition and moderate physical exertion will necessarily lead to the desired result, and the woman will know the joy of motherhood.

Examples of cases known in the world when giving birth successfully after 40 years

According to statistics, every year there are more and more cases when a woman in labor is over 40 or about 50 years old, both among celebrities and actresses and among ordinary people. Most recently, nonsense was considered a safe birth at the age of 50. The current medicine makes it possible to become pregnant and give birth to a woman over 60 years old.

The age of the oldest mother in the world, Dawn Brooke from Guernsey at the time of the birth of the baby was 59 years old. This is a world record, which was set until recently.

Which of the Russian actresses and celebrities have become moms in good age? For example, Ilze Liepa gave birth in 2010 to her first daughter. At that time, she was 46. Marina Mogilevskaya first became a patient at the hospital only at 41 years old. The actress who gave birth to her daughter admits that she has long dreamed of motherhood, but her work and permanent employment did not give her that opportunity. At the moment, she never for a second regretted about late pregnancy, listing only the positive aspects of such a conscious motherhood.

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