Age of conscious motherhood: how to prepare for pregnancy after 30, 35, 40 years


Sooner or later, a woman begins a period when the maternal instinct wakes up. If many decades ago it was normal to give birth to a first child at the age of 18-20 years, now this age is growing rapidly. Now you will not surprise anyone with the absence of children at the age of 30. Many of the weaker sex give birth to the first baby in the fourth ten. But is it so easy for them?

Pros and cons of late pregnancy

Pregnancy after 30 years has its advantages and disadvantages. At this age, the future mother already has a chronic illness, and the strength is not as much as before. Therefore, it is becoming more and more difficult to decide on such a responsible step over the years. Often in the card of a pregnant woman after 30 years indicate the mark "Old-bearing". This word, of course, has a psychological effect on the future mother.

If we talk about the advantages of motherhood in the fourth decade, then we can say about the existence of responsibility, as well as mention the material factor. At this age, most families are recognized as well-to-do, spouses have a career, housing, a car. They have everything for the normal upbringing of the baby. Carrying a child after 30 years, a woman behaves more consciously. She takes a responsible approach to examinations, examinations, analyzes, listens to her own well-being.

Preparing for planning: where to start

Many women ask themselves: how to prepare for pregnancy after 30 years? After all, they want the process of carrying no problems, and the baby was born healthy and without defects. What do you need to do?

  1. For starters, the spouses need to discuss the time of conception. If you want to conceive in six months, then you should start preparing now. Visit the gynecologist and tell him about your intentions.
  2. The next step will be careful planning. Do not be discouraged if the first time does not work. Only one pair of 20 (after 30 years) conception occurs already in the first cycle. The norm is the absence of pregnancy for six months.
  3. If you do not become pregnant within 6 months of regular planning, you need to contact your doctor with this problem. Do not pull, years do not add strength to you, but only reduce the chances of independent conception.
  4. Solve questions as they become available. Do not run forward locomotive. If you need treatment, be sure to follow the advice of the doctor.

Let us consider in more detail how to prepare for pregnancy after 30 years. Practical tips and advice will help you in choosing the tactics of action.

Medical examinations and analyzes

How to prepare for pregnancy after 30 years? Before planning conception, visit a gynecologist. The doctor will perform a manual examination and, if necessary, prescribe an ultrasound. During an ultrasound, a specialist can identify congenital or acquired pathologies. The most commonly diagnosed inflammatory process, fibroids, polyps, cysts on the ovaries. If they are not found, then you can assume that you are lucky. In the presence of pathologies, treatment methods are established by a doctor.

Before you prepare for pregnancy (after 30 years) morally, you need to be screened for sexually transmitted infections. Most diseases (chlamydia, trichomoniasis, gonorrhea) can harm the embryo and cause developmental defects. Therefore, you need to undergo treatment before planning for both partners. Also it is necessary to establish the degree of purity of the vagina. The predominance of pathogenic flora may make conception difficult.

Be sure to find out your blood type, as well as the spouse's Rh factor. Possession of this information will allow the doctor to suspect or refute the possibility of Rh-conflict, which is quite dangerous. Pay attention to your menstrual cycle. If it is irregular, and the month is abundant, then this may indicate pathologies.

Visiting a psychologist and courses for young mothers

Many people ask: how to prepare for pregnancy after 30 years morally? Not every woman is set to give birth to children, which has been postponed for so long. But after all, offspring is still necessary. How to approach this decision?

Modern pregnancy planning centers and antenatal clinics offer a wide variety of maternity schools. During the consultation, experienced specialists and psychologists will tell you how to tune in to childbearing. Also here will help in solving the first problems that arise in newly-mommies. If you wish, you can attend classes with your partner. So it will be easier for him to understand and assist you in the right situation.

Nutrition and lifestyle adjustments

So, on the agenda - planning a pregnancy. Where to start? Ask yourself if everything suits you in your life rhythm? If you like to pamper yourself with a few glasses of wine for dinner or spend the weekend with your favorite alcoholic cocktail, you will have to give it up. Eliminate alcohol should both partners. A woman needs to do this at least six months, and a man a few months before planning.

Pay attention to the diet. Is it rich in proteins, vitamins and useful amino acids? If not, correct this moment. Give food preference to fruits, vegetables, nuts and lean meats. Be sure to eat fish. Completely remove from your use of fast food and products that contribute to obesity. Remember that food with GMO does not bring any benefit. Take vitamin complexes for expectant mothers. Recent studies have shown that coffee has a positive effect on the growth of the endometrium. But this drink should not be abused. There are certain diets that promise the conception of a child of a particular sex. But do not rely heavily on them, because doctors have no reason to consider such methods effective.

Moment of conception

Planning conception necessarily includes the definition of ovulation. There are many different methods to help do this. You can measure the basal temperature, use home tests, monitor the processes occurring in the ovaries, using ultrasound. Sexual contact needs to be had several days before the release of the egg. You should not be active every day. Enough to mate in 1-2 days. This approach will increase the chances of conception.

If you have been diagnosed with a uterus fold, then you should use certain poses. They will help direct the flow of sperm directly to the neck. Many women who could not become pregnant for years, after changing their posture, received the joyful news of the new situation.

Assisted Reproductive Technologies

If you have learned how to properly prepare for pregnancy after 30 years, and have done everything correctly, then the good news is probably not long in coming. But not all couples can conceive a child on their own. In this case, doctors do not advise to drag out time, since it does not play in your favor. After 6-12 months of unsuccessful actions, you should contact reproduction specialists. Experts will conduct surveys and find out the cause of your failures. It can be female pathologies: obstruction of pipes, adhesions, lack of ovulation. Also, it sometimes happens in a partner. With the help of semen, you can determine the quality of the ejaculant.

Assisted reproductive technologies offer a wealth of methods to help conceive a baby. Insemination, stimulation of ovulation, ICSI is most often performed. If after the actions performed there is no result, then there is only one way out - IVF. Preliminary careful inspection passes both the man, and the woman. Analyzes and diagnostics are necessary to increase the chances of a positive outcome.

Preparation for childbirth and methods of delivery

How to prepare for pregnancy after 30 years, you already know. But women also worry about childbirth. Statistics show that many newly-made moms who gave birth at the fourth decade undergo a cesarean section procedure. It is worth reassuring immediately: this manipulation is performed only according to the testimony or the woman’s own wish. No one will force you to go under the knife forcibly and for no reason.

Births after 30 years occur in the same way as in 20. The only difference is that over the years, women may appear any pathology (including hormonal). Due to some diseases there is a weakness in labor, the cervix does not open well. But this is all very individual. To avoid such problems will help the proper planning of pregnancy. Where to start - you already know.


At what age to give birth - everyone decides for himself. Some women seek to acquire offspring immediately after school and only then begin to build a career. Other ladies constantly postpone the moment of conception. There are nuances, disadvantages and advantages in each case. Do not follow the recommendations of their friends and acquaintances. Do not listen to those who say that giving birth after 30 is dangerous. Talk to your gynecologist and find out how to get the most out of this process. Successes!

Is there any chance of getting pregnant?

Psychologists support the desire of many women to postpone pregnancy until the "adult" age. Not every 20-year-old girl is ready for a long time to abandon self-realization, from their interests, entertainment and immerse themselves in caring for the baby. At 30 comes the age of the conscious "adult" motherhood. The woman has already taken place as a person, as a professional. Now she is ready to take place as a mom.

The organism of the modern average 30-year-old woman is physiologically younger than her peers 100 years ago. Proper nutrition, healthy living, medicine help women to stay young and energetic longer.

And yet the biological clock can not be fooled. Obstetricians and gynecologists say: the ideal age for the first pregnancy is up to 28 years. The second and third births can easily take place later. The body "remembers" the process of carrying, the birth canal is already prepared. However, in the opinion of doctors, it is not necessary to give birth to a second, third, and so on child after 35 years.

However, even if you do not fit into these ideal age limits, it is not a reason to refuse the desired pregnancy. According to Rosstat, on average, the first child is given birth at the age of 27 years. However, more than twenty-five thousand Russian women gave birth to their first child aged 45 and older! But it is important to remember: an “adult” mother should be especially thoroughly prepared for conception.

One awareness of “I want a child” is not enough for successful childbearing. Obstetricians point out that the risk of pregnancy complications and “problem” childbirth is rather high among older mothers. Yes, and conception in 30-35, and even more so in 40 years can be problematic. After all, the older the woman, the lower the fertility (the ability to become pregnant). This is due to the gradual extinction of ovarian function, hormonal changes, loss of tissue elasticity.

With age, the quality and number of female eggs are steadily declining. The process is individual, but on average it starts after 30. The difficulty of conceiving a child at an older age is that approximately half of the cycles will take place without ovulation.

After thirty

How to prepare for pregnancy at 30? The basic principles are the same as for the more young future mothers.

  • If there are any chronic diseases (though not directly related to reproductive function), it is important to achieve remission. After all, even the banal aggravation of gastritis reduces the fertility of women. The most dangerous diseases that can manifest themselves during pregnancy are pathologies of the kidneys and the cardiovascular system. Timely planning for pregnancy after 30 includes consultations with specialized doctors. Not all illnesses can be cured with medicine safe for the fetus. Therefore, it is important to take care of your health in advance.

  • Lead a healthy lifestyle, quit smoking, completely give up alcohol, move a lot. These recommendations are so trivial that they sound like tediousness. But each of these factors is really important for the maturation of a healthy egg.
  • Pregnant women after thirty increase the risk of developing diabetes. Be sure to start eating only healthy foods without GMOs, additives, dyes and preservatives. Give up on sweets. It is possible and necessary to eat a lot of fruits and vegetables even before preparing for the conception of a child. You may need complex vitamins (they should appoint a doctor). Surely a course of folic acid will be needed before conception.
  • Visit the gynecologist and take the tests. An important nuance. In 20 years when planning a pregnancy is not necessary to take tests for hormones. If a girl has a regular cycle, usually there are enough general tests, as well as tests for STDs. And only if conception does not occur within 12 months, a more detailed examination will be required.
  • At thirty, the situation is completely different. Each lost month can cost you dearly. Indeed, with age, fertility falls. Therefore, the gynecologist is likely to immediately send a couple to study the hormonal profile. If deviations are detected, they can be corrected with special preparations.
  • With age, the risk of having children with genetic abnormalities increases. For example, at 20, the probability of having a child with Down syndrome is 1: 1300. At 30 the risk is already higher - 1: 900. And with age will only grow. Preparing for pregnancy after 30 involves a visit to genetics. This is important to do if your close relatives have had cases of congenital diseases.
  • The husband needs to visit a urologist or andrologist and pass the spermogram. Indeed, with age, the man decreases the number of full-fledged sperm. There are drugs that improve the quality of sperm - they must be prescribed by a doctor. The faster the husband is examined (and, if necessary, the treatment begins), the sooner the desired pregnancy will occur. And the time factor is very important to you.

If you plan a second pregnancy after 30 years, or even a third, and you are generally healthy, then you have every chance to give birth to a baby.

After forty years

A natural pregnancy at forty is possible, but its probability is lower than at 35. A healthy woman no longer has 10-12 ovulations per year, like a 20-year-old, but four or six. This reduces the chances of conceiving a child at 40 and later.

At this age, hormonal changes. The threat of miscarriage or miscarriage is 33%. A baby can be born with Down syndrome in one case out of 110.

However, the chances of a successful conception, pregnancy and the birth of a healthy child are! It is only necessary to want it very much. How to get pregnant in 40 years? Careful preparation is needed. It includes all the same points as for younger mothers. It is also important to contact a gynecologist in advance: he will draw up an individual pregnancy preparation program.

Be prepared for what will have to do Cesarean. But in the physiological department of the maternity hospital, a 40-year-old woman in labor is not uncommon.

With a responsible approach to planning a pregnancy, you have excellent chances of conceiving and having healthy children.

General information

According to statistics, women after 30 years are more likely to encounter conception problems than girls at a young age. This is due to the fact that over time, the reproductive function is inhibited. Therefore, the approach to planning conception in this case should be the most serious.

Birth of a child in conscious age has its advantages. In most cases, by this time the person is already formed as a person. Financial stability appears, views on life are defined.

Start planning future parents should at least 3 months before the potential conception, but better for six months. Such a duration is due to the peculiarities of the reproductive system of the organism of future mothers.

All women are born with a certain, not replenished egg stockwhich are formed in the prenatal state.

They, unlike male sperm, are not updated, and grow older with age, like a woman. The quality of germ cells deteriorates under the influence of negative facts: stressful events, bad habits, past illnesses, etc.

With age, a woman increases risk of developing pathologies of pregnancy. These include the following:

    Birth of a child with Down syndrome.

Childbearing - difficult, but natural process. During pregnancy, the workings of all life support systems are rebuilt in the woman’s body. Internal organs withstand a large load. As the fetus develops, chronic diseases can worsen. Is changing hormonal background and the psychological state of a woman. To avoid complications of pregnancy, you need to prepare for possible problems in advance.

It must be remembered that the first 6–12 months pregnancy does not always occur even in perfectly healthy couples. On success fertilization The following factors may influence:


Preparation for pregnancy begins with examinations of future parents, because any hidden disease can cause abnormalities in the development of the child.The best solution is to find a qualified specialist who will assign a list of tests in a particular case, and also give recommendations based on the results.

To assess the health condition, the therapist may prescribe go through the procedures: ECG, radiography of the lungs, as well as give directions to visit additional specialists: endocrinologist, optometrist, ENT specialist, dentist.

Mandatory procedure for both partners are clinical blood and urine tests. Also, the spouses will not hurt to determine the Rh factor and blood group to eliminate the situation of incompatibility, as well as to take action in the event of a conflict.

A woman's body that has reached the age of 30 is more susceptible to the development of certain diseases. It is therefore very important to evaluate condition of internal organs. Any deviation can adversely affect the course of pregnancy. To exclude them, the following procedures are required:

    Ultrasound of the pelvic organs.

Additional studies include genetic tests, based on the results, the probability of developing pathologies during pregnancy is determined. Procedure becomes mandatory in the following cases:

If conception does not occur for a long time, the spouses should be tested for compatibility. In some cases, conception may be possible only as part of artificial insemination.

If there are any deviations, they should be finally eliminated first, and then proceed to conception process. Both partners during the preparation period should stop smoking and taking alcohol, and it is also desirable to avoid stressful situations. It is necessary to adhere to the rules of a healthy lifestyle: to be more often in the fresh air, eat a balanced diet, play sports, sleep for at least 8 hours.

Be sure to fill the deficiency of vitamins and trace elements. Their deficiency can lead to impaired fetal development. Special attention should be paid folic acid. The daily intake of this vitamin is 400 mg.

Fertility Assessment

Additionally, to determine the level of fertility of both partners, diagnostic procedures are carried out. Men take semen. She will allow to establish sperm motility and their number.

For confirmation of ovulation a special ultrasound method is carried out. It is called folliculometry. It is characterized by a systematic visit to the ultrasound cabinet on certain days of the cycle.

On the first visit, the total number of follicles is estimated. A forecast is made for the subject probabilities of ovulation. The second visit is scheduled approximately on the 12th day of the cycle. He makes it clear how many follicles are ripe, and when to expect an egg to come out.

The third visit is made to determine ovulation with an accuracy of several hours. During this period, it is recommended have intercourse. The last visit is about the 16-18 day of the cycle. By this time, at the place of rupture of the follicle should form a yellow body. In the posterior space can be detected fluid accumulation. These signs indicate that ovulation has happened.

Late pregnancy: social norm or natural anomaly?

According to statistics, the average age of birth of the first child for women in Russia is 27.2 years. In the EU, this figure is even higher and averages 30.3 years. This was not always the case: 30 years ago, women gave birth to their first child at an average of 23 years. The trend to increase in age began to gain popularity due to the changing social role of women. The representatives of the fair sex are striving for realization not only in the sphere of personal relationships and motherhood, but also in the field of scientific, sporting and career achievements. “First you need to get on your feet” - now this truth is relevant not only for men who have lost the status of the only earners in the family.

Not the last role was also played by the increase in the level of sexual education and the availability of contraceptives.

Meanwhile, postponing the birth of a child for a long time is quite risky. After 30 begins the extinction of fertility. Statistics show: after 35 years, the probability of becoming a victim of the diagnosis of "infertility" is high, and the risk of miscarriage is more by 60% in 40 years than in 25.

Poor ecology, regular stresses, unbalanced nutrition (including diets for weight loss), the presence of bad habits - all this can be the cause of the extinction of the reproductive function. But these are the conditions of modern life, and if you give up smoking and alcohol abuse in the name of motherhood is not a problem, then changing your place of residence in pursuit of clean air is rather difficult.

Nevertheless, to give birth to a healthy baby after 30 years is quite realistic. It is only necessary to analyze all the risks and choose the right approach.

What is dangerous late pregnancy

As we have said, the older a woman is, the less her eggs are suitable for ripening a healthy fetus. With age, hormonal changes occur. For example, after 30 years, women are reducing the production of the hormone progesterone. He is responsible not only for the frequency of the menstrual cycle, but also for the successful conception and gestation. Risks of the development of a Down syndrome in a child increase, the likelihood of a cesarean section at birth is increased (due to a decrease in tissue elasticity).

But a future mother of any age can count on the help of medicine. Of course, doctors are not omnipotent, but a complex of examinations before and during pregnancy makes it possible to objectively evaluate the risks and regulate the process with the maximum effect. If the pregnancy does not occur too long, then future parents are assigned to an analysis of the quality and number of eggs, as well as spermogram. And already on their basis, the doctor selects the appropriate treatment, increasing the likelihood of natural conception.

Chances to conceive a child

Age has a great influence on the possibility of conceiving and carrying a child. First of all, this is due to the natural decrease in the number of ovulations, and without it it is simply impossible to get pregnant in the classical way.

Let's look at the main indicators that affect the probability of conception for women of different age groups.

  • 30–35 years old. The chance of a natural conception is about 60%. Several months in the year of ovulation does not occur, such periods are called anovulatory.
  • 35-40 years old. The chances of natural conception are less than 50%. The number of eggs begins to decline due to a decrease in blood flow to the ovaries. Below is the level of the hormones estrogen and progesterone, responsible for sexual function. Health problems can also affect the frequency of ovulation.
  • 40–45 years old. The chances of natural conception are less than 30%. 45 years is considered the age of the end of the reproductive period in a woman, because the number of eggs in the ovaries of the female body is limited. In addition to significantly reducing the number of viable oocytes, their quality is also often below normal: chromosomal abnormalities lead to miscarriages and an increased risk of genetic abnormalities in the fetus.

It often happens that when planning a late pregnancy the risks of complications are too great. However, doctors can offer the future mother several assistive methods, the so-called reproductive technologies. The main essence of this approach is that some stages of pregnancy (or even the whole pregnancy) occur outside the mother's body. Reproductive technologies include artificial insemination (IVF), the use of donor eggs, embryos, as well as surrogate motherhood and artificial intrauterine insemination.

How to prepare for late pregnancy

The first thing that needs to be done regardless of the age of the expectant mother is to find a qualified gynecologist. He will help conduct a competent preparation for conception, thereby reducing the possible individual risks to the health of the mother and child.

Preparing for late pregnancy always begins with the collection of tests, both general and specific (such as infectious screening). Immunological and hormonal studies, determination of tubal patency, colposcopy and endoscopy may be required. The transferred diseases also matter.

The doctor assesses the totality of the data obtained on the health of the woman and on this basis draws up a program to prepare her body for pregnancy. Most often, the medical part of the question is aimed at treating or correcting existing diseases, and the expectant mother receives a list of recommendations for maintaining a healthy lifestyle (lose or gain weight, avoid stress, follow the daily regimen, eat right and give up bad habits).

An important step in planning a pregnancy after 30 years is a visit to a geneticist who can advise on hereditary pathologies and determine the degree of risk of genetic diseases for the fetus.

Features of conception and carrying after 30

Each age is characterized by specific features of the course of pregnancy, recommended methods of conception and ways to reduce the risk of pathologies.

After 30

The chances of becoming pregnant naturally between the ages of 30 and 35 are quite high, so you should contact the fertility specialist only 12 months after unsuccessful attempts to conceive a baby. This is the period when the reproductive system is still quite active. But the situation can be complicated by chronic diseases (especially of the genitourinary system), which often make themselves felt at this particular age. Most likely, the future mother will be prescribed a course of vitamins for pregnant women - with proper pregravid preparation and a healthy body this will be enough for the harmonious flow of the process. Pregnancy at this age does not have specific features, however regular monitoring by a doctor and compliance with all its recommendations is nevertheless necessary.

After 35

By this age, the fertile function of almost all women begins to fade. If after a year the pregnancy does not come, infertility is diagnosed. Then, for 9–12 months, treatment is indicated with the use of medicinal preparations or by laparoscopic or endoscopic surgery. If the therapy did not produce results, the woman may be prescribed ART procedures (even before the recommended period of 9-12 months has passed). Most often we are talking about IVF.

Pregnancy can take place without complications if the woman does not have serious illnesses, and also paid increased attention to pregravid preparation. So, when planning a pregnancy after 35, you definitely need to undergo a mammogram. It is necessary to take into account that at this age the chances are reduced not only for the conception of a baby, but also for the opportunity to bear it. The first changes in the hormonal background, reduced ability of the egg to attach to the walls of the uterus, a high risk of developing placental insufficiency - increase the likelihood of miscarriage.

After 40

Psychologically, this age is considered favorable. However, the chances of natural conception at this age, as we mentioned, are about 30%, therefore women older than 40 are usually prescribed by the council of physicians for ART immediately after the diagnosis of “infertility”. As an alternative method of conception, IVF is used using a donor egg from a young healthy woman. But, unfortunately, it is during this period that many have at least one chronic disease, and the body also begins to prepare for the onset of menopause, which means that the hormonal background undergoes significant changes. The age of a woman in labor makes itself felt: after 40 years, the likelihood of developing gestational diabetes, blood pressure disorders and blood clotting is higher. Since the risks of genetic diseases in an unborn child also increase, fertility specialists prescribe pre-implantation genetic diagnosis (PGD). It allows you to select embryos without genetic abnormalities.

After 45

At this age, the chances of conceiving a child are there, but they are insignificant and are perceived rather as an accident. In this situation, IVF using the donor's egg cell is also a popular procedure. It happens that a woman plans pregnancy in advance at this age and takes preparatory measures, for example, cryopreservation (freezing) of embryos or eggs for their subsequent transplantation. During pregnancy, the expectant mother needs increased attention of the doctor, since the risk of complications is very high. After the age of 45 years, it is necessary to conduct screening for the presence of oncological diseases, monitor the level of cholesterol, blood pressure, and, like for younger women in labor, constant monitoring by an experienced specialist remains extremely important. It should also be borne in mind that with age, the probability of a significant decrease in the level of elasticity of the tissues increases, so a cesarean section becomes a necessity.

We reviewed the main points related to late pregnancy in women from 30 to 45 years. As you can see, it is quite possible to find real female happiness if you take a responsible approach to your health. It is the most decisive factor in ensuring the correct course of pregnancy.

Which clinic to contact?

The criterion for selection is often the advice of girlfriends or reviews on the Internet, but you should also listen to the opinion of a professional. We asked to tell about which reproductive clinic is better to choose, a specialist of the Embryo Medical Center for Infertility Treatment:

“Women over 30 approach pregnancy planning with great attention, and at the same time require increased attention to themselves. This applies not only to medical tests, consultations, and reproductive procedures - modern technologies can protect the mother and child from many pathologies. But some doctors forget that the psychological comfort of a woman is of great importance, preferring to act by the method of "intimidation" and condemning the future mother for "delaying" with pregnancy. This is not the best approach. It is necessary to contact the clinic, where they strive to support and calm their client, thereby creating a comfortable psychological background throughout the pregnancy. For example, Embryo doctors believe that knowing about all the risks associated with pregnancy after 30 years is undoubtedly necessary. But it is much more important to give the expectant mother an objective assessment of her health, while offering the best methods to eliminate each of the possible dangers. ”

P. S. Sign up for a consultation at the “Embryo” Medical Center for Infertility Treatment at

The license for medical activities LO-77-01-007343 dated January 9, 2014 was issued by the Moscow Department of Health.

Aging of the body and preparation for pregnancy after 30 years

By 25–27 years, all organs and tissues stop growing completely and the process of aging begins. The same applies to the reproductive system. A woman over time increases the number of anovulatory cycles. At the same time, the proper physiological maturation of the eggs does not occur in the ovaries, which means that conception is impossible under such conditions. Such "inferior" cycles occur periodically in all women. And it is considered the norm, if their number does not exceed 1-2 times a year.

The reasons for the increase in the number of "useless" cycles:

  • hormonal distress,
  • intense exercise
  • anxiety and chronic stress
  • resistance (insensitivity) of the ovaries to hormones,
  • tumor processes
  • taking steroid and other contraceptives,
  • eating disorders.

The longer the female organism is affected by these factors, the more problems arise with fertilization, pregnancy and childbirth. Therefore, when preparing for conception after 30, it is especially important to monitor your body and health. Of course, such problems do not bypass the "young" ladies, but over the years they accumulate and new ones are added.

For example, with age in the ovaries, the stock of oocytes, female germ cells, is depleted, the sensitivity of the uterus to cyclic hormonal changes decreases, and, consequently, the probability of attachment of the ovum (embryo) decreases.

In addition, the elasticity of the pelvic floor, which, together with other age-related changes (arterial hypertension, obesity, etc.), may become an indication for delivery by cesarean section is lost.

When preparing for the first pregnancy after 30 years, it must be borne in mind that for the body a prolonged absence of pregnancy is a signal that the reproductive organs are not needed.

Therefore, they are aging prematurely, as a result - the following processes occur in them:

  • The narrowing of the arterioles - microvessels supplying the fallopian tubes with blood. The microcirculation of the organ, which does not fulfill its function for a long time, decreases.
  • The formation and increase in the number of adhesions, scars around and inside the fallopian tubes, which makes it difficult or completely stops the passage of a fertilized egg into the uterine cavity. Inflammatory diseases of the appendages contribute to obstruction of the tubes.
  • Снижение кровоснабжения в матке приводит к эндометриозу – разрастанию внутреннего слоя матки, развитию миом, хронизации воспалительных заболеваний. Эти изменения неблагоприятно влияют на вынашивание. Defective endometrium prevents not only embryo attachment, but can also cause miscarriage.

The probability of miscarriage increases proportionally with age. Data collected in the table.

The probability of miscarriage in%

It should be noted that the reason for the growth of indicators is not only regressive changes - aging, but also chromosomal disorders, changes in the hormonal background.

In order to avoid risks, it is recommended to start preparing for pregnancy after 30 years as early as possible and be more attentive to the health of future parents.

What should be done in preparation for pregnancy after 30 where to start?

Preparation before pregnancy after 30 years does not have any differences. She is the same as in any other age. To begin with - inspection by specialists, analysis and instrumental methods (ultrasound), control of hormonal levels. Then vitamin preparation, correction of therapy for chronic diseases (if available) - replacement of drugs with those permitted during pregnancy.

Attention! Genetics consultation

This topic is more relevant for women who have crossed the 30-year milestone. Therefore, we consider it in more detail. For some reason, it seems that a visit to genetics is a waste of time. This is fundamentally wrong.

The action of all sorts of factors: toxins, defective food, ecology, electromagnetic radiation, aging, chronic stress, viruses and drugs leads to the effect of accumulating DNA errors, increasing the likelihood of the formation of an abnormal (or with errors) genome-chromosome set in the embryo, the occurrence of chromosomal and genetic diseases in newborns.

Embryos with the wrong genome and all sorts of genetic abnormalities die in the early stages of development - this is an example of natural selection. According to statistics, out of a hundred embryos only one “grows up” in a person. This is one of the causes of menstruation delays, miscarriages, and missed pregnancies.

Some genetic diseases are hereditary. And the probability of having children with Down syndrome (Table 2) and neural tube defects (the germ of the nervous system) in women increases with age.

Risks of Down Syndrome in Children

There is a dependence of the occurrence of this pathology and the age of the future father after 40 years.

Therefore, consultation of a specialist in the field of genetics is obligatory. Choose the best in your city or region. He will compile a genealogical scheme that will allow you to track the type of inheritance of the disease and, using genetic laws, will determine the risk of a particular disease.

The next stage is more in-depth - analyzes, it is carried out if necessary, most often when planning pregnancy after 30.

  1. Cytogenetic analyzes. These surveys allow you to determine the quantitative and structural characteristics of the chromosome set of parents.
  1. Molecular biological studies. When they are conducted, they reveal the risk of developing neoplastic (tumor), allergic, autoimmune and immunodeficient pathologies.

After studying the data obtained, the doctor prepares a conclusion about the possible risks and recommendations for preparing for pregnancy.

Modern diagnostic methods allow a thorough screening of the condition of the body of a woman and a man. Cure existing diseases if they were found. Due to this, it is possible to minimize various risks, prepare for possible complications during pregnancy, in the clan and postpartum period, or avoid them altogether. Early planning of pregnancy after 30 years and older allows you to give birth to wonderful and healthy babies. Moreover, women at this age are already very responsible in their preparation and planning.

Possible difficulties

With age fertile function women begins to fade away. The basis of this are the physiological processes occurring in the body throughout life. A woman is born with a finite number of eggs. In medicine it is called ovarian reserve.

Every menstrual cycle that does not end in pregnancy, the female body loses part of the germ cells. Therefore, the older the woman, the less her ovarian reserve. You can set the number of follicles remaining by donating blood to Anti-Muller Hormone.

As well as depression of fertility can contribute to the disease. For example, chronic inflammation in the pelvic area leads to the formation of adhesions.

As a result, the likelihood of an ectopic pregnancy increases. Infectious diseases can cause the uterus to fold. This is not a critical pathology, however, in this case it becomes problematic for sperm to reach the target.

With proper approach to the planning of pregnancy, age is not an obstacle. Much more important is the state of health of the future mother and her inner spirit. According to statistics, most women after 30 years give birth healthy children.