More and more women are resolved for the birth of the first or subsequent children aged 35-40 years and older. Some researchers associate this trend with the development of early prenatal diagnostics technologies, which gives families confidence in the birth of a healthy child.

Over the past 25 years, the number of women pregnant at the age of 35-40 years has increased by 90%. Over the years, medicine has accumulated significant information about the peculiarities of pregnancy and childbirth in the late reproductive period. What difficulties will face the future mother?

According to statistics, a woman under 30 years old probability of pregnancy occurs
Within one month, it is 20%, and in 40 years it drops sharply up to 5%.
Therefore, women planning pregnancy after 35
It is recommended to seek medical care.
After six months of unsuccessful attempts.

Probability of conception after 35

The ability to conceive is beginning to decline gradually after 30 years. It's connected with:

• reducing the number of ovulatory cycles;
• increasing morbidity with endometriosis with age;
• an increase in the likelihood of pipe infertility;
• high frequency of extragnenitial diseases.

Pregnancy over 35 years

Women older than 35 years will automatically fall into a risk group for the development of pregnancy pathology. However, statistics says that if the future mother follows himself and has good health, then her pregnancy can proceed as successfully as in 20 years. What submarine stones to beware pregnant?

• Women in late reproductive age increases the risk of miscarriage.
• More often occurs the wrong development of the placenta.
• High risk of exacerbation and emergence of somatic diseases, pregnancy complications: arterial hypertension, gestosis, eclapmy, bleeding, premature birth, pregnant diabetes.

Features of childbirth older than 35 years

As a result of a decrease in the elasticity of the uterus and soft tissues, hormonal imbalance in women over 35 years old is increasing the likelihood of the weakness of generic activity, which leads to an increase in the duration of labor. The danger of gaps of the uterus and crotch increases. Birth is more often complicated by large blood loss.

The first births over the age of 35-40 years are heavier repeated and more often completed by cesarean section.

Late pregnancy: risk for a child

The biggest problem of late pregnancy is the relatively high probability of birth of a child with a genetic anomaly. Such a tendency is associated primarily with the aging of sex cells and the accumulation of genetic mutations in the body. Over the years, the harmful effects of various teratogenic and mutagenic factors on the body are accumulated: toxic products, ionizing irradiation and others.

In pregnant age-related age-related categories above the risk of premature births, the lowestity of the fetus, which reduces the adaptive potential of the newborn.

Pregnancy in late reproductive age is more common
multiple. So, age 35-39 years is considered the beer of the birth of twins.

After 35: Secrets of prosperous pregnancy

Despite all but, most of the desired late pregnancies go through successfully and ends with the birth of a healthy baby. However, if a woman in 20 years can afford some frivolousness, then a woman over 35 will need a particularly sensitive attitude towards his health.

1. Planning pregnancy, it is desirable to undergo a comprehensive examination and treatment of chronic diseases - gynecological and somatic. Pregnancy at the age of cunning 35 years should not be random.

2. It is necessary to register for women's consultation in the early deadlines and in a timely manner of pregnancy.

3. It is important to strictly observe a diet and regime, not overloaded yourself with work, follow weight and arterial pressure.

4. Special relevance acquires screening during pregnancy for early detection or eliminating the risk of congenital pathology of the fetus.

Expert:Tatyana Ivanova, Gynecologist
Tatyana Uzonina

What you need to do to conceive and give birth to a healthy baby

Anyone who has already become a parent or only waiting for this joyful event, most of all wants one thing - so that His the child was born healthy. However, not always this desire comes true. What to do - and the smallest kids are susceptible to serious illness, and I do not want to talk about the possibility of any innate disorders and diseases. But you need! After all, many of them can be warned, remove from a small fragile creature long before it appears on the light! And future parents should worry about it in advance - as soon as they decide to "give birth to a child."

But swimming in open reservoirs, unfortunately, will have to be limited - most of them are too large a risk of catching infection. Observe reasonable caution, combine activity with rest, correctly fidge, regularly examine and consult your doctor - In this case, everything will go well, and your child will be born healthy!

The first question that worries every conscious future mother is to give birth to a healthy baby. Someone is asked by him, just starting. Someone, already learning about her. Of course, in the first case, the chances of a healthy offspring are much more, because mom has time to fix much and make it so as to reduce all kinds of risks. But this does not mean that women who do not plan to pregnancy will not be able to give birth to a strong and healthy baby. For this there are several traditional tips, following which, you can avoid many troubles. Many of them may seem banal and famous, but, as they say, the repetition is the mother of the teaching. And so read, remember, learn and apply.

Before pregnancy

Special attention to your own health at the planning stage

To pregnancy proceed without complications, and after 9 months a healthy baby was born, to the "interesting position" it is necessary to prepare. This requires a doctor consultation who specializes in planning. He will give a competent consultation and direct on all the necessary assays. With that, it will be necessary to examine not only a woman, but also a man, since the health of his offspring directly depends on his health. Diagnosis of sexually transmitted diseases, as well as various hereditary, will help to eliminate the problem in time and increase the chances of the birth of a healthy baby. Viruses of a simple herpes, rubella, cytomegalovirus infection, enterovirus, adenoviruses, HIV infections, hepatitis B and C are dangerous for the baby. It is also necessary to diagnose and cure diseases caused by various bacteria. For example, chlamydia, streptococci, staphylococci, treponamami, licker and others.

Often, it may be necessary to consult narrow specialists, such as therapist, oculist, neuropathologist, cardiologist, etc. A woman who is preparing for pregnancy will guide the ultrasound.

To give birth to a healthy and strong kid, specialists advise to conceive a child to choose the period "End of Summer - the beginning of the Autumn." In their opinion, this is the most favorable time, because the fresh air stay and the sun rich in vitamins products, the lack of viral infections - all this is only favorable factors.

Just wanting to give birth to a healthy child, try to do it up to 35 years old. After that age, the risk of birth of children with various problems in terms of health increases.

Down with bad habits!

Capital truth, but many, for some reason, do not find strength to cope with this task. And if we exclude alcohol for many not so difficult (yes, and even one beer per week!), Then with cigarettes the situation is much more complicated. Meanwhile, the whole world public in all the throat screams how badly does Nicotine affect the formation and development of the fetus. Reduce the number of cigarettes digitized to 2, or even one per day. And then we will break away with this harmful habit. The optimal will be the option, if you quit smoking for 3-4 months before you start with your husband "work" to create your "masterpiece". For those who have never smoked and is not going, we advise not in the room where others do. After all, passive smoking also badly affects your health and affects the fruit.

During pregnancy

Hooray! The test showed two cherished stripes, and the ultrasound confirmed that a new life was born under your heart! Take care of her. Remember that the most important period of "interesting situation" is the first trimester (12 weeks). It is at this time that the toddler organs occurs. Therefore, now you need to follow my health especially carefully. So what are we doing?

We pass surveys and analyzes

If during the planning you passed most of the analyzes for the definition of a variety of infections and diseases, now they do not have to take them. If not, then the main "pregnant" analyzes will need to pass them. Remember that viral infections can lead to miscarriage or cause fetal developmental defects. And you want to give birth to a healthy baby, right?

Listen to the recommendations of the doctor. Go through the ultrasound to eliminate various pathologies and adjust your actions in case it is necessary. Throughout the pregnancy, ultrasound research go from 3 to 6 times, depending on the need.

Food correct

Food is incredibly important for the birth of a healthy child. Being in the womb, the baby gets food through blood. Therefore, the quality of maternal blood does not directly affect the development of the fetus and the lack of certain substances can lead to the formation of a variety of pathologies in the child.

And this is both brain pathologies, and a spine, and a variety of others (for example, such as "hunger lip" and "wolf fall").

For a long time, but it's better forever, forget about fast foods, chips, painted sodes, chewing, candy with dubious composition. It is also not worth using fruits and vegetables "not for the season", because in them a large percentage of various chemistry, which will not benefit accurately. Do not be lazy to prepare full-fledged dishes, because in semi-finished products there is a large number of preservatives and other chemicals.

You should not use oily, fried and salty. Limit the consumption of sweet and flour dishes. But at the same time, your food must be diverse. Cereals, fish, meat, vegetables, fruits, greens, fermented milk products - the choice of "right" products is wide, so do not worry that you have nothing to eat. Fish and meat - indispensable sources of protein. Calcium, which is contained in cottage cheese and other "sour cholester" is simply necessary for both mom and baby. It is needed to maintain the health of the woman, as well as for the proper formation of the fetus, first of all, its skeleton and teeth. Follow the products from which you are preparing to go, were not only natural and seasonal, but also fresh.

Special attention is paid to products containing folic acid. Its lack in the early periods of pregnancy can cause a variety of pathologies from the fetus.

You need to search in dark green leaf vegetables. It is broccoli, and spinach, and sorrel, and Brussels cabbage. It is also contained in some citrus, cheese, liver. Bread made of coarse flour, as well as yeast, are also rich in folic acid.

Drink as much as you want, but not less than two liters of fluid per day. Water that you drink should be clean and fresh. Do not forget about the plains and compotes. But try about coffee on the contrary to forget.

Watch for your weight. Proper weight gain is an indicator of a normal and timely child development. Doctors argue that the optimal set of weights for the entire pregnancy should not exceed 12 kilograms.

Vitamins and medicines

Remember that the reception of drugs and various biologically active additives during pregnancy is extremely undesirable. In separate cases, if this requires the state of health of the mother or baby, let us accept the reception of a certain range of drugs. But anyone, even spam, innocuous in your opinion a tablet, you need to take only with the consent and permission of the doctor.

Nevertheless, pregnant women often recommend vitamins. But these are also separate drugs designed for the body of a pregnant woman, so any vitamins from the pharmacy will not fit. It is especially important that the pregnant woman take iron, iodine, folic acid (B9). But you need to drink vitamins only in the dosage that the doctor will write. Otherwise, you can seriously harm both myself and the baby.

Watch for health

The minimum deterioration in the state of health during the tooling of the baby affects his health. Therefore, if you want to give birth to a healthy child, try to take care of yourself: avoid contact with viruses. Your body is already vulnerable, because now it works with a double load, the immunity is slightly weakened. Try not to ride public transport. Make your hands more often. In periods of outbreaks, lubricate the nasal mucosa with oxoline ointment. Keep under the hand of Lacenobion.

Reduce, and if possible, exclude contact with pets, especially cats. They can cause toxoplasmosis - dangerous for a pregnant woman of the disease. Incable to toxoplasmosis in the second trimester, the risk of increased intracranial pressure, mental retardation, epilepsy and blindness increases by 20%. In the third trimester, the probability of the disease, in the case of infection, is 50-60%. So take care of yourself!

Calm, only calm!

This phrase from the famous cartoon now needs to be repeated as a mantra. No nervous stress! Yes, it is difficult and not always possible to apply in practice, but you must try to follow this rule as much as possible. Try to understand that stress and unrest are very affected by how your baby will be.

Create at home a pleasant setting. Up to the fact that you make a husband repaint the wall, because you so want them to be gently pink! Try to receive only positive emotions. Go to concerts and exhibitions, draw, sing. However, make something that brings pleasure. And do not forget to smile more often)))

We rest, walk, we are engaged in "pregnant" sports

Having learned about your pregnancy, some women try to "take care of" themselves: lying on the sofa, reading magazines or watching TV. Undoubtedly, rest is a golden rule of pregnancy. Dining dream, if there is a desire, too. But not 24 hours a day! You need moderate and carefully planned physical exertion. Complexes of exercises specially designed for pregnant women are suitable as it is impossible.

If it is possible, sign up for swimming. And even better - on aqua aerobics for future mothers. So you can strengthen the muscles of the back, abdomen, pelvis and prepare for the upcoming birth. Moreover, moving, you contribute to the flow of oxygen in the placenta, and this is vital for the baby.

Try more often to walk in the forest or at least a city park. Enjoy trees, watch birds, insects, listen to the noise of foliage.

In general, tune in to positive and live in your pleasure! Let your baby be healthy and happy!

Especially for Olga Rizak

The birth of a child is such an experience that many women would like to survive without unnecessary medical intervention, for example, without epidural anesthesia or other painkillers. If you want to give birth to a child as natural as possible, then you will need to plan everything in advance. Careful planning, support from loved ones and mental training will allow you to pass natural childbirth.

Steps

Search options

Find out whether you have natural childbirth. Natural childbirth is not always possible. In some diseases and complications, such as, for example, during preeclampsia or gestation diabetes, natural labor can be complex or too risky.

• If pregnancy proceeds with high risk, the possibility of natural labor must be discussed with the doctor. Some women can give birth naturally, but only if the doctor observes them and carefully tracks any complications.

1. Evaluate all the benefits of natural childbirth. Find out all the positive aspects of natural childbirth - it will give you motivation during the entire process. Here are some reasons for which natural childbirth can attract you:

   • Natural childbirth can protect you and baby from stress and unpleasant side effects from medicines, conducting an operation or any physical impact. Many women who born naturally believe that they were experiencing less pain, anxiety and stress during the process than during childbirth with medical intervention.
   • Natural childbirth provides more personal perception of the entire process, in which the focus focuses on the state of the mother and the child.
   • As you will be in full consciousness during childbirth, you will remember all moments, and you can enjoy this process.
   • Natural childbirth reduce the risks of what the cesarean section will need.
   • Women who born naturally restores after childbirth faster.

2. Remember the risks of natural genera. Despite the fact that during the centuries, women gave birth naturally and quite safely, yet the risk of complications with natural childbirth is always there.

   • Natural childbirth can be dangerous for certain diseases, especially without proper medical observation and the availability of relevant medical equipment in the event that, for example, the child is in the wrong position.
   • Remember that if any difficulties arose, it is completely normal to retreat from the plan's plan. There is nothing shameful in this. The main thing is to do what is better for you and the child, and in some cases it can mean medical intervention in the process of childbirth.

3. Remember that in some situations, medical intervention is necessary. Even with careful planning and best prenatal care there is no guarantee that there will be no situations that require medical intervention during childbirth. For example, such situations can be:

   • prelation of the placenta;
   • herpetic infection or HIV;
   • previous delivery by caesarean section;
   • incompatible with natural childbirth condition child;
   • stimulation of childbirth in order to preserve the health of the mother or child.

Preparation for natural labor

1. Choose an obstetrician. Before planning the natural childbirth, you should consider some moments, namely, where and with whom you want to give birth. You will probably need to find an obstetrician-gynecologist and agree with him about childbirth. Also, childbirth can be taken by midwifery, doctors perinatologists and general practitioners - the difference only in the qualifications of these specialists:

   • An obstetrician gynecologist can accept childbirth or carry out a surgical operation if necessary.
   • Nurses-midwives can take birth, but when any complications appear, they must call an obstetrician-gynecologist.
   • Perinatologists, as a rule, specialize in difficult births, including genera in women older than 35, women having STIs or diabetes.
   • Physic practitioners and family doctors are also able to accept childbirth, but they are not experts in this field, and therefore, with any complications, they should call an obstetrician-gynecologist.

2. Talk to an obstetrician to understand whether you want this person to help you during childbirth. Choosing a specialist who will help you to give birth to a child, be sure to talk with potential candidates. This will help you understand who will provide sufficient support and to whom you can trust. Find out the attitude of the obstetrician to natural breeds, for this you can ask:

   • "What do you think about natural genus?"
   • "How many natural genera did you take?"
   • "Do you support me if I decide to give birth naturally?"

3. Prepare a plan of birth . During pregnancy, it may be helpful to make a plan of childbirth. It should be expressed by your needs and desires regarding how you want to give birth to your child. It is useful to discuss this plan with those who will be present and help in childbirth. Discuss your plan of childbirth with a doctor, obstetrician or daub. The delivery plan must include the following information:

   • where you want to give birth;
   • who will help you during childbirth;
   • who will be your main support for childbirth;
   • who can generally be present at childbirth (at different stages);
   • what support and help you will need during childbirth;
   • what painkillers you want to use;
   • what to do with umbilical umbilical and umbilical blood;
   • whether the child will remain after birth or bring it later;
   • special traditions you would like to observe;
   • who should inform you if something goes wrong;
   • any other wishes for doctors and people who will be with you.

4. Select a partner for childbirth. Many women are much easier to stick to a given way, when in difficult moments, when they are ready to surrender, Partners by childbirth remind them of motives why they chose natural childbirth.

   • If you are planning to give birth in your maternity hospital, then go through natural childbirth and not surrender at the last moment a professional midwife or partner will help you.
   • The availability of a partner in childbirth will also help you get so necessary moral and even physical support, and you can give birth to a child without medical intervention.

5. Tell Akuster or a doctor about your wishes. In advance, please inform your Akushet or the doctor that you are planning to give birth naturally so that he has time to plan and prepare. The doctor can also ask you questions and arrange everything in accordance with your wishes.

   Visit classes on preparing for natural childbirth. Surely classes for preparing for childbirth and conversations with women who gave birth to a natural way or help it to make others will be very useful and informative for you.

   • Discuss your fears, concerns and expectations with other women in class. Often, a simple conversation with those who have already experienced it earlier, helps calm down. This will help you not to worry about pain and health care and tune in decisively.

Childbirth without painkillers

1. Breathing techniques. The breathing exercises are most often used to relax and combat pain in natural childbirth. It is possible to study these techniques of breathing in special training in preparation for childbirth. When choosing classes, try to give preference to the courses that focus on the respiratory techniques.

   Visualization techniques. Find some object or image and concentrate on it to relax and do not think about pain during childbirth. You can bring with you your favorite photo and look at it during battles. Choose such an image that calms you. For example, it can be a sunset photo. You can also just close your eyes and imagine something pleasant. For example, you can represent how you sit on the beach or stand on the top of the mountain.

   Provisions and movements. Listen to your body and change the position in the process of childbirth so that you are comfortable. If you feel that it is better to walk, sit, lie down or learn on someone, then do not hesitate and do the way you want.

Depositphotos / DragonImagesAsia.

Salma Hayek, Kim Bashinger, Holly Berry - not just Hollywood beauties who managed to make a successful career for their lives and to visit several times married. They decided to a desperate act: to give birth in 40 years for the first time, and without using the services of a surrogate mother. Someone will say that for stars is common, and the latest statistical data claim the opposite: the average age of primary actively seeks 40.

Today, women are becoming the first time Mama at the age of 35-37, and the second time they are decided to have a child, being in 40 years and more age. Even in the Soviet Union it went beyond, but now the times have changed and it becomes rather normal. But how safe is the pregnancy after 40 years, the reviews of doctors are divided about this: from positive to negative. What to do, risk or not? What awaits those who want to become parents at that age?

Why in 40 years it is difficult to get pregnant

Female eggs are formed before birth, their number is calculated by millions. They are rapidly decreasing, while the intrauterine period lasts, at the time of birth they remain about 2 million eggs. The process does not stop, to the beginning of the menstrual cycle, the girl has only about 300 thousand eggs and then they are becoming less and less. This means that by 40 years old have a woman, the number of eggs capable of fertilization remains quite a bit. However, this is not the only reason why it is difficult to get pregnant in 40 years. Many factors, including age, affect the quality of the eggs themselves. They become less productive, and often hide genetic anomalies.

How to prepare for conception

You can give birth to a child in adulthood, but a preliminary preparatory period is needed for both women and a man. First, it is necessary to abandon cigarettes and alcohol; Secondly, revise your diet in favor of more useful food. If there are overweight problems, it is necessary to fight this problem to both partners, because it is often precisely because of this pair cannot become pregnant.

Pregnancy in 40 years old in the opinion of doctors is no different from the earlier, so before conception, the woman also needs to visit the dentist and cure their problem teeth. In addition, the preparation period includes the reception of a vitamin complex with minerals:

• folic acid;
• selenium;
• zinc;
• magnesium;
• vitamins B6, C, E.

And men need medical preparations that will increase the activity of spermatozoa, and therefore, the chances of conceiving a child. To both partners receive tablets should be started at least 2 months before conception.

In order for the probability of conception to be high, you need to accurately determine the time when the egg is ready for fertilization (ovulation period). You can make it using express tests for ovulation.

Late pregnancy and women's health

What to do, give birth or not on the threshold of the 40th anniversary, because this can affect health? This is the first question that women ask themselves. And the second, exactly how pregnancy and childbirth will be praised. Do not be afraid if pregnancy has been diagnosed after 40 years, doctors' reviews do not prohibit children at this age, but only in the absence of direct contraindications.

How does pregnancy affect the woman itself? In fact, there are two sides, positive and negative. On the one hand, this period rejuvenates the woman at the expense of a hormonal burst, and the effect remains at the lactation period. However, all this is short-term, as it disappears after the failure of breastfeeding, as the level of hormones returns to its previous state.

Required surveys

If you decide to give birth after 40 second child or the first time you are preparing to become a mom, be ready to pass a number of necessary surveys. This is necessary in order to determine if there are no genetic deviations in the fetus, since with age the risk of riding with genetic anomalies increases. These include the following:

1. Ultrasound on the 11th and 18th weeks.
2. "Triple Test." This blood test during the period is 16-18 weeks, helps to identify the pathology of the fetus.
3. Amniocentesis. To obtain results, there are a fence of the oil-free waters, but not earlier than the 14th week.
4. Cordocentsis. This is a blood testing from the umbilical. It is done in order to calculate the exact amount of fruit chromosome. The optimal period for the survey - with the 22nd to the 24th week of pregnancy.
5. Chorion's biopsy. It is carried out in order to identify Down syndrome and other deviations. Fragments of the placenta take as laboratory material. The test is carried out between the 11th and 14th weeks.
6. Cardiography. This is a test of a baby heartbeat frequency in order to detect oxygen starvation. Held at the end of the 3rd trimester.

Possible complications for having tolerance and childbirth

Even the first child in 40 years will be healthy if the future mother will fulfill all medical prescriptions and with a double effort to take care of their health. On the other hand, at any time, pregnancy after 40 years on the reviews of doctors may complicate. It can be:

• guestRose (increase hell, swelling);
• diseases of the endocrine system;
• diabetes;
• hormonal disbalance;
• the aggravation of chronic infections.

What else may be difficulties? Every year the elasticity of the tissues and muscles of female organs decreases, the uterus becomes harder to keep the fetus and therefore a 40-year-old woman automatically falls into a risk group by unbearable. However, difficulties are expected and during childbirth. Weak generic activity, premature genera, breaks and bleeding - it can all occur at any time when pregnancy after 40 years on mom's reviews.

Many believe that age means direct contact with the surgical table. This is not the case, the cesarean section is prescribed only under certain testimony. In other cases, it is recommended to give birth naturally, however, with large breaks, more than 10 years, the generic memory of the female organism disappears and the process can pass as the first time.

Psychologists' opinion: Late moms - good or not?

The first, second or third pregnancy in 40 years - to give birth or not what to do? According to psychologists, physiological readiness for motherhood lags behind psychological for 10 years. So, it was in 35-40 years old a woman is ready to become a full-fledged mother, giving himself all the care of the child and his upbringing. According to statistics, the late parents are more often raised by the launderkinds and live longer than other couples of similar age.

The second aspect is why the average age of psychologists consider successful for pregnancy, this is that by this time career, material level, etc. Values \u200b\u200bfor which many young women postpone the continuation of the offspring for later. Subsequently, providing itself and future children's future, they can completely and completely devote to the child for the first few years after his birth.

In some couples, the first pregnancy in 40 years comes after a number of long unsuccessful attempts exactly when the last hope runs out. The child's born is unexpected happiness, but because of this, he is often in this case under a hyperopica, although excessive care and attention negatively affects the psychological development of the child.

Do not be afraid if you have a pregnancy in 40 years, the reviews of doctors prove that with competent making of pregnancy, accounting for all possible risks and the right thing to be a woman to their pregnancy, to wear and themselves pass without complications. A child born from adult parents, in such cases no different from his peers.