Over the past 20 years, the number of women giving birth after 40 years has increased. Good financial standing, sufficient reproductive health, and late social aging put pregnant women on a par with young women. Many give birth to a second or third child after 40 years, since the first children have already grown up and do not need care.
Instructions
Step 1
The body of an average person over the last century has become much younger, people live longer, which means they retain the ability to bear children longer. The climax, as a natural function of the extinction of the reproductive system, has shifted by 5-7 years, and up to 45-47 years, a woman can become a mother. The question is that it is very limited in time and pregnancy planning should be carried out under medical supervision.
Step 2
First of all, it is necessary to undergo an examination. Within a few months, any condition that may interfere with the normal course of pregnancy can be cured or compensated for. Be sure to pass an analysis for AMG (anti-Müllerian hormone), these data will make it possible to understand whether there are enough eggs in the woman's body, or the ovaries are depleted and it is necessary to resort to ovarian stimulation followed by IVF.
Step 3
A couple should definitely visit genetics to find out the risks of genetic diseases from any side. We need the opinions of almost all specialized specialists: dentist, endocrinologist, ophthalmologist, otolaryngologist and therapist. Parents-to-be are invited to undergo full diagnostics, including laboratory ones. If a woman is not sick, or does not have antibodies to rubella and chickenpox, it is necessary to get vaccinated. Next, the doctor prescribes vitamin therapy. Mandatory intake of folic acid, which is responsible for the normal formation of the nervous system of the fetus, multivitamin preparations, iron preparations and calcium.
Step 4
Genetic risks, if we evaluate them in aggregate, although they increase, in general, a woman after 40-45 years old has a chance of giving birth to a healthy child about 80-90%. The risk of having a baby with Down syndrome increases significantly. Such people can get higher education, be socially active and self-sufficient with proper socialization. The risks of other, more severe chromosomal mutations increase insignificantly, and therefore in a woman over 40 years old and in young women, the likelihood of having a child with incompatible defects is almost the same. It is important to conduct a chorionic biopsy in the first trimester to exclude fetal pathologies.
Step 5
During the entire period of pregnancy, you must follow the doctor's recommendations. The term "old-born" was invented by not evil Russian doctors, this concept is included in the international classification, since the management of pregnancy in women over 35 requires particularly careful observation.
Step 6
Pregnant women at this age often have to take medications to improve blood circulation in the placenta, otherwise the fetus begins to suffer and lag behind in development. Throughout pregnancy, the risk of miscarriage and premature birth remains, you should be more careful and refrain from sports and other feats. Due to the high risks of premature birth, frequent complications in childbirth, women are encouraged to give birth by surgery, although physically healthy and active women give birth on their own without any complications. The possibility of natural childbirth is discussed with the obstetrician on an individual basis.
Step 7
If within six months it is not possible to become pregnant naturally, it is necessary to resort to IVF, if possible with the diagnosis of biomaterial in order to minimize chromosomal mutations in the future embryo.
