Undoubtedly, motherhood is the greatest happiness for a woman. And each, regardless of age, asks himself: am I ready, will I be a good mother, can I provide? Someone thinks that giving birth to a child is better in his youth, some that the baby should appear when you are already over thirty. You can talk a lot about the pros and cons of pregnancy after 30.
In the pros there will always be a stable financial condition, and most importantly, a clear understanding and desire to have a baby. In the minuses, of course, outgoing health, and the big difference in age with the crumbs. There are no advisers here, everyone makes their own choice. Do not be afraid of this, arm yourself with your experience and wisdom. In the end, read the literature. And you will understand that modern medicine in this matter sometimes works wonders. However, there are some features of pregnancy and childbirth after thirty.
Quite often, women who decide to have a firstborn after 30 years old are called “old parents”. This expression should not offend the future mother, just a number of characteristic problems arise with age. Women who become pregnant a second time, it is much easier to postpone repeated delivery. But those who give birth for the first time should prepare themselves for some risks and trials, but this is all for the sake of their happiness, isn’t it?
What is the future mother at risk?
- The threat of miscarriage is one of the main complications, the longer you delay conception, the greater the likelihood of spontaneous abortion, because the uterus becomes difficult to keep a fertilized egg.
- Late toxicosis (preeclampsia) occurs in the second trimester, and if untreated, it can be fatal. It has its own distinctive features: the presence of protein in the urine, edema, high blood pressure.
- Due to the loss with age of the elasticity of the birth canal, labor is extremely weak, and as a result - caesarean section.
- However, the worst thing is that there is a great danger of having a baby with Down syndrome.
But do not be afraid. Just worth more thoroughly prepare for pregnancy.
First of all - emotional preparation. The main thing is not to be nervous. Remember, while you are angry or upset, there are significant hormonal changes in your body. And not only you, but also your blood. This can provoke a violation of the development and formation of the cardiovascular system of the embryo.
Calm down, speak out, albeit on an elevated tone, but do not keep everything to yourself, do not provoke the occurrence of stress. Hormone cortisone - released during stress can cause premature delivery.
Physical training is also important, because with age, physiological changes occur (elastic fibers become dense and not pliable). Being born, the baby due to the efforts of the press and the generic actions of the uterus reveals the pelvic floor.
Therefore, it is imperative to strengthen the muscles of the anterior abdominal wall and pelvic floor. Swimming, gymnastics on fitball, aqua aerobics, yoga will help not only physically prepare, but also harmonize the general condition of the body. Just do not forget that physical culture normalizes weight and speeds up the metabolism in the body of the future mother.
First of all, it is necessary to cure the inflammatory processes of the genital organs. Because when they become pregnant, their treatment becomes impossible because of the negative impact on the crumbs. A visit to the dentist will prevent the appearance of foci of infection in the oral cavity.
The disease of tuberculosis is a contraindication to pregnancy, and in view of the fact that this disease is very common in our country, therefore, it is necessary to undergo fluorography.
Remember that when you become pregnant, there will be no possibility of full treatment. A very small amount of medication can be used when you are in position, and the rest lead the risk of fetal development of the child.
And perhaps the most important thing is to listen and not ignore the advice of the doctor. A woman is in a position, especially if she is over thirty, she must pass all stages of perinatal screening without exception.
Perinatal screening is a complex of diagnostic studies that allow you to identify abnormalities of fetal development of the child. Ultrasound screening is performed at least three times.
- It is held on the period from 10 to 13 weeks of pregnancy. It includes a gynecologist examination, a blood test for hormones, weighing, genetic analysis, ultrasound screening. It is in this period that the most gross defects in the development of the fetus are revealed.
- Held from 14 to 20 week. Just like at the first stage of a pregnant woman, they are examined, ultrasound, weighting, a biochemical analysis will be added, which will determine the probability of having a child with Edwards and Down syndrome, and spinal cord and brain defects.
- Concluding ultrasound screening is conducted at 22-24 weeks. At this time, the anatomical features of the fetus are determined. Does the baby have enough nutrients and does your child suffer from oxygen starvation? Cardiotocography is required during the third trimester.
If an ultrasound examination revealed a pelvic presentation, hyper or hypotension, then in late periods it is better to lie on the bed for the doctors of the hospital to follow you.
The main rules of nutrition for pregnant women
During pregnancy, the greatest concern for oneself is manifested, attention to the quality of one's diet is much more often drawn.
Perhaps the most favorite drink of future mothers is green tea, because it contains many useful substances. But from the coffee is abandoned, but if you can not do this, then reduce its use to two hundred milligrams per day. Vegetables, fruits and fresh juices are the basis of the nutritional status of a woman in position. Do not forget about cereals, they are very important in this period of your life.
Milk and dairy products, especially cottage cheese, should make up a large part of the diet. First of all, they are a source of calcium, which is the building material of the bone system of the fetus, its nails and teeth.
The diet should include sea fish, which is rich in useful minerals, trace elements and phosphorus. Meat, in turn, should be only an addition to the diet, not its foundation. The most useful oil for pregnant women is olive oil.
It is strictly necessary to exclude fried, spicy, smoked dishes, soda, chips, crackers and crackers from the diet, and most of all - alcohol.
It is important to understand that everything that you eat, do and feel during pregnancy will certainly affect the future baby.
Over the years, more and more families decide to give birth after 30 years. And this is not a problem, just lead a healthy lifestyle and exercise. And you will surely hear in your address such a long-awaited appeal: “Mom”. Have patience, a healthy and cheerful children always grow up with a loving and healthy mother. And for them you will be the best in the world at any age.
Pregnancy at 30 years and after
Pregnancy after 30 years - what are its characteristic differences, what should a woman who is postponing conception and carrying a child have to fear for better times?
If earlier women gave birth at the age of 25 years, mostly, now they are trying to start having children later. Pregnancy at 30 years and after no one is surprised. Not every woman can quickly find her prince - the father of her unborn child. And who succeeds, there are difficulties of the material plane. There are very few prosperous young families in Russia. At an older age, people who are educated and purposeful, as a rule, everything is going well. There is a desire and opportunity to give birth and raise a worthy member of society.
However, the first pregnancy after 30 years is still a concern to many of our doctors. More recently, women even younger than this age have been called old-born and have found many reasons for being admitted to hospital and cesarean section. What are the features of pregnancy after 30 years, what are doctors afraid of?
Over the years, we are not younger. And health in 30 years is still not as strong as in 20, in most cases. Although there are quite a few thirty-year-old women who can give odds to twenty-year-olds. Much depends on the genetic characteristics and lifestyle. If a woman has no chronic diseases since her youth, normal weight, good nutrition and an active lifestyle - preparing for pregnancy after 30 is the same as in 20 years. That is, a standard examination for sexually transmitted infections, blood and urine tests. If there are chronic diseases, it is advisable to visit narrow specialists for consultation.
In women, fertility decreases with age, ovulation happens less and less. It is especially difficult to get pregnant closer to 40 years, as the stock of eggs remains small. In addition, at this age, many women have already suffered various gynecological diseases, which caused the inflammatory process in the fallopian tubes and the formation of adhesions in them. The older a woman is, the more likely she is to have an ectopic pregnancy.
And, finally, "genetic damage." Their probability after 30 years slightly increases, and after 35 years - many times. Children with Down syndrome are more likely to be born to women over 40 years old. But this is not a reason to abandon motherhood. It is just that such women are especially carefully screened to identify possible malformations and diseases in the fetus. Often, fetal genetic material is prescribed to analyze its chromosome set, which gives almost 100% the answer about whether it is healthy genetically.
These are the main features of pregnancy for women older than 30 years. If life develops in such a way that childbirth falls on a not so young age - it does not matter. Find a competent doctor to conduct pregnancy, carefully examine, lead a correct lifestyle, and everything will be fine.
Does age matter
Doctors agree: a couple who wants to have children should begin an examination at a specialized clinic as soon as possible. If necessary, you can have time to treat diseases that interfere with fertilization and bearing, because the older people get, the lower the chance of conceiving a healthy child. After all, the onset of pregnancy is a multi-step, rather complicated process.
To successfully start pregnancy in a woman several factors must match:
• fully functioning fallopian tubes,
• optimal endometrial structure for embryo implantation.
In addition, in the semen of a man must be motile spermatozoa of the correct structure, in sufficient quantity.
The lack of at least one of these factors makes pregnancy after 30 impossible. The task of physicians is to identify the missing stage and have time to carry out its adjustment-treatment.
Pregnancy after 30: why it is difficult to get pregnant
Many studies have confirmed the fact that, since the age of 30, the reproductive functions of the female body are oppressed. This is due to a number of factors.
Not enough eggs
At birth, each girl is endowed with a limited number of eggs. Every year, up to 23 years, out of one million eggs only 200 remain. And, with an ideal cycle and ovulation, an average of one or two eggs a month leaves the follicle. All would be nothing, but, except for ovulation, the eggs are lost as a result of disease, and over the years - "grow old", their quality decreases. Such eggs cannot fertilize.
Uterine Fertility Loss
With age, a woman's ability to conceive decreases due to gynecological chronic diseases (endometriosis, fibroids, inflammatory processes), reduced blood flow to the reproductive organs, and the immunity of the uterus to hormones. As a result, difficulties with embryo implantation and miscarriage.
Pregnancy is not possible for 30% of women after 35 years. The cause of infertility is commonplace - the natural aging of tissues, age-related extinction of the functions of the uterus and ovaries, ranging from 28-30 years. It occurs as a result of insufficiency of the circulatory system, and affects the organs - first changes occur in the small arteries in the fallopian tubes, adhesions and scars are formed. Often this leads to inflammatory diseases of the uterus and ovaries. To cure such infertility is possible only with the use of microsurgery.
What is dangerous pregnancy after 30 years
First of all, the doctor must find out the cause of late pregnancy. If the couple tried to conceive, but the pregnancy did not occur, then there is a possibility of a lack of hormones in a woman. If you do not carry out timely treatment, it can happen miscarriage. Progesterone deficiency can be replenished with artificial drugs that are taken before the 16th week of pregnancy. This is the smallest problem of those who can wait for the future "aged mother."
The probability of its occurrence by age 35 doubles. As a result of diabetes, the risk of premature labor, pre-eclampsia, diabetic fetopathy, placental complications and stillbirths is greatly increased. In addition to general medical therapy, a strict diet is required, as well as insulin injections.
Pregnancy after 30 years is associated with an increase in the probability of miscarriage to 17 percent. This happens not only with the inevitable age-related changes of the organism as a whole - the miscarriage is also caused by the aging of the eggs, which lead to genetic disorders that are incompatible with the growth of the fetus.
A woman who decides to become pregnant after 30 years is less likely to give birth by 26%. By the age of 35-40, up to 40% of pregnant women are forced to undergo a cesarean section.
Characterized by a significant decrease in tissue elasticity, which leads to the risk of ruptures in the birth canal and bleeding. Placental problems, much weaker generic activity - all this is in most cases inherent in "age".
Pathology of the placenta
Problems with previa, chronic placental insufficiency and premature detachment - this is what an older woman should prepare for. Pathological conditions of the placenta often lead to the birth of a child with low weight, intrauterine hypoxia, as well as to complicated and premature birth.
Full readiness for twins, triple. Researchers have shown that a woman’s age from 35 to 39 years old greatly increases the likelihood of twin births.
Exacerbation of chronic diseases
Every chronic disease acquired during a lifetime will remind you of yourself during pregnancy. Particular danger - the pathology of the kidneys and cardiovascular system. Pregnancy in many cases causes hypertension, and if a woman has already suffered from her symptoms, then the condition can go to preeclampsia or severe manifestations of preeclampsia.
With age, the likelihood of a woman acquiring STDs is much higher. Chlamydia, cytomegalovirus, genital herpes or genital warts, and similar diseases. Many STDs are asymptomatic until a certain time, they can only be identified through medical research. During pregnancy, in connection with the suppression of immunity, these diseases can manifest themselves in full force, harming not only the pregnant woman, but also the fetus. Exacerbation of such diseases often leads to the need for cesarean section.
How to prepare for pregnancy after 30 years
Carrying a child, a woman exposes the body to the strongest long-term stress, both physically and psychologically. Planning a pregnancy after 30, you need prepare physicallygiving the body more time. Very beneficial in terms of relaxation and psychological support for yoga or swimming, meditation.
The key to success of “age-related” pregnant women is an advance visit to the gynecologist and a full medical examination. As the risk of pathology increases over the years, parents are asked to undergo various studies to avoid having a child with a dangerous genetic pathology. Do not be afraid of tests, and listen to the opinion of doctors.
Pregnancy and childbirth will force the body to mobilize, to use all the reserves and strength to the remainder. Therefore, in order to facilitate the task and secure the child, you need not to be lazy and not save, but to go full examination to exclude:
• exacerbation of chronic diseases before pregnancy,
• sexually transmitted infections
• diseases of the genital organs and inflammatory processes in them.
According to the results of the research, the doctor prescribes the necessary treatment and vitamin complex. The organs of the unborn child are formed in the first trimester of pregnancy; this is the most dangerous period for the fetus. If at the moment of conception a woman’s body is in a normal state, she gives up bad habits and continues moderate physical exertion, then the chance to easily bear gestation and give birth to a full-fledged child in a natural way is very high.
На протяжении беременности беременным женщинам после 30 лет обязательно проводят несколько диагностик врожденных пороков и предупреждают аномалии развития плода. Кровь из вены на определение генетических патологий берут с 16 по 20 неделю. Если результат не дает точного ответа, то назначают дополнительные анализы. Women over 40 spend all available genetic analyzes, since the probability of deviations is increased.
Invasive additional diagnostics includes a horin biopsy (the tissue from which the placenta is formed) in the first trimester, and Cordocentesis (through the vessels of the umbilical cord take blood from the fetus) in the second trimester of pregnancy.
The professional approach of doctors and the consciousness of the future mother together will lead to a healthy pregnancy and reduce the risk of complications.
What to do if you can not get pregnant after 30
We carried out all the tests, prepared to the maximum, were cured of everything that was, and what was not, and pregnancy does not come. Many couples give up. But today, physicians can seemingly “impossible” with the help of artificial insemination. The diagnosis of "infertility" now sounds not so hopeless as before.
But IVF is not only a miraculous healing from infertility - the procedure has a lot of “But.” In vitro fertilization is a complex process, preparation for which takes quite a lot of time for treatment, and the maximum chance of a successful pregnancy is 30%. The onset of pregnancy at the first IVF - rather rare. Couples try five or more times, wasting their strength and finances.
With IVF, pregnancy is often accompanied by complications - this includes embryo implantation, and ectopic pregnancy, and premature termination, and many others. Pathology is usually caused by the patient's condition, when the functions of the organs are lost with age. If the state of health of the pregnant woman is satisfactory, then with IVF pregnancy and after 30 will come quickly.
But the long-awaited two strips reduce the experienced problems to "no."
Parents who decide to in vitro fertilization, you need to be ready for multiple pregnancies. This is a very frequent "side effect".
A positive aspect of IVF is also the fact that the unborn child is certainly immune to genetic abnormalities.
We give birth to yourself?
Childbirth in pregnant women after 30 is often complicated by ruptures, weak labor and bleeding. To avoid these symptoms, you need to conduct special exercises for the muscles of the perineum, as well as maintain the overall tone of the body.
The issue of childbirth is very important for pregnant women after 30, can it be possible to give birth by itself, or is a cesarean necessarily? To remove possible complications during childbirth and to protect the mother and child, doctors recommend a cesarean section to all pregnant women over 40 years old. But forcibly pregnant, no one will force to lie under the knife, so it's up to her to decide. If the physical condition of the woman in labor is normal, there are no problems with the heart, myopia, the pressure is normal, and the size of the pelvis is optimal, doctors easily agree to natural childbirth. Otherwise it is better to operate. The negative aspect of pregnancy after 30 is that the woman recovers from childbirth much longer than the young.
At 38 weeks, the future mom "at the age of" is put in the hospital and choose the date and method of delivery. The hospital will offer to use the programmed delivery by injecting hormones that provoke labor.
Most women planning late pregnancy give birth to completely healthy babies.
Therefore, a woman can safely decide on the first or next pregnancy, because she already has life experience, well-being, she has something to share with her little “miracle” - it's time to get to know the joy of motherhood!
Advice to women who want to get pregnant after 30 what needs to be done
- At the time of pregnancy planning, it is necessary to undergo clinical and laboratory examinations. A woman should be well aware of her state of health and the health of her husband.
- Healthy lifestyle (8th hour sleep, minimal stress, relaxed lifestyle, etc.).
- Full and rational nutrition (protein, fiber, difficult to digest carbohydrates, a varied diet).
- The best sport.
Features of pregnancy at the age of 30+
Pregnant women who are over 35 or more are at increased risk of congenital genetic diseases and abnormalities in the fetus. Including, the probability of a birth of children with a Down syndrome increases. Therefore, in the management of pregnant women aged 30+, considerable attention is paid to the diagnosis of fetal genetic health.
Screening is carried out in the first trimester: ultrasound and biochemical markers are entered into a computer program and the probability of congenital anomalies in a child is calculated. Also, the fetal karyotype will be determined, invasive procedures (chorionic biopsy, amniocentesis, cordocentesis) and non-invasive methods (test without internal intervention) are prescribed.
An invasive procedure is prescribed for women over 35 years old, women at risk and with poor results from other studies. This is a big argument in favor of actively planning pregnancy in the 30-32 years and not postponing it for 35 years.
During pregnancy, women need to maintain a high-quality and relaxed lifestyle. Continue to play sports, slightly reducing the load. Optimize food - you can not eat enough and overeat, you need to eat a little and often. Observe the water balance - drink 2.5-3 liters of water per day. Rest more, have a full sleep.
Exclude psycho-emotional stress and minimize stress factors. The latter should not be underestimated, since stress negatively affects the hormonal background of a woman. And only in the sound hormonal background is it possible to tolerate pregnancy normally. The constant impact of stress factors on the pregnant woman's body loads the adrenal glands, resulting in the release of stress hormones, which, in turn, lead to disruption of sex hormones and to a number of other problems. Including impaired glucose tolerance and gestational diabetes. So take care of yourself!
Features of childbirth after 30 and recovery of the woman’s body
At 30 years of age, the body recovers after delivery no worse than 25. The genital organs are well supplied with blood, the muscles contract well, and this promotes healing. But after 35 years, the recovery process is worse and slower. This is due to the fact that the level of hormones is reduced, the blood supply is worse, the tissues are less pliable and less resistant to various kinds of effects.
Recovery after childbirth also depends heavily on how physically active the woman was before and during pregnancy. Therefore, it is important to exercise so that the muscles are in good shape. If the muscles are weak, then after childbirth there is a small risk of omission of the anterior wall of the vagina and the risk that gaps, cracks and other injuries will heal worse. And this all negatively affects the quality of sex life. Therefore, you need to prepare for pregnancy and keep your body fit.
5 arguments for a woman's pregnancy after 30 years
- Thowling life is stable, and you yourself - financially secure.
Of course, not all future mothers are 30+, but the overwhelming majority - they already have a profession, a job, a regular income, a husband or a regular partner, and other guarantees of stability. But the most important thing is that they already clearly understand what responsibility means, they can take care of themselves and know what to do in case of force majeure and other changes in circumstances.
- Conscious pregnancy
It is no secret that a significant part of pregnancies in 20–25 years is not planned, it is random and often occurs in couples who are not even spouses yet. And when we talk about pregnancy planning, it is usually mature stable couples and women who are closer to the age of 30 who are consciously planning a child.
And the advantages of planning are a timely comprehensive examination of the health of mom and dad, these are vitamins that mom starts to drink on time and in advance, this is a conscious choice of a doctor and a maternity hospital. All these measures minimize the risks of pregnancy failure and other complications in the process.
- Girlfriends experience is a priceless treasure
When you first give birth at the age of 20, often your experience is the first and only among friends and other girls from your environment. No one except mom will ask about childbirth, child development, breastfeeding, the subtleties of introducing the influx, and the like.
But the mother is not the best adviser here either, because in her times they were breastfeeding “according to the schedule”, they had not yet invented diapers and slings, the maternity ward was closed, and no one even dreamed of partner labor. And often mother, mother-in-law or grandmother simply do not remember the details that interest you.
If you give birth at 30, then you are surrounded by an attentive and benevolent number of women who have already known the happiness of motherhood. And it happened in modern conditions in the coming years. They all know about the advantages of maternity hospitals and antenatal clinics, are oriented in children's goods and stores, will always help if there is a need to urgently find pediatricians of various specialties.
Books, educational toys, children's things left behind by girlfriends after their children will also be at your disposal. And you definitely will not buy too much if you listen to the advice of these experienced moms.
- Health and Lifestyle Monitoring
I want to believe that mature women have already studied their bodies well and care about their own health. They know about the benefits of a healthy lifestyle and stick to it, play sports, eat right to keep themselves in shape. Do not smoke and limit themselves in alcoholic beverages. They know about the weak points of their health and are able to avoid exacerbations.
A healthy mother is a healthy child. The health of a newborn significantly depends on the state of health of the pregnant woman and his lifestyle before and during pregnancy.
- Your life experience
Every year a person acquires new knowledge and skills, improves his skills. In 30 years and more, a woman knows how to plan her life and the life of a family, can organize herself and the space around her, and has long and successfully managed the household.
After giving birth, she will only have to adjust her schedule and learn something new. But she has also become accustomed to study - life daily makes us not stand still and improve ourselves.
And we want to summarize on a positive note that at the age of 30 you can successfully become pregnant, bear and give birth to a healthy child. The main thing is to take care of this in advance. Be healthy!
The current standard of reproductive age
Not so long ago, obstetricians and gynecologists were horrified at the mere thought that women could give birth not only to the second, but also to the first child, far beyond the limits of thirty years. But over time, Soviet stereotypes have replaced Western social movements, in which the second pregnancy is a 35-year variant of the norm, and not an extraordinary case.
If our grandmothers sought to have children in the optimal reproductive period - 18-22 years, then mothers set this threshold aside until the age of 20-25. Modern women, especially those who have already given birth to their first child, are in no hurry to part with the hope of building a career with their social realization, before re-going on maternity leave. That is why the second childbirth at 35 years old has become something habitual, not too distracting from the boundaries of normal for both public opinion and medical staff.
The average age at which modern women give birth to their first child is close to the limit of thirty years. Well, the second pregnancy after 35 or 38 years has become inevitable if the woman wants to fully recover from the first birth, as recommended by WHO.
Nevertheless, the positive aspects outweigh the possible and not too significant risks. Statistics proves the fact that if from the point of view of the reproductive system the optimum period for reproduction comes about 22 years, then emotional and psychological readiness for motherhood is highest in the period from thirty to forty years. Those women who decided to give birth to a baby after thirty, note a more positive attitude, calmness, confidence, both in the process of carrying and after birth.
In the case of a rather late relative to the physiological reproductive peak attributable to 22 years, conception parents should be better prepared for the upcoming conception and bearing the second baby.
Preparing for pregnancy after 30 years
As the doctors say, the second pregnancy after 30 years proceeds like any other, and has no pronounced differences. However, the deterioration of organs and body systems with age only increases. Well thought-out preparation for pregnancy after 30 years allows you to smooth out the stress for the female body and reduce the burden on all life-support systems.
If you are still thinking about how to prepare for pregnancy after 30, the tips will still be relevant for you. But if you are already waiting for a baby, it’s not too late to start a correct lifestyle.
- It is advisable to undergo a preliminary examination by a gynecologist and a therapist.
If you find any problems you need to undergo a full treatment, not leaving them "for later." The body will be hard during gestation, and you should not add an extra load to it. Moreover, in case of exacerbation of chronic or newly acquired diseases after conception, you will be offered to be treated with holy water and chamomile, since practically no medicine can be used for pregnant women.
- The same goes for the dentist.
- It is necessary to drink a course of multivitamins and folic acid before pregnancy.
- During pregnancy, taking multivitamins should be continued, and it is necessary to find time for sports, for a good rest and proper nutrition.
- Also, a pregnant woman after 30 should more closely follow the recommendations of the doctor, including advice on nutrition, physical activity, weight correction, directions to the hospital. What could have been ignored at the age of 20, after the third dozen, becomes a serious problem not only for the woman herself, but also for her baby.
Possible complications of pregnancy after thirty years
When a second pregnancy comes after 30 years, doctors determine in advance the approximate front of possible problems, dividing them into theoretical (common to the entire sample of pregnant women from 30-35 years old) and practical (aggravating the woman’s health problems and chronic diseases).
And if it is necessary to deal with practical complications in each individual case separately, then the general complications of pregnancy after 30 are reduced mainly to the problems of hormone production and tissue changes.
- Premature or, on the contrary, postponed pregnancy.
- Gestosis (toxicosis in the second half of pregnancy, accompanied by a violation of the exchange of fluids in the body).
- Quite often in a pregnant woman amniotic fluid prematurely departs.
- There is a weak labor activity.
- Slightly increased risk of genetic abnormalities in the fetus of women who are closer to the fourth ten.
- Typically increased blood pressure.
- Higher risk of developing diabetes mellitus.
- Endometriosis and fibrous tumors are more common, which can affect both the ability to conceive and the course of pregnancy.
- After thirty years, the risk of miscarriage increases by approximately 10%. (If for girls from 20 to 29 years old it is only 7%, then from 30 to 39 years old miscarriage may be in approximately 18% of cases).
- The probability of birth at 30 years old baby with Down syndrome occurs in a ratio of approximately 1: 900, and by the age of 35 the risk is already greater, 1: 380. By the way, in young mothers this indicator is 1: 1300.
- The risk of acquiring diabetes mellitus during pregnancy is almost 32% after the threshold of thirty years.
- Conducting operational delivery by caesarean section is 35%.
However, in cases where a mother decides on her second child at thirty-five, the question of safe childbearing mainly concerns the individual characteristics of the woman and the burden of chronic diseases she has collected over three decades. As for the rest, a pregnant thirty-year-old woman without any special health problems for the most part has the same chances of having a healthy child as in twenty years. Her body is still quite young and has sufficient reserves for the full performance of reproductive function.
Second pregnancy after 30: positive moments
In carrying a second baby to a rather mature woman there are many advantages that should not be forgotten. If there was a good preparation for pregnancy after 30, and the woman is healthy and does not have complex chronic diseases, then, oddly enough, there are only advantages.
- More often than not, the second child at this age is planned, and the whole family is impatiently waiting for a new family member.
- Даже если малыш не запланирован, мама относится к его появлению радостно и довольно философски, сохраняя нервную систему для действительно важных проблем. Ребенок - счастье, в чем вас уже убедил ваш первенец.
- Оба родителя обрели определенную стабильность в материальном плане.
- A woman is no longer threatened by the so-called “mother fever”; no need to prove her worth to anyone as the best mother. You can just enjoy the happiness.
- Having received the experience of the birth and upbringing of a first-born child, the family can, on the second offspring, carry out “work on the mistakes”, avoiding unnecessary problems and unnecessary mistakes.
- The field of 30 years of pregnancy brings the body a hormonal storm that shakes and rejuvenates the woman's body, stimulates all life-support systems.
Childbirth after 30 years: does age matter?
As we can see, the second pregnancy and childbirth after 30 practically do not differ from those that can be observed in the earlier age period. But there are differences in a healthy woman and a woman who has certain diseases.
But even if there are aggravating factors at hand, good specialists will have a good pregnancy. However, the risk of childbirth through cesarean section increases significantly, although it relies on objective factors.
Most often, operative obstetric care is resorted to when the health of the mother or child is in danger, or doctors consider the workload during labor pains to be excessive for a particular woman.
However, the second pregnancy after 30 years, with a tail, especially if the tail is closer to forty, is accompanied by an age-related deterioration of the elasticity of the tissues, not only the soft tissues of the perineum or vagina, but even the uterine muscle tissue, which also lacks some intensity of work as muscular organ. All this can lead to an incompletely open birth canal, compression of the umbilical cord by the cervix. Even if the pregnancy was normal, the final moment of delivery can be fraught with many unpleasant surprises that are dangerous to the life of the newborn. That is why many doctors are inclined in a case of childbirth after thirty years to a cesarean section.
But it is not so important how exactly your baby was born - much more important is the fact that the thirty-year age is not a reason to refuse to expand your family. It’s just worth taking the question a little more seriously than twenty year old girls do.
Who is the “old primipara”?
Speaking of late pregnancy, you should consider the era in which a woman decided to become a mother. For example, in the Middle Ages, women were considered to be “late homogenous” who had not had time to give birth to 20 years, which is not surprising, since the life expectancy in those times did not exceed 30, a maximum of 40 years.
Under the Soviet Union, the “society of the aged” included women who decided to have their first child at 26 and later years. Gradually, the age limit shifted to 28 years of age, then to 30 years of age, and today it is established on the values "after 35".
Given the criteria of WHO, the term "old-born" is incompetent, since people under 44 years old are considered young. However, some physicians still use the terms "old age" or "elderly", referring to women who dared to endure and give birth in adulthood. These definitions are rude and incorrect, and to mark the age of a woman in the diagnosis with the aim of further careful observation of her, use the term "age primipara" or "primipara of mature age."
Obstetricians consider the period from 22 to 28 years to be the most favorable age for birth of the firstborn. This statement is based on the physiological and psychological readiness of women for motherhood and the upbringing of offspring.
Late pregnancy planning
As you know, the onset of the desired pregnancy should begin to prepare in advance for 6 months. This is especially true of women who decide to become mothers in adulthood. Planning for late pregnancy includes 3 sections: a review of lifestyle, medical examination and psychological preparation.
At least 6 months before the intended conception, you must quit smoking and drink alcohol (including beer). And to abandon these habits should not only the expectant mother, but also the future father. It is known that bad habits reduce fertility even in sufficiently young individuals, and in adulthood they can be the reason for the inability to conceive or subsequent conception of an embryo with gross chromosomal anomalies, which will result in miscarriage.
Meals of the future mother should be complete and contain the necessary amount of proteins, carbohydrates, fats, vitamins and microelements. Planning a pregnancy precludes compliance with any diets (weight loss, matching for blood type, and others). Food should be prepared according to the principles of healthy eating. It is necessary to abandon fried, spicy, fatty dishes, smoked meats, pickles and marinades, fast food. In the daily diet of a woman should be fresh fruits and vegetables, and it is advisable to steam dishes, cook, simmer or bake (without crust).
If the future mom is a professional athlete, then she will have to leave a big sport, since intense physical activity reduces the chances of both conceiving and successful pregnancy. Exercising in moderation is necessary for a woman planning a late pregnancy. Exercise increases the tone of the whole body, improves health and mood and prepares a woman for the upcoming labor. Ideal for these purposes are suitable long walks, swimming, non-strength fitness. During the pregnancy planning period, it is already possible to perform Kegel exercises, which strengthen the muscles of the perineum, improve blood circulation in the pelvis, thereby increasing the chances of conception.
A healthy and full sleep is necessary for every person, especially a woman preparing to become a mother. The duration of a night's sleep should be at least 8 hours. It is important to observe and sleep, go to bed no later than 22.00 and get up at 6 - 7 am.
At the planning stage of pregnancy, a woman needs to undergo an extended medical examination, after which the gynecologist will recommend either to undergo treatment or to refuse to have a pregnancy at all.
Required analyzes and studies:
- standard gynecological examination,
- smears on flora (urethra, vagina, cervix),
- cytology smear (exclude atypia of cervical mucous cells),
- ultrasound examination of the pelvic organs (exclude / confirm uterine myoma, ovarian cysts, genital endometriosis, adhesive disease, chronic inflammatory diseases of the appendages and the uterus),
- fluorography (at least 3 months before the intended conception),
- general blood / urine tests
- blood clotting
- blood biochemistry
- examination for hidden genital infections by PCR,
- blood tests for HIV, hepatitis, syphilis,
- consultation of the therapist.
A visit to a therapist is crucial before planning a pregnancy. In the presence of chronic somatic diseases, he may order an additional examination, including:
- examination of the spine and pelvic bones (history of injury or suspicion of bone and joint diseases),
- Ultrasound of the abdominal organs and kidneys,
- the study of leg vessels (the presence of varicose veins of the lower extremities, thrombophlebitis and phlebothrombosis in the past).
According to the testimony, consultation of narrow specialists (cardiologist, hematologist, nephrologist, etc.) is appointed.
Late pregnancy planning includes other additional measures:
- rehabilitation of chronic infection foci (treat teeth, chronic tonsillitis, adnexitis and other diseases),
- weight normalization (diet for correcting weight in case of its excess or deficiency),
- rejection of hormonal contraceptives, at least six months before the planned pregnancy),
- taking folic acid 3 months before the intended conception (reduces the risk of development of nervous system defects in the fetus),
- taking multivitamins 3 to 6 months before conception,
- taking iodine-containing drugs, especially recommended for women living in regions that are endemic for goiter.
The decision to have a child in adulthood, especially the first one, is not easy for many women. Therefore, planning pregnancy in women who are 30+ should include psychological training. It would seem that every woman has a maternal instinct, regardless of the presence / absence of her children. This is an erroneous statement.
Many women begin to feel like moms, being already “deeply pregnant”, and some in general only after the birth of a child. If you are afraid of such prospects, you should approach the planned pregnancy with full responsibility.
Today there are many books on preparation, during pregnancy and childbirth, caring for a newborn and raising children. But knowledge alone, drawn from their print publications, is not enough. If you have friends or acquaintances who have recently become mothers, go to visit them, watch how mother cares for the child, feeds, offer her help and participate in the process.
Discuss with the future father of the child all possible problems after the birth of the baby, discuss the responsibilities, solve financial issues, prepare the children's room.
After pregnancy, most women begin to fear care for a newborn. Attending special courses of young parents, preferably with the future father, will help to cope with fears and acquire practical skills. In these courses, mothers will be taught not only to properly swaddle the child, but also to enlighten about the baby’s diet, the introduction of complementary foods and other necessary points.
Late pregnancy: dangers and benefits
The problem of late pregnancy needs to be looked at from both sides, since pregnancy and childbirth in adulthood have a number of significant advantages and are fraught with danger both for the child and for the mother.
From a physiological point of view, the favorable age for the birth of children is within 19 - 28 years. The female body has not had time to acquire chronic diseases, is full of energy, the muscles are in good shape, which significantly reduces the risk of complications during pregnancy and childbirth. On the other hand (psychological and emotional), a woman is ready to become a mother in her 30s and older.
Ovarian reserve depletion
In men, new spermatozoa are constantly formed and mature, the whole process of development of which is 3 months. In females, the number of eggs, more precisely the follicles, from which mature eggs will come out in the future, are laid in utero. Initially, a woman (by the period of puberty) has about 400 - 450 thousand follicles, and every month she loses 1000 follicles. It becomes clear that the older a woman becomes, the smaller the supply of eggs she has, which significantly reduces the chances of conception. In addition, after the thirtieth anniversary, the number of menstrual cycles, accompanied by ovulation, decreases, and the eggs themselves, undergoing the effects of harmful factors that influence the organism throughout life, simply “age”. For example, the chances of becoming pregnant for a woman 35 years and older are 2 times less compared to a 20-year-old woman.
Miscarriage of pregnancy
With age, the probability of spontaneous abortion increases. According to statistics, in young women (under 30) the risk of miscarriage is 10%, from 30 to 39 years old it reaches 17%, and in 40, and, moreover, after 45 it is 33%. A similar state of affairs is explained by a number of factors: lack of progesterone (functional activity of the ovaries decreases), damage to the uterine wall (surgical interventions and abortions, endometritis, intrauterine contraception), high risk of gene mutations. Chromosomal abnormalities lead to the formation of a non-viable embryo, which provokes spontaneous abortion (the so-called natural selection).
Genetic abnormalities in a child
The more years the expectant mother, the higher the probability of conceiving and carrying out a child with genetic problems. Although not excluded the risk of the birth of a sick baby and a young mother. This is due to the fact that with age a malfunction occurs in the mechanism that monitors diseased embryos, preventing them from developing and the pregnancy spontaneously terminates.
Disorders in the mother-placenta-fetus system are caused by circulatory disorders. With age, the vessels lose the ability to contract and adapt, and their walls become rigid and do not pass oxygen and nutrients. Poor vascular tone and reduced vascular wall insight leads to premature aging of the placenta, development of placental insufficiency and is fraught with the formation of chronic intrauterine hypoxia of the fetus and premature detachment of the placenta.
Early toxicosis and preeclampsia
In women of mature age, early toxicosis occurs much more frequently and is much more serious. Firstly, this is due to changes in the vessels, and, secondly, low body resistance (the body tolerates intoxication and metabolic disturbances worse). The frequency of late gestosis is also higher in older women as compared with young pregnant women. Chronic somatic diseases (arterial hypertension, venous insufficiency, cardiac pathology and others) are layered on changes in the vascular wall. Therefore, the risk of pre-eclampsia and eclampsia is significantly higher in “age-related” pregnant women.
Often there are complications in childbirth. Reduced elasticity of the skin and muscle tissue increases the risk of ruptures of the perineum, vagina and cervix. Anomalies of generic forces (weakness or discoordination), premature or early discharge of water, postpartum hemorrhages, clinically narrow pelvis (due to pereasheno, large fetus due to gestational diabetes and excessive density of the pelvic bones) occur much more often. Due to the listed complications, the frequency of delivery by cesarean section increases.
During the period of gestation in the woman's body, a serious hormonal adjustment takes place, in large quantities estrogens begin to be synthesized, which are responsible for attractiveness and femininity. The increase in estrogen production affects the improvement of the skin condition (wrinkles are smoothed, elasticity increases, and the skin looks smooth), hair (becoming shiny and thick), nails (fragility and unevenness disappear). Because of this, "age" pregnant women look much younger than their peers. But do not forget that the rejuvenation of the body occurs only in healthy women who do not have chronic diseases. In addition, it was recorded that in women who gave birth at a mature age, menopause occurs later, and menopausal manifestations are absent or occur in mild form.
Psychological readiness for motherhood
The decision to give birth in adulthood is always a planned and deliberate step. Future mothers in their 30s are not only serious about the pregnancy itself and fulfill all the recommendations of the doctor, but also responsibly approach the planning stage. They try to learn not only from the doctor and literature, but attend girlfriends with young children and special courses for young parents. Such mothers are emotionally ready for motherhood (they have rich life experience, are emotionally stable, have the necessary skills, and can properly allocate time and work to do).
Material, housing and social stability
Not least among the advantages of late pregnancy is the stability of the woman. After 30, they have already reached a certain place on the career ladder, have a stable and often quite substantial income, provided with their own housing. A woman in 30+ takes birth of a child neither as a tragedy (what to contain, where to live), but as a completely natural stage of her life.
Well-established family relationships
Mature women have one and regular partner, with whom relations have long been stable, reliable and calm. Reduced the likelihood of divorce and raising a child in the future in an incomplete family Also significantly reduced the risk of infection with genital infections, as adultery in adulthood is not a priority.
I gave birth to a woman at the age of 45 years. Pregnancy and childbirth were second. Childbirth proceeded hard, with a long anhydrous period and a protracted period of the forced period. In the postpartum period, the patient opened hypotonic bleeding, which was successfully stopped by conservative methods. The break between the genera was 20 years. When asked why they delayed the birth of her second child for so long, she replied: "My son died in the army, so they decided to give birth to the second." A late child is always a joy for parents, it does not matter whether he is the first or the fifth.
Another woman about 35 - 37 years old decided to become pregnant after a late miscarriage in the period of 24 weeks. She miscarried when she was 30 years old, the first pregnancy was desired. Около года после позднего прерывания беременности женщина проходила обследование, пролечилась по поводу хламидиоза, более-менее стабилизировала артериальное давление (гипертоническая болезнь), но долго не могла забеременеть. Когда же беременность наступила, пациентка длительное время сомневалась в ее сохранении. Выносила и родила женщина практически без всяких осложнений.
Ведение поздней беременности
Ведение беременности у женщин после 30 имеет свои особенности. All “age-related” pregnant women are placed at high risk for pregnancy (taking into account chronic diseases, possible complications of the gestational period and childbirth, the risk of miscarriage). Pregnant women aged 30+ are much more likely to have attendances at the antenatal clinic, and the list of tests and additional research has been significantly expanded.
The first 14 weeks of pregnancy are considered the most important, since at this time all the organs of the unborn child are laid. From the moment pregnancy is established and up to full 12 weeks, folates (folic acid, metafolin) are prescribed. In the case of previous infertility, difficulties in conceiving or threatening to interrupt in the early stages, pregnancy is supported by progesterone (urrogestan, duphaston).
Screening for the first trimester includes:
- Ultrasound - is performed in terms of 10 - 14 weeks (determination of the width of the cervical-collar space - a marker of Down syndrome).
- Biochemical screening
Analysis of venous blood for markers of chromosomal abnormalities (Down syndrome, Edwards syndrome, Patau syndrome). Runs at full 12 weeks. With an unfavorable result, the pregnancy is interrupted.
Puncture of the fetal bladder in order to obtain amniotic fluid for research. Runs at 8-14 weeks or later. With the help of amniocentesis, fetal chromosomal abnormalities are determined / refuted.
It is carried out according to indications, villi of chorion are investigated. The method has a high diagnostic value, allows to identify malformations and determine the karyotype of the fetus. Dates 9 to 12 weeks.
Second trimester screening is carried out in standard terms. At 16–18 weeks, a blood test for AFP, hCG and free estriol (deviation from the norm is an indirect sign of prenatal malformations), an ultrasound scan 2 is performed at 22–24 weeks in expert-class clinics (perinatal center, medical genetic consultation). According to indications (data of biochemical screening and ultrasound, the presence in the family of children with chromosomal abnormalities, developmental disabilities) amniocentesis is appointed (after 15 weeks).
In the second trimester, women are prescribed multivitamins and iodine preparations (if they have not been prescribed earlier).
When to bear is not recommended
Pregnancy at an older age poses a threat to the life of a woman, especially after 40, if there is:
- severe diabetes mellitus (uncompensated, frequent hypoglycemic states, high blood sugar levels),
- hypertension and heart defects with circulatory disorders stage 3,
- heart defects with rhythm disturbance or infective endocarditis,
- blood diseases (leukemia, severe anemia, porphyria and others),
- autoimmune pathology (lupus, scleroderma),
- cirrhosis of the liver,
- chronic renal, hepatic and pulmonary insufficiency.
With adequate treatment, the passage of the most extensive examination and in the case of full compensation of the state of pregnancy will be allowed to bear.
I am 35, my husband is 55 years old. We want a child (no children). Does the age of a father affect pregnancy if I myself am no longer a girl?
In your case, both your and your husband's age will most likely affect the probability of conception. The more years a woman has, the less often she has ovulation, and the remaining eggs have “grown old”. Regarding the husband, he will need to pass the ejaculate for analysis in order to determine the percentage of viable and active sperm. In extreme cases, you will have to resort to IVF.