Why It Is Necessary To Give Birth After 35: The Opinion Of A Gynecologist

The changed rhythm of life, study, obtaining several higher education, career growth, the need to solve housing and physical problems force us to postpone the birth of children to a later age, so the birth of the first child after 30 years is not uncommon, but rather a reality.

The very possibility of the female body to bear and give birth to a child directly depends on the general state of health, adaptive capacity, and the presence or absence of comorbidities. When they are detected, it is essential to choose the right treatment and, if possible, get rid of them, as a last resort – smooth out the real changes. The less future mothers have health problems, the higher the chances of a safe pregnancy and successful delivery.

Pregnancy and subsequent delivery – a big load for the body, which can provoke an exacerbation of any inactive disease. For example, after 33–36 years, many women have an increased risk of diabetes. Also, with age increases the number of endocrine diseases, found the insufficient production of hormones, essential for a healthy pregnancy, increases the number of somatic disorders. All these adverse factors greatly complicate the delivery of the fetus and further delivery. However, couples after 30 years, as a rule, consciously approach the birth of children, undergo a full examination and, accordingly, at the time of pregnancy, they know more about their state of health.

Successful Pregnancy And The Birth Of A Healthy Child Require A Thoughtful Attitude Of Both Partners. Half Of The Success In Conception Depends On The Man, So Joint Preparation Is An Essential And Responsible Process, Which Is Recommended To Begin At Least 3-4 Months Before The Intended Design. Modern Medicine Allows The Complex To Prepare For Pregnancy And Childbearing, Implement Preventive Measures, Aimed At Preventing Possible Complications. Of Course, There Is Some Evidence, That After 35-38 Years, Significantly Increases The Risk Of Fetal Chromosomal Pathology , But There Are A Variety Of Methods To Date, Which At Different Stages Reveal The Pathology Of The Fetus And Thus Allow To Take Appropriate Measures In A Timely Manner And Take The State Of The Future Mother Under Maximum Control.

Genetic Testing At The Planning Stage Of The Child

When planning a child, you can undergo genetic testing with the subsequent consultation of genetics. A genetic test will show the carrier status of monogenic diseases: there is nothing dangerous in the carrier itself, but if both parents are carriers of the same condition, the risk of having a child with this pathology increases to 25% (myopia, color blindness, and hemophilia). Physician-geneticist will bring a thorough medical history, be sure to ask , whether the family history was someone in the family or children were born with congenital diseases from one side or the other , and based on the results, a forecast will be made and will give recommendations on how to optimize the lifestyle for future parents.

Extended checks at the planning stage

Currently, many clinics offer joint preparation services for a couple to conceive a child, further pregnancy management and preparation for childbirth. A comprehensive survey allows you to take timely action and prevent the development of diseases, give confidence in your health and help you prepare responsibly for the new status of parents. The composition of the complicated checkout may include:

Detailed recommendations for optimizing lifestyle and preparing for pregnancy;

Tests: clinical and biochemical blood tests, urinalysis, tumor markers, STI studies, gynecological tests for women and semen for men;

Research: electrocardiography, ultrasound of the great vessels and internal organs;

Consultations of the therapist, ENT, ophthalmologist, gynecologist, urologist, and neurologist.

Non-invasive prenatal test in early pregnancy

The non-invasive prenatal test allows you to learn about possible deviations in the early period. Starting from the 9th week of pregnancy, he can identify pathologies such as Down syndrome, Patio or Edwards, as well as determine the sex of the unborn child. To carry out NIPT, which can be done with IVF, ICSI, surrogate motherhood and pregnancy using donor eggs, it is enough to take 10 ml of venous blood of a woman. Within eight days after blood donation, the laboratory will extract the child’s DNA and carry out the analysis, and the accuracy of the study will be more than 99%.

Screening ultrasound and additional research during pregnancy

The development of medical technology, in particular, devices for an ultrasound, allows you to identify deviations, identify malformations and provide timely assistance. During pregnancy, several screening ultrasounds are done. The first – at 12-13 weeks, the second – in 19-21, the third – for 30-32 weeks, the three global screening tests, which are mandatory. These additional studies, both hems radiogram, biochemistry, ECG, smears on the flora, Sowings and TORCH infections can be prescribed by the attending physician as needed on an individual basis.

Individual nutrition programs during pregnancy and GW

By providing vitamins mother organism, micro- and macronutrients, the composition of the intestinal microbiota, genetic characteristics and dietary habits dietitians and Nutritionists are developing a special diet for the mother, which helps her as much as possible to provide the body the necessary substances. A particular nutrition plan can be made for the period of breastfeeding: it will be aimed at helping to restore the body after childbirth and provide the baby with a maximum of useful substances for healthy development.

  • Practical recommendations for future mothers of any age
  • Get a consultation with a therapist and gynecologist.
  • Normalize food. Forced fasting due to diets is stressful for the body, and under stress, the reproductive system is not a priority.
  • Eliminate excessive exercise. Supporting sports are not able to cause problems with conception and bearing, but it is better to refuse heavy physical activity.
  • Any medications should be taken only after consultation with the doctor.
  • 2-3 months before the intended conception, stop using oral contraceptives and remove the intrauterine device if present.
  • A woman and her partner need to cure existing infections, sexually transmitted diseases.

Before conception is recommended to visit a dentist and get treatment, if necessary. To ascertain the state of the oral cavity and exclude foci of chronic infection, since during childbirth the woman’s body gives a lot of energy, and the concentrations of virus are a direct risk of exacerbating diseases or complications. A similar recommendation applies to the ENT doctor.

  • Practical recommendations for future fathers of any age
  • Regular sex life. Daily ejaculation improves sperm quality, reduces DNA fragmentation.
  • Do not use lubricants. Various lotions and gels can reduce sperm motility.

Healthy diet. Eat more fresh fruits and vegetables. It is important to maintain to stable body weight in the range of average values since overweight reduces the number and motility of spermatozoa ( plus 10 kg – minus 10%).

Sports activities. Include motor activity in the daily mode.

Do not overheat the scrotum. It is better to abandon the fitting underwear. When stationary, it is recommended to take breaks to warm up. During the period of preparation for conception, you should refuse to visit the bath, sauna, hot bath and solarium, and gadgets should be kept away from the belt level.

Getting rid of bad habits. Alcohol, nicotine and narcotic substances directly affect the reproductive system and lead to the birth of sick children.

Avoid stressful situations. Chronic stress impairs sexual function and disrupts the production of hormones, essential for normal spermatogenesis.

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