In a multiparous woman after 40 years, the body is “adapted” to pregnancy, the frequency of complications may be lower in general, but in this case we are not talking about fetal malformations, the risk of which does not depend on the number of previous births.

"Late" delivery is an indication for caesarean section?

The woman's age is not an indication for operative delivery. Many of our patients of the older reproductive group, including those who became pregnant with the help of IVF, gave birth themselves, naturally, and the birth went smoothly. nine0003

What are some of the postpartum issues that a 40+ mother may encounter?

If a woman was planning a pregnancy, had a complete examination, correction of pathological conditions, then the recovery postpartum period will run smoothly for her. Maybe not as fast as in 20-25 years, but quite successfully.

If we talk about women entering pregnancy with many chronic diseases, not examined, then we can expect various "surprises" in the postpartum period. nine0003

In any case, all mothers need care, support and help.

Pros and cons of pregnancy after 40?

Of course "for" with both hands. All women have successful pregnancies and healthy babies.

To learn more about assisted reproductive technologies available at the ART department of the Veresaev hospital, please call the single contact center: 8 (499) 450-55-81 (ext. 8).

Late children return youth - articles from the specialists of the clinic "Mother and Child"

The number of women who gave birth to their first child between 30 and 40 years has almost tripled in the last 20 years. In addition, the number of first-time mothers after 40 years has increased by almost 50%. And physicians are forced to reckon with it. Gradually, the offensive word “old-timer” disappeared from their vocabulary, and childbirth in adulthood is no longer considered something out of the ordinary.

Increasingly, women are postponing childbirth while studying or moving up the career ladder. The number of early births (up to 20 years old) in all civilized countries is steadily falling (Russia, however, is an exception). nine0003

Numerous studies have shown that pregnancy and childbirth after 35 do not pose such a serious danger as previously thought. The average portrait of a woman in her thirties who is preparing to become a mother has changed a lot lately. As a rule, she belongs to the middle class, is well educated, takes care of her health. Her body is not worn out by numerous births.
It has always been believed that later children are more likely to be born prematurely, gain less weight and get sick more in early childhood. Recent research has cast doubt on this. nine0003

American doctors who observed 4 thousand women in labor in one of the hospitals in New York came to the conclusion that a woman over 35 years old, if she is physically healthy and has not had miscarriages, has a chance to give birth to a normal healthy child (even if this is the first birth) almost the same as a 20-year-old.

For a middle-aged woman who has devoted all her young years to a career, pregnancy is an opportunity to try herself in a completely new way. In addition, she is more likely to find support from her husband, since a mature man is psychologically more prepared for the role of a father than a young one. nine0003

As you know, psychological readiness for motherhood comes much later than biological. According to psychologists, pregnancy in adulthood is much more favorable than in early youth. A woman perceives her condition more calmly, less prone to stress, less likely to experience internal conflicts. She is more disciplined and lives in harmony with herself. Many consider the birth of a child a gift of fate or a blessing from God.

nine0087 Older women, most of whom married late, as a rule, stand firmly on their feet, have reached a certain level in their professional activities, and are confident that they will return to work some time after giving birth. All this allows them to look to the future with great calmness and optimism. A middle-aged woman who has devoted all her young years to a career may look at pregnancy as an opportunity to try herself in a completely new capacity. In addition, she is more likely to find support from her husband, since a mature man is psychologically more prepared for the role of a father than a young one. As a rule, middle-aged parents, unlike young ones, devote more time to raising a child. As a result, many "late" children are ahead of their peers in their intellectual and physical development. The secret here is in the atmosphere of love and mutual understanding in the family where the long-awaited baby appeared. nine0003

American psychologists conducted a survey among women who became mothers before the age of 20 and between 30 and 40 years. Both were asked to answer the question of whether they would give birth at the same age if they could make a new decision. More than half of those whose children were born before the age of 20 answered “no”, and the majority of older mothers expressed confidence that they had chosen the optimal time for the birth of a child.

Hollywood star Kim Basinger first became a mother when she was already over 40. Actress Beverly D * Angelo, a friend of Al Pacino, gave birth to his charming twins when she was 49. The famous actress Marina Neelova had a daughter when she was 41 years old. And there are many such examples.

Doctors today can help even those women whose reproductive period has ended. Various methods are used for this: hormone therapy, implantation of a donor egg in the uterus. Muscovite Natalya Alekseevna Surkova got into the Guinness Book of Records, becoming a mother at the age of 57. She already had two adult children. Recently, a 66-year-old woman from Romania gave birth to a child. For many years she taught at the University and wrote books for children, but she had no babies of her own before. True, doctors are not particularly enthusiastic about the increase in the number of mothers-grandmothers: the risk of complications and the responsibility of the doctor who “leads” such a woman in labor are too high. nine0003

Of course, late motherhood has its problems. Women over 35 are more likely to experience health complications during pregnancy, especially diabetes and high blood pressure. These complications occur in approximately 6% of women over 35 years of age compared to 1. 3% in younger women.

Another problem: the "solid" age of the parents increases the risk of developing anomalies in the fetus, the birth of children with severe hereditary diseases. Therefore, all primiparas over 35 years of age are usually offered an amniocentesis in the second trimester of pregnancy - an analysis of amniotic fluid. This allows you to identify about 200 hereditary diseases associated with a violation of the chromosome set. nine0003

You can also find out the degree of risk of such diseases using the "triple" test - it is done around the 16th week of pregnancy. For analysis, blood is taken from a vein. Women of older reproductive age do not recover from childbirth as quickly as younger women. For some of them, after decades of taking care of themselves, it can be difficult to get used to the fact that the baby, especially in the first months, requires constant care and attention.

Another disadvantage of late childbirth is that parents have to limit themselves to one child or have a second one when the first one is still very small - after all, the time allotted by nature for acquiring offspring is not unlimited. nine0003

Should I do a Caesarean section?

In women over 30-40 years of age, childbirth can be more difficult and protracted than in younger women - this is the generally accepted opinion. In fact, any experienced obstetrician can testify that in many cases, older mothers do an excellent job with minimal medical help. Often and, by the way, not always justified, at this age they offer a caesarean section. This does not raise questions if there are medical indications for surgery or a woman managed to get pregnant only with the help of doctors. Then, trying to eliminate any risk to the baby and taking into account the aggravating factors, the doctor makes such a decision. nine0003

Recent studies have shown that, on average, the duration of labor for older mothers exceeds the duration of labor for young mothers by only 45 minutes. And at 40, you can not be afraid of difficult childbirth if you are well prepared for them physically and psychologically.

Where to start?

If for some reason you put off the birth of your child, you should prepare in advance for his possible birth.
Try to get rid of bad habits if you have them. By the age of 35, we have time to experience a stronger impact of adverse environmental factors than by the age of 20.

Should we add to them the harm from smoking and alcohol? Watch your health, do not start even trifling, at first glance, diseases. If you treat a cold rather than endure it on your feet, you are much more likely to keep your kidneys and heart healthy, organs that take a lot of stress during pregnancy.
Control your weight and maintain muscle tone. Go in for sports or exercise. Excess weight creates additional problems during gestation. nine0003

It should be borne in mind that after 35 years, the ability to bear children gradually decreases. Experts believe that at this age it may take 6-12 months to conceive instead of four. Before you decide it's time to start procreation, visit a therapist. Sometimes a woman is being treated for infertility for years, during which time she develops various ailments. These diseases may not cause much concern, but they can interfere with the normal course of pregnancy. nine0087 During pregnancy, you will need to be more attentive to yourself than younger women, to strictly monitor your diet and regimen.

It is worth taking seriously the choice of a doctor and a maternity hospital. It is desirable that the clinic be equipped with everything necessary in case you need urgent help for a newborn.

"If you want to preserve beauty, have a child at forty," say the French. If a woman is healthy, during pregnancy she blossoms. In this magical way, estrogens act - female sex hormones, the production of which increases several times. In addition, the eggs of a pregnant woman are not "spent", so aging seems to be suspended. Menopause in women who have become mothers in adulthood may come later. Raising a baby provides a unique opportunity to turn from a middle-aged woman into a young mother. nine0003

Such parents usually go through the so-called midlife crisis painlessly - they just don't have time to delve into their problems.

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