So happens, what I have remained one in 46. Rody-it dangerously for me?...

[Liza]

So happens, what I have remained one in 46. Rody-it dangerously for me?

[child]

Late pregnancy
In how much years it is better to woman to give birth to the child? Certainly, she can accept the final decision only. However doctors consider or count what to get posterity better at young age when the organism possesses the maximal force and steady immunity. Psychologists add, that the woman should be issued as the person, capable to test deep feeling of a maternity and to pass life experience to the child. The following course of events is optimum: in 12 14 years at the girl begin a menses, approximately in 18 19 years - a sexual life and about 22 24 years there are first labors. At this time the hormonal level is optimum for vynashivanija posterities. In general the ideal age for conception of the child varies from 22 till 30 years. But vital circumstances not always correspond or meet to an ideal. How to be to the women, going to to become or begin mothers after 30, and even after 40 years? Solving or deciding, " to be or to not be " to conception, it is necessary to estimate or appreciate the opportunities objectively.
Why so happens?
Principal causes of late offensive or approach of pregnancy can be divided or undressed on two greater or big groups: social and medical. The uncomfortable life, the small salary, complex or difficult attitudes or relations in family and desire " to be for itself " lead to that some women do not wish to have children in the age of from 23 till 33 years. Besides in our rough century many aspire to provide to themselves high enough educational level, to borrow or occupy a high social standing, to make successful career and to provide a prosperity to the family, transferring or carrying a birth of the child for later terms. These and other social aspects are the reason of that many women start to reflect on continuation of a sort after 30 years. The same reasons can affect or influence and desire of the woman to give birth to the second or third child at "solid" age.
The medical reasons of late pregnancy are those or other diseases which long time interfered with conception or vynashivaniju a fetus.
Features of current of pregnancy
After thirty many women already have various diseases which can complicate current of pregnancy and be reflected on health of mother and the future child. So, for example, if up to pregnancy at the woman headaches during vynashivanija the kid it can be found out were sometimes observed, that they are connected with periodic rising arterial pressure. Such rises can get regular character. This status can complicate current of pregnancy, lead to development gestoza which is shown by rising of arterial pressure, changes in analyses of urine, occurrence of edemas.
Complicate pregnancy endocrine diseases (diseases thyroid, pancreatic and other glands of internal secretion), available up to pregnancy can. So, after 40 years the risk of development of a diabetes mellitis of pregnant women raises or increases, and at presence of this disease up to pregnancy it is possible to expect an aggravation of symptoms and advance of illness or disease. Not compensated, not treated before disease of a thyroid gland, excess or a disadvantage of hormones can lead to threat of an abortion. Often first attributes not proved before illness or disease are designated during pregnancy.
The important role is played with that factor, that the the woman is more senior, the more than sexual partners could be at it or her within the last years. It means, that the risk of purchase of the diseases passed sexual by, including a genital herpes, a clamidiosis, peaked or acuminate condylomas, a cytomegalovirus with the years increases or is enlarged. The woman can and not suspect about presence at it or her diseases as some of them proceed asymptomatically. As during pregnancy immune forces of an organism are in a depression that protects the kid from possible or probable immune aggression during this period more possibly an exacerbation of infectious diseases. It is necessary to note, that at an exacerbation of those or other infectious diseases including passed sexual by, it is necessary to address to the doctor and to pass or take place course of treatment, in fact the originator has an effect not only on an organism of mum, but also on an organism of the kid. Some diseases, having become aggravated before sorts or labors, can define or determine tactics of a delivery. So, at an exacerbation of genital herpes or the diseases caused or called papilomovirusnoj by an infection, directly ahead of sorts or labors there is a necessity to finish or stop pregnancy by cesarean sections.
In the course of time the structure of internal genitals changes. At young women of a tissue elastic, the structure or frame collagenic and elastinovyh fibers which cause sufficient density and an extensibility of tissues eventually changes. Ability of a uterus as a result decreases to keep and bear or keep and take out germ, and risk nevynashivanija every year increases or is enlarged.
Women with chronic diseases of heart, lungs, kidneys and other organs have a risk of the beginning of premature birth or births.
Separately it is necessary to note changes in a status of genesial health of the future parents.
The fetus of a female is born with the certain quantity or amount of follicles in an ovary. During the genital period of a life of the woman there is a gradual expenditure of this stock. In each menstrual cycle 1 ootid ripens, but available follicles do not remain constant, in them there are processes of ageing, as well as in other tissues and organs of the person. These processes first of all are reflected in a status of a chromosomal complement, than and that fact is caused, that the probability of a birth of children with a chromosomal pathology with the years increases or is enlarged. On statistical data, a syndrome of the Down (anomaly of development on the twenty first chromosome) in 100 times meets in group forty-year, than at the women who have given birth in 22 24 years is more often. Formation of the baby is influenced also with a state of health of the daddy. In particular, if the man has influenced radiation, suffers an alcoholism or other diseases affecting a status of tissues, participating during a spermatogenesis the risk of chromosomal diseases of a fetus raises or increases. But thus many cases of a birth of healthy children at elderly parents are known.
Changes in genesial system of the woman can affect or influence and current of pregnancy. Presence of abortions, abortions, inflammatory diseases of a uterus leads to problems of formation, an implantation of placenta, there can be a placental presentation (a status at which the placenta blocks an aperture leading in the cervical channel; spontaneous labors thus are impossible), as a result of a functional underdevelopment of a placenta the fetoplacental failure (a status at which the child receives less nutrients and oxygen) can develop.
Features of sorts or labors
A little the risk of development of complications during sorts or labors increases also. Physiological changes of a structure of a body and shejki uteruses can become the reason of delicacy of patrimonial activity. The probability of breaks of soft patrimonial ways and occurrence of bleedings increases or is enlarged.
Women often ask a question: whether are the first forthcoming labors in the age of after 30 years the indication to operation cesarean sections? The unequivocal answer to it or him is not present. If, except for age of the patient, all other digits (the sizes of a basin, parameters of the arterial pressure, given analyses, quantity or amount serdtsebieny and respirations in a minute, a diopter at a myopia - myopias - and so forth) Do not cause or Cause in the doctor any doubts the question on a way of a delivery is solved in favour of sorts or labors through natural patrimonial ways. If, besides age, there are any parameters speaking about problems, connected with a state of health of mum or the kid, that, considering age, the decision on cesarean section makes. In each case this question is solved individually. As, as the quantity or amount of diseases as organs of genesial system, and the organs which directly have been not connected with detorozhdeniem was already spoken, with the years increases or is enlarged, the quantity or amount of cesarean sections at women of the senior age group increases also.
It is necessary to note, that if late labors not the first and the senior child it is already difficult to name the kid mamin the organism not always holds in remembrance the past 15 20 years ago sorts or labors and process of disclosing shejki uteruses can go under " laws of the first sorts or labors ", t. e. In sorts or labors there is a probability of complications.
Necessary Inspections
First it is necessary to tell or say that, been solved or having dared on such responsible or crucial step as a birth of the child, it is not necessary to try to save time for pilot survey, and if necessary - and on treatment before pregnancy. In fact the probability of complications of pregnancy and sorts or labors raises or increases at presence of various diseases, and time which can be necessary on restoration and treatment after a premature abortion, is incommensurable with in the meantime which is required on scrupulous inspection before conception.
It is necessary for future parents to reveal presence of the infections passed sexual by, to cure chronic inflammatory processes of genitals, to visit or attend the stomatologist, to spend necessary correction at presence of diseases of all organs and systems, to pass or take place a course of a vitamin therapy. In fact pregnancy and labors demand from an organism of the woman of the maximal mobilization of all forces and reserves.
At a modern level of development of prenatal diagnostics and obstetrics practically each family has an opportunity on early durations of gestation to pass or take place inspection in mediko-genetic consultation for exception of a pathology of a fetus and to give birth to the healthy child. To not pass or miss a birth of the child with a rasping genetic pathology, to all parents, whose age exceeds thirty years, suggest to pass or take place various researches in mediko-genetic consultation. For example, in 16 20 weeks of pregnancy take the analysis of a blood from a vein for definition of probability of presence of a genetic pathology of a fetus. This method concerns to non-invasive (not operative) methods of diagnostics of congenital defects and anomalies of development. If by results of these analyses there are doubts or the pregnant woman of more than 40 years the spectrum of analyses extends. As additional researches invasive or aggressive methods are applied: In the first trimester it is a biopsy of a chorion (for the analysis take a slice of a tissue of which the placenta is then formed). In the second trimester spend cordocentesis (a fence of a blood of a fetus through vessels of a cord or navel). If these researches are spent also their results are satisfactory concerning possible or probable genetic defects of the child it is possible to not worry.
Despite of all possible or probable complexities in current of pregnancy and sorts or labors, at the women, dared to give birth to the kid at elderly age, are series of advantages, the main thing from which is the conscious approach to a maternity, desire to do the utmost that the kid was born healthy.
Igor Baranov
The leading scientific employee of unit of conducting pregnant women
With high infectious risk of the Centre of science of obstetrics,
Gynecologies and perinatologii Russian Academy of Medical Science, d. M. n.
Clause or Article from a December issue
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