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Genetics of the birth of a sick child. What can an expectant mother do to give birth to a healthy baby? Should you seek help from doctors? |
Our life is amazing, you must agree: it seems that, as a biological species, we live not so short, on average 80 years, but our youth, specifically physiological, lasts about 10-15 years maximum. During this time, we, young and beautiful, must find our soul mate and reproduce our own kind. But social foundations and the modern way of life of society do not really fit into this time frame. In most cases, 20-year-old boys and girls by nature are not far removed from children; they practically do not strive to build new units of society, but prefer to get an education, become established as a professional, and live for their own pleasure. And it often turns out that this very physiological youth, when nature demands “to do what you should,” is spent on completely different things related to self-affirmation and finding your place in the world. And this applies more to women. Getting a “tower”, working and ensuring her bright future, being in search of that one thing, a woman does not spend these 15 years of youth on childbearing. This is why the problem of late childbirth and family planning in adulthood is now so pressing. Our topic today: pregnancy at 45. What motivates women who are thinking about late pregnancy?Building a career and organizing a life is now in the foreground for many, but it is not always the reason for late family planning. Sometimes it turns out completely differently. For example, a woman got married successfully only after 40, or after many attempts and treatment, she finally saw the long-awaited two stripes. As they say, better late than never. Parents in their early 40s feel somewhat empty after their children have grown up and left home. Parents want to take care of someone again, feel needed and, what’s more, feel like young parents again. And, interestingly, sociological surveys show that sooner or later the vast majority of parents of grown children face a devastating feeling, the feeling of an “empty nest.” One cannot exclude a case that not everyone prefers to talk about: an accident. Whatever doctors say about the reproductive age of a woman of Balzac’s age, a 45-year-old representative of the fair sex usually has a very good intimate life. And it happens that a couple does not plan more heirs, and chance decides everything for them. And when finding themselves in such a situation, women almost always leave a “random” baby. Features of age-related pregnancy: main fearsBut everyone has probably heard from girlfriends, doctors, online sources and all sorts of programs about health that pregnancy after 45 is dangerous and generally not good. In the modern world, this has even become a kind of horror story, they say, boooo, a special child will be born (in any case), you will suffer throughout the entire pregnancy, you will almost die in childbirth, and in general, why does a grown-up child need a mother who looks like his grandmother. You know, in this case, all that remains is to laugh and feel sorry for those who hold this point of view. And that's why. Modern medicine, including reproductive technologies, have reached such a level that the limits of the age of a woman in labor have expanded much further than could have been expected some 20-30 years ago. Of course, there used to be cases when 50 and even 60-year-old women gave birth (women, forgive me for such a comparison), but it was akin to a miracle. Nowadays, a normal pregnancy outcome is quite possible for mature women in labor, who will still give 18-year-old girls a head start.
Let's go down the list further. You can’t compare everyone and sweep everyone, as they say, with the same brush. Women are very different creatures, even if they are all 45. Their lifestyles, attitudes towards themselves, bad habits, place of residence, stress levels and much, much more differ. It often happens that a woman over 40 who takes care of herself turns out to be much healthier than a younger girl, say, 25 years old. Now let's turn to dry statistical figures. It is believed that after the 4th decade of life, a woman has less and less chances of becoming pregnant. And if it’s clear, at the most favorable fertile age of 20-25 years, the chance of conceiving a baby is 25% per cycle, then by the age of 45 this chance will not be more than a couple of percent! 2-3 percent, can you imagine?! Why is that? Yes, because with age, ovulation occurs less and less often, eggs are not renewed, and the reproductive organs are slowly preparing for “retirement.” But if rare ovulation were the main problem! It's not so bad. From year to year, due to our, let’s be honest, imperfect lifestyle, the body accumulates all sorts of chronic diseases and injuries of various kinds. At the genetic level, mutation processes occur in genes (this is inevitable, but, nevertheless, our lifestyle directly affects the number of these same mutations). The onset of pregnancy can be very costly for an older woman: it is already difficult for the body to distribute resources between two organisms. It is precisely because of the above reasons that there are certain risks during pregnancy after 45:✓ Exacerbation of chronic diseases during pregnancy, hence possible constant poor health (toxicosis, pregnancy diabetes, hypertension, etc.) and frequent hospital stays; ✓ Frequent fetal hypoxia due to increased blood clotting, risks of thrombosis; ✓ Risks of congenital pathologies of the fetus, including genetic ones (for example, after 45 there is a high probability of having a child with Down syndrome: 1 in 19 cases); ✓ There is a high probability of ruptures of internal organs and weak labor due to inelastic tissue. Planning for a “late” babyThe above-mentioned risks are not called “risks” for nothing. This is the probability of the occurrence of any pathological condition based on the age characteristics of the female body and available statistical data. It is impossible to say that this will be the case in your case, just as no one can guarantee that everything will go smoothly. By the way, in the latter case, age has nothing to do with it. Even if you are 20 years old, no one will beat their chest and assure you that you will carry a healthy baby without problems, and in general everything will be just great. Much younger girls have difficult births, they give birth to children with defects, with genetic abnormalities, all sorts of things happen in the world. Turning again to statistics, 80% of births of children with Down syndrome occur in women under 35 years of age (however, it is worth considering the fact that the number of births in the younger age group is much higher). Be that as it may, giving birth at 45 years old is a very, very common occurrence today. Thousands of women in Russia and around the world become happy mothers long after they are not yet girls, so there is nothing to be afraid of. The only advice: approach the planning issue responsibly and do not ignore the necessary procedures even if you are pregnant. It is a responsible approach, putting “order” in your own body even before the moment of conception, that will allow you to avoid more than half of the problems from the above list. More detailed information about planning pregnancy after 35 years. Benefits of late birthWell, now let's talk about the fun part. It’s unlikely that anyone would argue with me that the anticipation of motherhood cannot be considered a strong positive emotion. It’s possible and how! It is no secret that late pregnancy is, as a rule, very desirable, which makes it doubly pleasant to feel like a mother. There are many examples when women became mothers for the first time at the age of 43-47 and everyone said that they were the happiest in the world! By the way, it is worth mentioning the emotional component. Many are afraid, they say that every 10th woman in labor experienced such a destructive feeling. Changes in mood appear, nothing and no one pleases, you want to howl like a wolf, but there is no desire to look at the child at all, some are even annoyed by him. Interesting fact: scientists have proven that the phenomenon of postpartum depression is inherent in young girls who have not accepted the very fact of motherhood, are not ready for it and are not ready for such radical changes in life, including personal life. Note that older mothers who take a responsible approach to family planning issues do not face such trouble. If we collect all the advantages into one big list, this is what we get. Late pregnancy is good because:✓ Parents by the age of 40 are self-sufficient, have built their careers, organized their lives, have gone through “thick and thin”, so all their attention and time will be given not to their career or self-realization, but to the child; ✓ A “late” child is desired, and accordingly we love it in the womb; older mothers are more restrained emotionally and approach the issue of raising a child very wisely. Such children grow up calmer, more reasonable, receive a good upbringing and often have creative inclinations; ✓ K the menopausal period is postponed for some time due to hormonal changes; ✓ F A woman “gets younger”, again thanks to hormones. Estrogens are the wonderful secret of female attractiveness; ✓ D Children of such parents do not suffer from lack of attention; ✓ R Parents regain the meaning of life and become younger at heart. ConclusionAgain, the same statistical data inexorably testifies to the annual increase in the number of late-term mothers. This means that women boldly go to the maternity hospital, bear healthy children and are not afraid of late motherhood. What is stopping you? Despite some risks, the benefits of childbirth at an adult age are obvious. But before you get pregnant at 45, you should take it more seriously than ever, because it is very, very important, I think you understand why. And if a miracle has happened and a new life is developing in your tummy, then I hasten to sincerely rejoice with you and inspire you to a happy 40 weeks! Good luck! Planning a pregnancy is not an empty phrase, but a whole group of events that parents who want to give birth to a healthy child in the future must undergo. It consists of many procedures carried out to examine the health of a married couple, their correct lifestyle and proper nutrition. First of all, pregnancy planning is aimed at detecting and subsequently eliminating all possible risks for the child. How to properly prepare for pregnancy? Which doctors should you visit? What infections should be dealt with first? About this and much more in our article today. When to start preparing?It is best if future parents begin to prepare for the upcoming pregnancy a year before conception. Of course, not all couples have that much time for this, which is due to the great desire to have a baby as soon as possible. That is why preparation should begin at least 3 months before the couple planned to conceive a child. This period is quite capable of protecting the baby from potential dangers. Where to start?It is best to start with psychological preparation: future parents must realize that a child is a responsible step and it is extremely important to really understand its significance. If their family already has children, then it is necessary to prepare the kids for the arrival of a brother or sister, and also determine who can help the parents in raising the unborn child. Proper nutritionIt is very important during this period to choose the right diet - the basis for the birth of a healthy child.
Physical trainingIn order to keep fit, a woman needs to play sports. Performing some exercises every day helps the expectant mother carry the baby without problems, give birth safely and take on the desired shape as soon as possible. In addition, moderate physical training helps in the fight against varicose veins, prevents the formation of stretch marks and tears, strengthens muscles and takes care of the condition of the hips and pelvis. Taking vitaminsHow good it would be if a woman received all the vitamins important for health while eating food! However, the reality is that at the preparation stage she must necessarily take vitamins from the “box”. After all, the body of the expectant mother, as a rule, is depleted by all kinds of diets, and her health worsens due to smoking and the environment. What do you need to know?When choosing vitamins, you should not consult your friends or neighbors about this. Medicines and various dietary supplements are also not the best choice for women planning a pregnancy soon. And their use is possible only when a gynecologist or therapist insists on it. An exception may be folic acid - it is recommended for all expectant mothers to take it, since it reduces the risk of possible defects in the development of the baby's brain. As a rule, acid is consumed as a supplement to the vitamin complex that a woman’s doctor recommends. Which doctors should I see?GynecologistFirst of all, a woman should visit a gynecologist. This is necessary so that he can determine the presence of possible gynecological diseases, determine the stability of the cycle and take smears for vaginal microflora and infections. TherapistAn appointment with a therapist is necessary for an in-depth examination of both parents. This doctor determines how their health can be corrected and what this will require: necessary treatment, recommendations for nutrition and physical activity. If such a need arises, the therapist sends the future parents (and the mother first of all) to specialist doctors. EndocrinologistWithout his examination, preparation for birth also cannot be considered complete. He will prescribe hormone tests for the woman, showing exactly how bearing a healthy child will occur. DentistSince the baby “takes” a lot of calcium from the mother, causing the teeth to begin to decay, a visit to the dentist becomes a mandatory procedure when preparing for pregnancy. After all, caries is not so much an aesthetic problem as an infectious one. During pregnancy, there is a high probability of transmitting this infection to the child. Analyzes required for planningDuring the planning period, a woman is usually prescribed the following types of studies:
The doctor prescribes other tests if:
What should a future father be prepared for?How to give birth to a healthy baby? It is important not only for the mother, but for the father to prepare for pregnancy and childbirth. He must join a normal lifestyle, eliminate alcohol and cigarettes from his diet, eat well and get enough sleep. In addition, the future dad must undergo a medical examination, during which he will take a spermogram, be examined for the presence of hereditary diseases and possible infections, and also find out his blood type and Rh factor. Possible infections: what are they?Infections that affect future parents usually work in a hidden “mode”. However, it is they who subsequently become the cause of the possible appearance of congenital deformities in the baby. Of course, not every microorganism found in the blood of future parents causes abnormal development of their child. However, no one wants to risk the health of the fetus, therefore, before conception and during pregnancy, it is better to protect yourself as much as possible from any types of infections. How can infection be transmitted to the unborn baby?It is transmitted in two ways:
FluVery often, women do not pay much attention to the fact that they can get the flu during pregnancy. However, the danger is not so much the virus as its complications, expressed in the load on the kidneys and disruptions in the immune system. All this can lead to miscarriage or premature birth. Let's say more: it is after the flu that a woman, especially a pregnant woman, becomes an “object of attention” for pneumococci or staphylococci. Therefore, it is very important not to lose sight of this and strengthen the immune system in all available ways. RubellaThis is the most dangerous infectious disease, in which it is quite easy to become infected at the 5th week of pregnancy, but extremely undesirable. It is this period that becomes the cornerstone in relation to the development of the future child, because rubella is irreversible consequences leading to abortion and the death of the child. But if the expectant mother has already had rubella or was vaccinated at one time, she may not worry about the baby’s health, since she has a powerful immunity to the disease. For other women, to prevent rubella, it would be better to get vaccinated against rubella two to three months before they plan to become pregnant, and then monitor the process of developing immunity by taking tests during pregnancy itself. CytomegalovirusIt is also extremely dangerous for a newborn, and the worst thing is if a woman becomes infected with it through contact with a sick person. If this occurs in the early stages of pregnancy, the infection will threaten miscarriage or the appearance of various abnormalities in the fetus. Having “attached” a woman later, cytomegalovirus can provoke premature birth or the appearance of its congenital form in the baby. The best prevention against infection before and during pregnancy is to not have any contact with people who have this infection in the acute stage. ToxoplasmosisAn infection that poses a serious threat to the health of the mother and her child. As a rule, infection occurs after a woman cuddles a cute kitten with toxoplasmosis. However, if she previously had this infection, immunity to it remains in her body for the rest of her life. For all other mothers, the danger grows along with the timing, and if in the first trimester the infection is not dangerous, then:
HerpesThe likelihood of contracting herpes is quite low, and its exacerbation deserves serious attention if it occurs at 32 weeks of gestation. Other infectionsThese may be thrush, mycoplasmosis, chlamydia and other infections, which in severe form increase the risk of miscarriage and stillbirth. Only timely diagnosis and competent treatment will help not only nip them in the bud, but also do it in advance - even before the woman becomes pregnant. What do women need to know after 35?Late childbirth, which occurs between 35 and 45 years, is a series of difficulties that accompany women from the very moment of conception. At this age, women often find it difficult to become pregnant and bear a healthy child, especially if they have previously suffered from a number of infectious diseases or had abortions. Age from 35 to 40 years is often accompanied by a decrease in the level of blood clotting, which is most dangerous during difficult childbirth, or, on the contrary, the formation of blood clots. In addition, babies in women over 35 are often born with low birth weight. How to protect your baby and yourself?If a woman decides to get pregnant after 35 years of age, she needs to know that keeping herself in good physical shape and taking care of her health is the main key to success in the field of childbearing. The best solution would be to attend preparatory courses, which both future parents should attend at once. It is also worth finding a good specialist in advance who will guide the woman during pregnancy. There is no need to panic if he suddenly begins to dissuade the woman from pregnancy: anxiety associated with late childbirth is natural, but this does not mean that giving birth after 35 is prohibited by law or medicine. Examination of couples at riskAny disease, whether it is in an active stage or occurs latently, can harm both the baby and his mother. Therefore, it is extremely important not only to determine its presence, but also to treat it in advance, before pregnancy. In the case where future parents have a clear problem with conception, or the woman has already had unsuccessful pregnancies that led to miscarriages or the birth of a sick child, the couple needs to undergo a thorough examination by doctors. In this case, special attention will need to be paid to tests, appointments with a geneticist and ultrasound examinations at different periods. If a doctor observing a couple suspects the presence of chromosomal abnormalities in the mother’s body, which often affect women after 35, he may suggest that the future parents undergo a chorionic villus biopsy. This examination excludes a number of serious diseases and some serious disorders in the development of the baby. In what cases is the help of a genetic specialist required?Consultation with a geneticist is necessary if:
7 rules for a healthy lifestyle (before and during pregnancy)No stressExpectant parents should avoid any stressful situations, overwork at work and at home, colds and viruses. It is best to eradicate the habit of drinking alcohol or smoking cigarettes. Moderate sportBefore and during pregnancy, it will be useful for a woman to switch to moderate physical activity to keep herself in good shape. You shouldn’t remove them completely, because low-impact sports are extremely beneficial for health and well-being. SwimmingIt’s great if future parents love to swim and decide to sign up for the pool! Swimming has a beneficial effect on overall health and strengthens muscles. Women who are in the “after 40” group should not neglect this sport and be sure to go to water aerobics groups, but it is better for them not to swim in rivers or lakes, as this increases the risk of contracting some kind of infection. No extra loadsPregnant women are prohibited from working at night and lifting heavy objects. Also, during pregnancy, you should not use foot-operated sewing machines or travel on a bicycle, make sudden movements or come into contact with hazardous substances. Daily regimeA pregnant woman must walk a lot, saturating her lungs with oxygen, in order to subsequently give birth to a healthy child. At the same time, she is supposed to sleep at least eight hours a day, and goes to bed no later than 11 pm. It is best if the bed where the expectant mother sleeps is comfortable, but not very soft. Doctors believe that during pregnancy she should sleep on her back or right side. SexHaving sex during pregnancy is not prohibited, but it is better to leave it for a more favorable period: after the 1st trimester, if the woman has previously experienced miscarriages or became pregnant for the first time. Also, it is better not to have sex in the last 2 months for women who have given birth not for the first time, but had it done surgically in the past. Finally, during pregnancy you need to get plenty of rest, eat well and be examined by a doctor in order to give birth to a strong baby and become a truly happy parent! With the development of science, medicine, and the latest research in the field of reproductive medicine, it is becoming possible for a healthy baby to be born even in families where this would have been impossible just a decade ago. How to conceive a healthy child when the parents are no longer young and when there are health problems, read this article. Unfortunately, diseases do not choose people, do not divide them into “good” and “bad”, and do not spare even the smallest children. And there are many objective reasons for this. And the mother and father are equally responsible for the child’s health. Bad habits of adultsAnd even an unborn child can become seriously ill. This happens especially often if the pregnancy is “accidental”, unplanned. In this case, drunken conception may occur, and this is a serious injury for the embryo; such a child will definitely not be completely healthy. His health has already suffered severe damage, and he will be susceptible to illness in the future. This is where allergies, diathesis, moodiness, and excitability originate. If parents continue to drink alcohol during pregnancy, the baby’s brain will suffer, and even fetal syndrome may occur. In the same way, adult smoking is dangerous for a baby, no matter whether it is active or passive. The placenta cannot retain nicotine; it easily penetrates into the baby’s blood and retards its development and weakens its health. Therefore, it is so important to protect the expectant mother from exposure to tobacco smoke. It’s probably not worth even talking about the dangers of drugs for a developing child. EcologyLife in a “big city” is also dangerous for a child - constant rush, stress, poor ecology, noise, to which an adult is so accustomed that he no longer notices it. When a person lives in a busy area and breathes polluted air, the child also suffers. The placenta cannot retain all harmful substances; they enter the baby’s bloodstream and thereby poison him. In addition, due to the fact that city residents pay little attention to healthy eating, their health is not the best. This means that it will not be strong in the child either. Physical inactivityAn incorrect, sedentary lifestyle, physical inactivity, constant habitual oxygen starvation also have an effect - all these factors will negatively affect the child. If the baby’s mother protects herself from feasible physical exertion, she will not have enough oxygen in her blood, which means that the baby will not have enough of it. At the same time, too much physical activity by the mother will also not benefit the child. Parents' ageWith age, people do not become healthier; various chronic abnormalities accumulate. It is believed that the most optimal age for having a child is 22-35 years. Before this period, the female body is not yet fully ready to cope with the load. Then the gradual fading of the capabilities of the female body begins. The same applies to men; the optimal age for conceiving a healthy child is 22-40 years. If earlier, there may be not fully mature sperm; at a later age they are no longer so mobile and are susceptible to various unfavorable factors that directly affect spermatogenesis. Health related problemsIt may seem that only the mother is responsible for the health of the developing baby. In fact, the father is no less responsible, and sometimes the child’s illnesses are associated with the father’s health. Infectious diseasesA pregnant woman should be carefully protected from any, even the most harmless infections, because her illness will definitely affect the child. And the expectant mother will have to be treated very carefully so as not to harm the baby. There are infections that are practically asymptomatic in an adult, but have a detrimental effect on the developing fetus. Especially in the first three months of pregnancy. These include completely “harmless”. Even a common runny nose or a minor cold of the mother or father during conception will have an impact on the health of the unborn child. Sexually transmitted diseases, HIV, and AIDS have the same destructive influence. In this case, the baby will be born with these diseases. A “children’s” infection, rubella, also poses a great danger. If it is mild in already born babies, then for an unborn baby rubella carries serious complications if the mother gets sick with it. And the shorter the pregnancy, the more severe these complications are. In the last trimester, the disease severely damages the hearing organs, up to irreversible deafness. OncologyIt is rare, but it happens that parents are diagnosed with cancer after conception has occurred. And if aggressive treatment is carried out, it will affect the child; he certainly will not be able to be born healthy. And even if the disease is not treated, it will still harm the child. There are special mild treatment methods for this case. But most often, oncologists recommend terminating the pregnancy. To keep your baby healthy, you should plan a pregnancy after oncology no earlier than five years after the end of treatment and stable remission in women. Before planning, parents should undergo a complete examination by an oncologist. In men, this period is much shorter - within three months after chemotherapy, sperm is completely renewed. If a man or woman’s family has close relatives diagnosed with cancer, it is better to undergo a genetic test before pregnancy to determine whether the child is at risk of inheriting this disease. When any cancer is diagnosed in a nursing mother, she must stop breastfeeding. Genetic diseasesMany genetic diseases are random failures and do not depend on the lifestyle of the parents. This is, for example, Down syndrome. But there are also genetic disorders that can be prevented in advance. For example, hemophilia is associated with the gender of the child, in the vast majority of cases it is transmitted to boys, but the carrier of the vicious gene is the mother. A girl can develop hemophilia only if her father also has the disease and her mother is a carrier of the hemophilia gene. But this happens extremely rarely - during the entire period of research, only about fifty cases of this disease in girls are known. Among the most famous cases of hemophilia is Tsarevich Alexei Romanov. Consanguineous marriagesIn closely related unions, the risk of developing pathologies in the fetus increases significantly, since both parents carry the same genetic code, since they have common ancestors who could pass on their defective genes to them. Children born into such families are ten times more likely to suffer from genetic diseases. They have a much higher risk of dying in utero or in the first year of life. There are known cases of long-term consanguineous marriages in the royal dynasties of Spain. It is believed that this is what led to their attenuation. A visit to a geneticist can help you figure out whether you are distant relatives. How to prepare for conceptionYou should prepare for pregnancy from the very beginning. And you need to start about six months before the expected conception. It is necessary to undergo a full examination. Moreover, both future parents, both father and mother, are obliged to do it. At the therapistA general complete examination will help to identify hidden diseases and abnormalities that do not yet make themselves known. This includes a visit to a cardiologist - a mandatory ECG, and a dentist. Women are consulted by a gynecologist, men by an andrologist. If necessary, the therapist will provide referrals to other more specialized specialists. From a geneticistThis should be done if there have been cases of children with genetic disorders in the families of both parents. A consultation with a geneticist is also needed if the parents are over 35 years old. Based on the analysis of the chromosome set, the doctor will rule out possible genetic abnormalities in the development of the fetus and advise what measures should be taken in case of problems. You may have to use donor cells to ensure your baby is born healthy. In order for the entire pregnancy to proceed without problems and end with the birth of a healthy baby, you need to follow a few simple rules.
A man should also think about how to conceive a healthy child in time.
These are all general tips that should be followed at any age. But in some cases there are subtleties. Pregnancy after 30In past times, pregnant women after 30 years of age were considered “elderly women in labor,” and after 35 generally “old.” The doctors had their own objective reasons for this - the body was significantly different at 20 and 30 years old, age-related changes occurred in it, and such pregnant women were treated with special attention. It was believed, and is still believed, that at this age it is more difficult to cope with the load, and that children are more often born with physiological abnormalities. This is not entirely true, and after the 30-year mark, women give birth to children just as strong as those who have not yet reached this age. And don’t let the woman be pressured by “public opinion” and the medical title that will accompany you all the time - “old-time woman in labor.” After all, the oldest woman who gave birth was a little over 70! In the same way, men who reach 30 years of age do not have to fear that their child will appear weakened. In men, sperm is released starting in early adolescence and this process lasts almost until old age, and sperm retain their function all this time. Doctors constantly talk about the benefits of late motherhood for the female body - with it there is a surge in the release of hormones, the woman simply becomes younger before her eyes, and the onset of menopause is delayed. But it's good for mom. What does it take for a healthy baby? How to behave as a motherYou must do everything that was said above. But also
Additional tests may be required
In any case, clinical blood and urine tests are taken twice a month. Pregnancy after 40At this age, conceiving a healthy baby is not easy. Statistics say that only 5-7% of women can become pregnant and give birth to a baby after 40 years, especially if this is their first child. Married couples most often have to resort to, but then doctors guarantee the health of the embryo, and the parents are responsible for the child. When the question arises of how to conceive a healthy child at 40 years of age and older, we must take into account that the man must also undergo a full examination. This is especially true for his “male” health. A consultation with an andrologist is required. Things to keep in mindAt this age, a woman is already mature, and irreversible changes in the body begin. Pregnancy will definitely prolong your youth! But she needs help.
You will need closer attention from doctors and your family to your condition and the course of your pregnancy. But the reward for everything will be a healthy child.
Many expectant mothers take pregnancy and the birth of their baby very seriously. And this is right, because the birth of a baby is always a big event. From this article, every pregnant woman can learn how to increase the chances of having a strong baby, and who she can pray to during pregnancy in order to give birth to a healthy baby. In contact with The expectant mother will be able to give birth to her baby healthy if labor begins between 38 and 42 weeks. At this stage of pregnancy, the baby is considered full-term by all indicators and all its organs and systems are fully developed. Exceptions when labor began before the 38th week include those cases when a woman is expecting twins or triplets. What are the chances?Firstly, in order to reduce labor, the mother needs to take care of herself: how can she give birth to a healthy child if the mother herself is not healthy? In order to give birth to a strong baby without deviations, the expectant mother must act in accordance with all the doctor’s instructions. What do we have to do?
During pregnancy, the expectant mother will need to follow the following algorithm:
Pregnant women must undergo tests every trimester.
It is also important how the birth itself goes: during childbirth, a woman needs to breathe correctly and listen to all the obstetrician’s prompts, and follow them, then the chances increase that the child will be born without health problems. How to give birth to a healthy child in this case? Yes, healthy children are born with HIV. If a woman is at the initial stage of the disease, then during pregnancy such an infection in the body of the expectant mother will not progress further. If a pregnant woman’s disease has been developing for a long time, problems may arise both with carrying a child and with its birth. A small child in the womb can get an infection from her in the first months of pregnancy. If a baby becomes infected with such an intrauterine infection, then there is a high probability that the little person will be born with severe defects and will live very little. But this situation occurs quite rarely. Most often, a baby, like his mother, gets HIV infection in the following cases:
It also happens that a woman who tests positive for HIV can give birth to a healthy baby, although the child will have maternal antibodies for some time after birth. And only after a couple of years, when the child’s body produces its own antibodies, will it be possible to find out whether the baby became infected from the mother.
An expectant mother suffering from HIV must undergo antiviral therapy during the entire period of pregnancy. Such therapy will significantly reduce the risk of infection of the baby even in the first months of pregnancy. Who should I pray to?During pregnancy, the expectant mother can pray for the birth of a healthy baby. Which icon to pray to give birth to a healthy baby:
As can be seen from what was written above, in order to give birth to a healthy baby, the expectant mother needs to register on time and follow all the doctor’s recommendations. And without fail, convince yourself: “I will carry and give birth to a healthy child.” And what chance of giving birth to a healthy child often depends on the parents themselves, who must consciously approach motherhood. No amount of prayer will help to give birth to a healthy child if they lead a chaotic lifestyle. Video on how to give birth to a healthy baby:
In contact with Over the past two decades, one not very pleasant trend has begun to emerge. A fairly large percentage of young women become pregnant for the first and subsequent times, having a whole bunch of chronic diseases. Most of these diseases, one way or another, will affect the gestation and birth of a baby, and it is not always possible to endure a pregnancy without problems with these diseases. If a woman wants to bear and give birth to healthy babies, she should take care of pregnancy planning in advance and learn in advance about the peculiarities of pregnancy with her chronic illness. Let's discuss the most common groups of diseases in detail. Why is surveillance needed? That is why it is important that by the time of conception the mother’s disease is cured or put into maximum remission, that is, the organs and systems of her body can work as efficiently as possible. Any chronic disease always, even minimally, still affects the course of pregnancy, and in addition - there is an inverse pattern - pregnancy itself affects the development of the disease and its course. When planning pregnancies, it is important to indicate all the problems with the health of your body, this will allow you to be referred to a therapist or specialists. Chronic non-gynecological (they are called extragenital) diseases are the pathology that a woman suffered from before pregnancy from childhood or young years; in general, she had this disease for quite a long time. These women have a high risk of developing pregnancy problems, which is why it is important for them to be observed more carefully and for a long time not only by an obstetrician-gynecologist, but also by specialized specialists and a therapist, and it would be better if it was the same doctor who previously treated the woman . Another serious issue is the mother taking various drugs to treat the disease, many of which can seriously harm the baby in the doses that the mother takes. Therefore, it is necessary to adjust the dose or replace the drug with one that is suitable during pregnancy. In addition, it is necessary to prevent the development of exacerbations of the disease and its complications. What can harm the child. The ideal option for pregnancy is to plan it step by step in tandem with doctors, carefully treating all “old wounds” and putting them into stable remission. This inactive disease state is not harmful to the developing fetus. Unfortunately, we often encounter pregnant women who have chronic pathologies, and in the best case, they come to register - in the worst case, they end up in a hospital with pregnancy and an exacerbation of the disease. At the same time, our medical task is to preserve the life and health of the fetus by completely curing the mother. At the same time, I note that not all diseases and conditions prohibit one from becoming pregnant and having children; most health problems and chronic illnesses allow one to give birth to healthy children. However, pregnancy with a chronic pathology is always a risk and it is worth “spreading straws” by being examined and actively monitored, following all the recommendations. When will we dissuade? Pregnancy is dangerous if: There is also a group of temporary contraindications for pregnancy - these are factors that can subsequently be eliminated with active treatment and rehabilitation. It is usually not recommended to become pregnant during an exacerbation of the disease and during infectious processes. Pregnancy is not allowed for a year after abdominal surgery or very sudden weight loss, after chemotherapy or radiation, or while taking very serious medications that are dangerous to the fetus. Your doctor will tell you how long to wait until you become pregnant. Pregnancy with heart and vascular diseases. Serious diseases in the heart and blood vessels are associated with a high risk for the health of both, however, it is quite possible to carry and give birth to a healthy baby - however, both obstetricians and cardiologists will immediately monitor you - each in their own field. If suddenly the first signs of disturbances in well-being and heart function appear, they will immediately be admitted to a specialized perinatal center at any stage of pregnancy. Cardiologists, together with obstetricians, will decide on the method of childbirth - whether it is possible to give birth yourself or whether it is better to have a CS. If a woman has heart defects, pregnancy is possible and the decision on its management is made together with a cardiologist in the early stages. Heart problems can occur during critical periods of pregnancy - in the early stages of up to 12 weeks, and then at about 28-32 weeks, when the load on a woman’s cardiovascular system increases sharply. Another critical period may be the time immediately after childbirth - after all, this is a sharp change in load and blood circulation. What are the dangers of decompensated heart defects? These are usually late toxicoses - gestosis and the development of fetal hypoxia, this is the risk of premature birth and intrauterine death of the fetus, delays in its development and the formation of its diseases. Therefore, before planning a pregnancy, you need to undergo an examination and determine the severity of the defect and its compensation, that is, how well the body copes with impaired blood flow and load. The woman will undergo many examinations - blood tests - general and biochemistry, blood clotting tests, and in addition - an ECG, FCG and ultrasound of the heart, this will allow us to evaluate the work of the heart and its structure. If a heart defect is acquired due to rheumatism, then everything will depend on the severity of the defect and at what stage the rheumatism is, whether there is heart failure and how the woman turns gray and feels in life. Today you can plan a pregnancy a year after correcting the defect surgically, however, if a woman has artificial heart valves, she will be examined in detail in the hospital three times during pregnancy - at twelve weeks they will examine the condition of the heart and the functioning of the valves, and choose drug therapy that is safe for the fetus , from 26 to 38 weeks, they will evaluate drug therapy and make its correction based on the size of the fetus and the load, and after 36 weeks the woman will be admitted to prepare for childbirth and decide on the method of delivery - whether the woman can give birth on her own or whether a cesarean section should be performed. If there is high blood pressure, the issue is resolved with a cardiologist, usually pregnancy and childbirth are quite acceptable, but not only if the blood pressure is above 200 to 115. The danger of such a pregnancy is the development of gestosis, placental abruption and intrauterine growth retardation, the formation of chronic oxygen starvation and therefore it is necessary Close monitoring of the woman throughout pregnancy. Typically, women undergo planned hospitalizations with examinations in each trimester - just as with defects, the issue of continuing the pregnancy is decided in the early stages, and then it is decided what medications and management tactics are chosen for the woman. If your blood pressure rises, you can give birth on your own, just use epidural anesthesia. With low blood pressure, you can become pregnant and give birth, but you will need medications to stabilize the pressure; during pregnancy, there is usually a tendency for it to decrease. With severe hypotension, hypoxia may form in the fetus, which leads to impaired growth and development. Then the risk of miscarriages and IUGR increases; such women are constantly monitored by doctors. Childbirth usually takes place on its own, with the use of anesthesia. |
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