Can a woman give birth from a woman medical. Which women find it easier to give birth? At what age is a woman considered a late parturient

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What determines how the childbirth will go and will everything be okay later with the expectant mother and child? First of all - from the physiological characteristics of the woman in labor herself. There are many myths on this topic, but there is also objective scientific and medical evidence. So, what are the criteria by which you can determine the "ideal" woman in childbirth?

Age

Almost all doctors claim that the optimal age for pregnancy and childbirth is from 21 to 35 years. Already at 25, the aging process starts in a woman's body. The number of ovulations gradually decreases. If at 27 a woman has 12 ovulations per year, then at 35 - only 5-6. Getting pregnant is becoming very problematic.

Over the years, almost all of us develop chronic sores that negatively affect the course of pregnancy and childbirth. Even if you inform the baby, he may be born weakened.

In the West, it is customary to have children at the age of 35-40, when a woman is already firmly on her feet. But statistics show that 50% of women after 35 cannot get pregnant, and a third of children are born with some kind of deviation. Physiology cannot be fooled! Of course, we have all heard and read about celebrities and show business stars who give birth at 45 and 50, but who knows what is really behind this information? Perhaps they are simply hiding that the child is adopted or they have resorted to the services of a surrogate mother. Either the childbirth was preceded by long-term treatment and repeated IVF procedure ...

Body type

Most men like women c. If we take the notorious standard "90-60-90", then we see that here the volumes of the chest and hips are equal, and the ratio of the waist to the hips does not exceed 0.85, which, according to experts, is the coefficient of endocrine balance. That is, such a woman has the best hormonal status, which contributes to the successful bearing of a child and childbirth.

Female thinness in the old days was considered a sign of illness and weakness. It was hard to believe that a woman without "meat on bones", with narrow hips, would be able to give birth to a healthy child.

The fat woman, however, is also not an ideal woman in labor. In women who are overweight, metabolism is usually impaired. And the muscle tone is reduced. According to the latest data, childbirth is most successful in women with an average weight (not large and not thin). Sometimes stockiness and short-leggedness are considered a sign of successful motherhood, but it is not at all a fact that a well-knit woman with short legs will certainly give birth without problems. It also depends on other factors, which will be discussed below.

Dimensions of the pelvis

We often hear that if a woman has a wide pelvis, it will be easy for her to give birth. But the fact is that women have two pelvis - large and small. The uterus is located in the pelvic area, but in the seventh to eighth month of pregnancy, the fetus moves to the pelvic opening leading to the birth canal. And if the pelvis is too narrow, then the woman will not be able to give birth naturally.

The size of the small pelvis is determined by the doctor or obstetrician during prenatal examinations. First, with the help of a pelvis meter and a centimeter tape, he measures the external parameters, then, using special formulas, he calculates the data on the sizes of the small pelvis and bone frame. From an anatomical point of view, the pelvis is considered narrow if its main indicators are one and a half times less than the normative ones. Although with a narrow pelvis, childbirth can be successful if the fetus is not very large.

Depending on the size of the small pelvis, the specialist may decide on the possibility of natural childbirth or the need for a cesarean section. With an anatomically narrow pelvis, it is customary for a woman to be hospitalized two weeks before the expected due date.

There is also such a thing as a clinically narrow pelvis. This is when, just before childbirth or already during childbirth, it is determined that the size of the fetal head does not correspond to the width of the birth canal. As a rule, this happens if the fruit is too large (more than 4 kg). In this case, an urgent cesarean is done.

Yes, and one more thing: by the external constitution of a woman, one cannot judge the size of her internal pelvis. It happens that for thin women it turns out to be wide, and for overweight women it is too narrow.

Physical training

Probably, it will not be news to anyone that physically prepared women tolerate childbirth better. After all, this process requires endurance and sufficient strength of the muscles of the diaphragm and abdominal muscles. Therefore, if you were engaged in fitness or other types of physical activity before pregnancy, your chances of a safe and relatively painless relief from the burden are much higher.

You should not quit sports during pregnancy. you can do aerobics, yoga and even strength training on simulators. But at the same time, too heavy loads should be avoided.

The term "fertility" comes from the Latin word fertilis, which means "fertile, fertile." In the understanding of doctors, fertility is the ability of a sexually mature organism to produce viable offspring. A woman's fertility depends on three factors: the ability to conceive, the ability to bear, and the ability to give birth. If any of these factors are missing, then fertility is considered to be impaired. The presence of all three factors indicates normal fertility.

I must say that in most cases, fertility is more associated with the possibility of conception, but the possibility of childbirth fades into the background. And indeed, with the modern development of obstetric science, the issue of delivery in the overwhelming majority of cases is successfully resolved: at the stage of preparation for childbirth or in the process of childbirth itself, the question of whether a woman can give birth herself is timely raised, if this is impossible, a caesarean section is performed. The ability to carry a pregnancy is a separate topic of discussion that usually comes up with previous failures in carrying a pregnancy. Therefore, at the first stage, it is important to assess the ability to conceive and carry.

To understand what factors are important for conception, let's remember how this process takes place. In the middle of the menstrual cycle, an egg matures in the ovaries, ready for fertilization. It leaves the ovary - occurs, after which the egg enters the fallopian tube, where it remains viable for about 24 hours. If fertilization does not occur, the egg dies.

During a male orgasm, between 200 and 400 million sperm cells enter a woman's vagina. Part of the sperm flows out of the female genital tract, the rest through the cervix enters the uterine cavity and then into the fallopian tubes. The speed of movement of sperm is different. It is believed that sperm containing the Y chromosome move faster (when fertilized, they will be a boy) than spermatozoa containing the X chromosome (when fertilized, they will be a girl). In general, sperm are stored in a woman's body for 48–72 hours. In the fallopian tube, the egg and sperm meet. Spermatozoa surround the egg and secrete a substance that dissolves its membrane, and one of the sperm is introduced into it, determining the beginning of conception. After that, another male cell can no longer penetrate inside. The sperm merges with the egg, creating a single-celled embryo - the zygote. Moving down the fallopian tube, the fertilized egg divides into more and more cells. On about the 4th day, it reaches the uterine cavity. By this time, it already contains about 100 cells. In the following days, the egg moves inside the uterus. At the beginning of the 2nd week after fertilization, the egg begins to invade the mucous membrane of the uterine wall. This process is called implantation. Once the egg is firmly attached to the wall, the process of conception is complete. The villi of the outer cells of the embryo penetrate the epithelial layer lining the uterus and connect to the mother's blood vessels to subsequently form the placenta. Other cells will develop into the umbilical cord and membranes that protect the fetus. The inner cells will divide into three layers and give rise to various organs and tissues.

So, for the onset of pregnancy, a normal menstrual cycle is important, which is a kind of guarantor, a sufficient supply of eggs in the ovaries, passable fallopian tubes and the endometrium, capable of receiving a fertilized egg.

The normal menstrual cycle is one of the main indicators of the state of the organs of a woman's reproductive system. There are several characteristics by which one can judge the "normalcy" of menstruation.

The duration of one menstrual cycle is on average 28 days, but the normal cycle is considered to be from 21 to 35, while the duration of the menstrual cycle can change not only throughout life, but also from cycle to cycle. Normal menstruation usually lasts 3-7 days. During this time, a woman loses about 250 ml of blood. This value is difficult to measure, so it is customary to focus on the amount of hygiene products (pads) that have to be spent during menstruation. Normally, one pad should be enough for 2-4 hours. In the early days, menstruation is usually somewhat more profuse than at the end. Menstrual blood may contain small clots.

In order to easily navigate your menstrual cycle, you need to keep a calendar. Modern electronic gadgets allow you to do this without any problems, you just need to download any program with a menstrual calendar to your phone or tablet. Any changes in the cycle outside the specified limits: lengthening, shortening of the cycle, the menstruation itself, both an increase and a decrease in the amount of menstrual blood, the appearance of intermenstrual spotting - may be a sign of decreased fertility.

Follicular reserve, or ovarian reserve, is a reserve in the ovaries of follicles that can develop normally and ovulate with a mature egg.

Even before birth, each female organism receives a huge reserve of follicles (about 5-7 million), capable of giving life to an egg. However, by the time the girl is born, only 1–2 million of them remain, of which 90% remain in an embryonic state, and only 10% are able to become full-fledged eggs. By the beginning of puberty, only 200-400 thousand of them remain. This is a kind of reserve.

So, in one menstrual cycle, together with the dominant follicle (from which the egg will emerge), activation, growth and atresia (reverse development of immature follicles) of about 1000 fellows occur simultaneously. Thus, the available reserve is consumed in just 3-4 decades. On average, over the course of her entire life, a woman reaches its full development only about 400 follicles.

It has now been established that after 37–38 years, the rate of follicular atresia increases, and this significantly reduces the ovarian reserve and the likelihood of getting pregnant. And by the time of menopause, the ovarian follicular supply is completely depleted.

In order to assess this parameter, ultrasound is performed on the 5-7th day of the cycle and the level of a number of blood hormones is determined.

It is good if at the beginning of the menstrual cycle at least 5 follicles are determined in each ovary. To assess the presence of your own ovulation, several ultrasound examinations can be performed in one menstrual cycle in order to determine whether the dominant follicle (which contains the egg) is growing, whether the egg is being released from the ovary. In this case, in the ovary, at the site of the dominant follicle, in the second phase of the menstrual cycle, during ultrasound examination, the corpus luteum is determined.

Fertility of a woman: determination of blood hormones

Hormones are biologically active substances that are produced by the endocrine glands, that is, they come from these glands directly into the blood. From there, hormones are sent to target organs - places that need hormonal influence and are able to perceive this influence.

We are interested in hormones that control the organs of the reproductive system of a woman, which is responsible for childbearing in women. Let's try to figure out how this happens and what tests are usually recommended by the gynecologist to find out if there is a problem with hormones.

So, the central hormonal flight control station is located in the very center of the brain - this is the hypothalamus and pituitary gland. The hypothalamus produces biologically active substances statins and liberins, which control the work of the pituitary gland (these substances are not tested in the laboratory in normal medical practice). And the pituitary gland produces follicle-stimulating hormones (FSH) and luteinizing hormones (LH). These hormones act on the ovaries: under the influence of FSH, a follicle grows, which is both a "house" for an egg and an endocrine gland that produces estrogens (estradiol, estriol). Estrogens, in turn, act on the uterus, mammary glands, skin, hair, nails, etc.

Under the action of LH, the ovaries release the hormone progesterone. It is produced by the corpus luteum of the ovary, a gland that forms in the ovary when an egg leaves it (after ovulation). Progesterone also acts on target organs - the uterus, mammary glands, etc. In addition, if pregnancy occurs, progesterone ensures its normal course in the initial stages of gestation. At the same time, pituitary hormones and ovarian hormones interact according to the principle of negative feedback: when little estrogen enters the blood from the ovaries, the amount of FSH begins to increase, with a decrease in the amount of progesterone, the production of LH increases. Such waves of hormone production replace each other during the menstrual cycle: in the first phase of the menstrual cycle, FSH prevails, followed by estrogens, and in the second - LH, followed by progesterone. With the onset of menopause, when the ovaries almost stop producing female sex hormones, the production of FSH increases significantly.

In order to determine how large the supply of eggs is in the ovaries, the doctor may need an analysis for anti-Müllerian hormone (AMH) and inhibin - the higher these indicators, the greater the follicular supply.

Another hormone that affects the female body is produced in the pituitary gland - it is prolactin (PRL). Its importance is undeniable during breastfeeding, but prolactin production occurs throughout life. If the amount of prolactin increases outside of pregnancy, then this adversely affects the work of the ovaries, up to the blockade of the maturation of the egg and the cessation of menstruation.

Oddly enough, but the female body does not do without male sex hormones, and they are produced mainly in the ovaries and adrenal glands. Women, as a rule, are bothered by the excess of male sex hormones. It is extremely rare that an increased amount of male sex hormones occurs suddenly and is caused, for example, by the appearance of an ovarian tumor that produces male hormones. Much more often, an increased background of male hormones - a feature that is given to a woman from birth - it cannot be completely eliminated, but the undesirable effect of male sex hormones can be neutralized. In order to understand whether there is an excess of them, the content in the blood of testosterone (or a more accurate analysis of the free testosterone index), 17-hydroxyprogesterone (17-OPA) and dehydroepiandrosterone sulfate (DHA-S) is determined.

In addition to the hormones listed, a woman's well-being, menstrual cycle, reproductive function are influenced by the work of the thyroid gland, therefore, it may be necessary to determine the amount of thyroid-stimulating hormone of the pituitary gland (TSH) and free thyroxine (free T4).

Fertility: determining the state of the endometrium

As already mentioned, in order for a fertilized egg to grow in the uterine cavity, it is necessary that the endometrium (the lining of the uterus) is ready to receive it. There are several ways to assess the endometrium more or less accurately. On ultrasound, the endometrium before ovulation looks like a relatively thin layer. Gradually, over the course of the menstrual cycle, its thickness increases. With full ovulation, it continues to grow and before the onset of menstruation reaches 10–12 mm.

If there is a suspicion of a particular problem with the endometrium, then hysteroscopy is prescribed - a study in which a small video camera is inserted into the uterine cavity, and after that a piece of mucous membrane is taken for analysis (biopsy).

Fertility determination: whether fallopian tubes are patent

This question is usually not a priority in assessing the fertility of a woman planning a pregnancy in the long term; it is resolved if there is a suspicion of infertility or there have been previously unsuccessful pregnancies, especially when it comes to an ectopic pregnancy. Anatomically, the fallopian tubes are tubes 10–12 cm long and only about 5 mm in diameter. These formations are normally not visible during ultrasound (by the way, if the description of the ultrasound indicates that the tubes are not visualized, this is normal). To see the fallopian tube, it is filled with one or another liquid, and the moment of filling is recorded using an X-ray machine, using ultrasound or with laparoscopy.

Thus, fertility is a complex concept, to determine which, in different cases, more or fewer examinations are used, and determining fertility should in any case be the first stage in planning a pregnancy.

The causes of premature depletion of the follicular reserve are:

• genetic predisposition on the female line: mothers, grandmothers or sisters have various menstrual irregularities, problems with conception, carrying a pregnancy, early menopause;
• a decrease in the initial intrauterine follicular reserve is likely if the mother of the examined woman has a difficult pregnancy, with complications, for example, with severe infectious diseases, various conditions leading to oxygen starvation of the fetus;
• operations on the ovaries with excision of their tissue or operations during which the blood supply to the ovaries is disrupted;
• various diseases of the pelvic organs, for example, adnexitis, salpingo-oophoritis, which contribute to the development of the adhesions in the small pelvis, the development of connective tissue in the ovaries, a decrease in blood supply and the death of follicles.

There are two opinions, at first glance, completely contradicting each other. The first says that giving birth is good for health, the second that childbirth weakens the body. So should a woman give birth at all and how many times can this be done?

Give birth, but how much?

Experts are unanimous: it is necessary to give birth. “Pregnancy and childbirth is the strongest activator of female immunity and tone. They mobilize all the hidden reserves of a woman's body, thereby strengthening her health and increasing life expectancy,- says the head of the Moscow medical center "Marriage and Family" Mikhail Berkengeim. - A woman's body is "designed" for the birth of three or four children. If this does not happen, then various imbalances begin. Hence the disease. "

But it is not so easy to unequivocally answer the question of how many times a woman should give birth. This can depend on many factors. “There is such a concept - population reproduction,- says obstetrician-gynecologist, candidate of medical sciences Sholpan Sarmuldaeva. - To do this, you need to give birth to three. Otherwise, different women experience pregnancy and childbirth in different ways. Some give birth for the fifth or eighth time, and this does not affect them in any way. And someone gives birth to one and cannot recover for a long time. Everything is very individual ".

How often can you give birth?

In theory, a woman can be ready for a new pregnancy within a month or two after giving birth. Some people believe that pregnancy is not possible during breastfeeding, but the frequent “phenomenon” of weather babies refutes this myth.

The situation can be complicated if the previous time the woman had a cesarean section. If pregnancy occurs in the first six months after childbirth, then it all depends on the condition of the seam. It is possible that a woman will have to spend most of her pregnancy in a hospital so that the stitches do not come apart. Ideally, it is better to plan the next pregnancy 1.5-2 years after the cesarean.

According to the professor, doctor of medical sciences, president of the Russian Association for Human Reproduction Vladislav Korsak, normally the female body fully recovers after natural childbirth in 2-3 years. Each subsequent birth will lengthen the recovery period. If a woman plans to give birth to more children, she should lead a correct lifestyle: avoid unnecessary work and household loads, play sports, eat more healthy food and take vitamins.

Why are frequent childbirth dangerous?

Frequent childbirth is still stressful for the body, since during pregnancy there is an intense hormonal change in us. If pregnancies are too frequent, it is fraught with endocrine disorders and problems with internal organs. They can be dangerous for both the mother and the unborn child. There are a number of pathologies in which childbirth is generally contraindicated or indicated with a number of reservations. These include, for example, second-degree diabetes mellitus. With this disease, it is not recommended to give birth to more than one child, and during pregnancy, the expectant mother must clearly follow medical recommendations. Both too early and late childbirth increase the risk of an unfavorable outcome. The optimal age for pregnancy, even if it is not the first, is from about 20 to 30 years old, according to doctors.

You can, of course, remember our great-grandmothers who gave birth "as much as God willing", sometimes every year, from the very marriage at 17-18 years old and up to menopause. But in those days it was, firstly, a compulsory necessity, since the infant mortality rate was high. Second, our ancestors ate organic foods, not chemicals, and died more often from infections than from cancer or atherosclerosis. Thirdly, not always frequent childbirth had a beneficial effect on the body and appearance of a woman. By the age of forty, she could look almost an old woman, since she had a house, and a farm, and children, and field work on her. Now look at the current 40s!

At-risk groups

Not so long ago, Professors Uri Elhalal and Menachem Friedlander from the Department of Clinical Pathologies of Pregnancy at the Jerusalem Adassa Ein Kerem Hospital (Israel) came to the conclusion that the optimal number of children for one woman is from two to four. Observing 45,000 women in childbirth for 37 years, scientists have calculated that mothers who have given birth to only one child, the risk of premature death is 3.7%, and those who have given birth to 5 to 9 children - 13.5%. Those who gave birth from 2 to 4 times, the risk of premature death was minimal. In addition, mothers with many children were more likely to develop such illnesses as cancer, diabetes, and diseases of the cardiovascular system. True, the relationship between the development of these diseases and the number of births has not yet been identified.

So, on average, it is safe for a modern woman to become a mother about three times in her life. However, it all depends on the individual circumstances.

You got pregnant. Well, it seems like how to rejoice, but for some reason there are only questions in my head "Maybe it's too late?", "Can I give birth to a healthy baby?", and all because you are no longer a girl, and your age has passed your fourth decade. Do you think that child after 40 cannot be born healthy, because this period is the most dangerous for childbirth?
Throw all doubts and nonsense from your head. Start enjoying the fact that you will soon be a mom, and believe your pregnancy will go away without complications... Of course, doctors will tell you that it is dangerous to give birth at this age, and the pregnancy itself will be difficult.

If you have definitely decided for yourself that you are ready to become a mother, do not give up. By the way, after 40 their children gave birth to world stars such as Madonna, Iman, Annette Bening, Cherie Blair, Susan Saradon and Jerry Hall.

We propose to consider the most popular questions that arise among those who are going to give birth to a child after 40 years.

At what age is a woman considered a late parturient?

In the early 80s, those who gave birth to children after the age of 28 were considered “late” mothers, and in the 90s, those women who were over 35 years old were called “old-born”. Nowadays, most often “late” women in labor include women over 37 years of age.

What are the chances of having a baby after 40?

With age, a woman's chances of getting pregnant steadily decrease. After 30 years, they fall by 20%, from 35 years - by 45-50%, and from 40 years - by about 90%. Of course, these numbers do not in any way indicate that a child over 40 is an unfulfilled dream.

You can give birth, and this was confirmed by scientists in North Carolina, who have been observing for two years for 782 pairs old age. The results showed that only 70 couples have failed to conceive, having sex without condoms for two years... Principal Investigator David Danson believes that couples looking to have a baby after age 40 need to have patience and wait, while not forgetting about the conduct of a constant sex life. As a result, the interference of modern reproductive technology can be avoided, unless there are good reasons for this.

Why do women give birth so late?

If we compare how 40-year-old women lived 10-30 years ago, and how they live now, then we can observe a high improving the quality of life... Today, such women are in good health, can take care of themselves by visiting fitness and spa centers, besides, modern medicine is capable of working miracles. Dr. Julia Berryman believes that women over 40 are more ready for pregnancy, since they have already taken place in life, have a good job and all other benefits.

What is the percentage of mature women in labor?

In recent years, there has been an increase in the number of women giving birth in adulthood. Today, a child after 40 is born in 2% of pregnant women. Recent research indicates that out of seven pregnant women, one pregnant is over 35 years old.

Does a man's age affect pregnancy after 40?

Scientists at the University of Bristol conducted a study that showed that mature women have to wait longer for pregnancy if their partner is the same age.

So, it has been proven that a woman is 3-5 years younger than a man, has less chances of getting pregnant after 40 than a woman whose man is her age or younger by 2-3 years. British researchers have confirmed this fact. They interviewed several women who indicated that their child after 40 was born to men who were several years younger than them.

What else can interfere with pregnancy after 40?

The following can interfere with conceiving a child:

• Wrong nutrition.
• Excessive use coffee... Drinking more than two cups a day can reduce fertility and increase your risk of miscarriage.
• Use alcohol.
• Smoking after 35 years, threatens with congenital malformation of the fetus and the birth of a child with low weight.
• Thinness and fullness also negatively affects the birth of children in adulthood.
• Stress... The more a woman is nervous and worried, the less likely she is to have a baby after 40.

Do I need to seek help from doctors?

In adulthood, when she has already passed 35, a woman begins perimenopause, when it is very difficult to catch the days of ovulation... That is why it is most advisable to seek help from a doctor who will determine what can be done. Most likely, he will develop a special diet and prescribe vitamins. Some doctors advise their patients to undergo acupuncture, which has a positive effect on the development of ovulation.

What effect does age have on pregnancy?

The older a person gets, the more likely they are to develop any diseases... As a rule, closer to 40, many women develop chronic disorders, including diabetes. In addition, blood pressure may rise, and the risk of malignant tumors is very high. Of course, such violations negatively affect the birth of children after 40.

And even if the woman does not have any diseases, hypertension, diabetes and bleeding can occur at any time during pregnancy.

Postpartum complications increase already at 20-29 years old, but most often, and this is 20%, they appear at the age of 35-40 years. As a rule, with the development of modern medicine, any abnormalities of pregnancy are recognized already in the early stages, therefore, there is a greater chance that the child will be born healthy after 40 years.

How is childbirth in adulthood?

Often, in order to give birth after 40, women have to stimulate labor, make epidural anesthesia... Many women in labor cannot give birth on their own, so they do cesarean section.

Some studies show that much depends from the mood of the women in labor... Those who are more clearly aware of everything, more easily fulfill the requests of doctors and agree to a cesarean section.

Does the risk of having a caesarean section increase over the years?

Until such an addiction not installed... Surgical intervention has the same percentage, both at 30 and at forty years old.

Can the age of the mother affect the development of the child?

Chances are high that a child is born after 40 unhealthy or with developmental disabilities... There is a great risk of having a child with such a disease as Down syndrome.

According to recent studies, after 30 years, one child in 400 is born by Down, and after 40 - one in 32. In addition, late childbirth may end ectopic pregnancy, miscarriage and stillbirth... So far, it has not been possible to establish the cause of stillbirth in older pregnant women, while out of 440 babies, one is born dead today.

What is the percentage of miscarriages in mature women?

Miscarriages have become a frequent occurrence in our life. Compared to young women in labor, the risk of miscarriage in mature women is about 50% higher... Childbirth after 40 most often has such an outcome.

Here, by the way, obstetric and genealogical history plays a role. It will not be difficult to understand that women who have never had miscarriages have a lower risk of miscarriage at the age of 40 than those who have experienced such a pregnancy outcome at least once in their lives.

How often does premature birth occur?

A child after 40 years of age can be born prematurely, but only if the woman gives birth not the first child. Those who are expecting their first child most often give birth on time.

Does the likelihood of having twins or triplets increase with age?

The older the woman, the more likely it is that she will give birth to more than one child. But the greater chance falls on fertility. fraternal twins.

It is believed that later children are more prone to diabetes. Is it so?

Yes, the disease of late children with type I diabetes depends on how old his mother was at the time of childbirth. At 35 years old, it is about 25%, after forty 30% or more.

For example, a woman can give birth to a child after 40 who will develop diabetes in adolescence, while the likelihood is 3 times higher than that of children born to young mothers.

Should a pregnant woman be under intensive medical supervision?

Yes, a pregnant woman should most often go to the doctor, get tested and undergo various studies.

What is the likelihood that the doctor will prescribe surgery?

Yes, Doctors tend to be reinsured today by prescribing a cesarean section for women in labor instead of the usual delivery. But today all over the world, based on practice, doctors are trying to avoid such actions, increasingly directing women in labor to natural childbirth.

Maybe it's better to refuse to give birth to a child?

There is a certain proportion of the risk of having a child after 40 years, but this is not a reason to give up pregnancy. After all a healthy woman at this age can give birth to a completely healthy child.

What types of tests are used to diagnose pregnancy in late mothers?

There are two types of tests used to monitor a pregnant woman. it scanning and diagnostics... Scan tests provide only preliminary conclusions about the likely presence of deviations:

Study of hormonal levels in the blood... It is used to identify the risk of chromosomal abnormalities, including Down's syndrome. The time is 16-18 weeks of pregnancy.

Ultrasound procedure It is also used to detect a variety of abnormalities, including Down syndrome and various genetic disorders. A child after 40 is examined at 10-18 weeks of pregnancy.

Diagnostic tests provide more accurate and reliable information:

Chorionic test (CVS)- for research, cells of the uterus are taken, during the diagnosis of which the presence or absence of Down syndrome, as well as some other genetic disorders, is revealed. The test is carried out at 11-13 weeks of pregnancy, the accuracy of the study is 99.9%.

Amniosentesis It is used to study amniotic fluid, during which muscular dystrophy, Down's syndrome and many other genetic disorders are diagnosed. The data obtained is accurate with 99.9%. Dates - 16-19 weeks of pregnancy.

Alpha-fetoprotein- a blood test, which is carried out at 15-18 weeks. It is used to detect Down syndrome and defects of the nervous system.

Cordosenthesis is a fetal blood test that can help detect rubella, toxoplasmosis and Down syndrome. It is carried out at the 18th week of pregnancy.

Are tests dangerous for mother and baby?

All tests do not pose a danger to the pregnant woman and her fetus, with the exception of amniosentesis, chorionic test and cordosenthesis. When taking uterine cells for research, there is risk of miscarriage, and this can happen in one in 100 cases. The risk of miscarriage during cordosenthesis and chorionic test is 1–2%.

Should every woman do these tests?

No, not required. Usually, every fifth woman, intending to give birth to a child after 40 years, refuses from passing such tests. This is their right, but it should be remembered that in some cases it is simply necessary to do this or that test from a medical point of view.

Is it true that mature women do better with their children?

Research shows that "Mature" mothers are calmer, more balanced and, as a rule, spend more time with their child... Life experience accumulated over the years makes itself felt precisely during the period of raising children. As a rule, they are better guided in purchases... By the way, according to statistics, children of "late" mothers are more educated and are distinguished by higher academic performance at school.

Could the birth of a child be a shock for the mother?

Undoubtedly, because before that, a woman devoted her entire life to herself, and now it is necessary to be with the baby 24 hours a day. Fatigue, which is inherent in young mothers, does not leave those who gave birth to a child after 40.

There is an opinion that mature moms live longer

Research conducted by scientists at the University of Manchester has shown that women who gave birth at the age of 35-40 have a greater chance of living to 80-90 years. It was not possible to establish the reasons for this, but there is an assumption that the increase in the life of the elderly is associated with delaying menopause to a later date.

They gave birth to later children

• Gina Davis gave birth to a daughter, Alize Keshvar at the age of 46. Twins appeared in the family two years later.
• Kim Basinger gave birth to a daughter, Ireland, at the age of 42.
• Beverly D, Angelo at the age of 46, she gave birth to twins using artificial insemination.
• Great Madonna gave birth to her first child, daughter Lourdes at the age of 40, and 2 years later, her son Rocco was born. Hearing rumors that she was supposedly going to adopt a baby, the great star threatened to sue, as in fact she was accused of not being able to have any more children. Most likely, the pop diva will decide to give birth to her third child in the near future.

The birth of a baby is a happy moment, no matter how old his mother is. I would like to wish the future “late” mummies patience and good mood. You will definitely be fine... So be prepared for the fact that all your time will be spent on a small creature. Is this not a woman's happiness?

The possibilities of women seem to be endless: they will stop a galloping horse, enter a burning hut, and even give birth at more than 50 years! And, in fact, why not, if there is a possibility? However, is it worth it to agree to such an event at such a mature age? What are the chances of conceiving, carrying and independently giving birth to a child at 50? What do doctors say about this?

How a woman's body changes during menopause

The news of pregnancy after 50 years has always caused a feeling of unprecedented surprise not only for the woman herself, but also for society. Women in labor after 40 already cause strange feelings in those around them, and what to say about more mature ladies.

From a medical point of view, the highest fertility peak in women occurs between the ages of 20 and 25 years. This period is considered the most favorable for conceiving and bearing a child without further complications for both the baby and the mother. Is there a chance of getting pregnant in older women?

From the first days of a newborn girl's life, 400,000 eggs are present in her body. This number gradually decreases as they grow older, and by the age of 50, their number varies within 1000. With this amount, the risk of pregnancy is significantly reduced, but it is there.

The eggs present in the female body are ready for the process of fertilization and the development of a new life. With normal production of eggs in a woman's body, the menstrual cycle begins every month. By the age of 45 (± 5 years), the amount of estrogen gradually decreases in a woman's body, which leads to the onset of menopause (menopause).

Stages of menopause

During the onset of menopause, you can give birth to a child at the age of 50, if you know the stages of this condition, which contain the "moment" of possible conception.

1. Premenopause is the initial stage of menopause. It starts 4-7 years before menopause and lasts the same. A woman can determine its onset by several symptoms: scanty and short periods that become irregular, hot flashes and severe sweating, changes in mood, aversion to certain aromas and tastes, a feeling of morning sickness. The listed symptoms are very similar to the signs of pregnancy, so many women confuse premenopause with toxicosis during pregnancy. However, what these two completely different conditions have in common is that they arise from hormonal changes.
2. Menopause or menopause. It can be recognized by the long absence of menstruation. Most often, menopause occurs in women after 50 years, so the risk of getting pregnant is practically zero.
3. Postmenopause is the final stage, which occurs about a year after the onset of menopause. It is also characterized by the complete absence of menstrual flow. However, the ovaries still retain the ability (albeit not fully) to perform their functions.

Possibility of late conception

Practice shows that you can give birth to a child at 50 years old. Some ladies take this step quite deliberately. This situation is possible for a number of reasons:

1. For women, this is the first and most desirable pregnancy. Therefore, women do not dare to give up their long-awaited happiness even at 50.
2. The woman has started a serious relationship with a new man and wants to give birth to a child from him.
3. During intimacy, the couple did not use contraception, being confident that pregnancy is impossible with menopause. However, at this stage of a woman's life, fertility is preserved, although less likely.

Contraceptive use remains relevant even during menopause. If a woman is 50 years old and later has a regular sex life, she should consult a doctor about the use of contraceptives. A good examination will help determine how fertile a woman is at this age.

As soon as the first stage of menopause comes, many women relax, realizing that their reproductive function is no longer so active. But at this time, the eggs are still quite active. Therefore, after 45 years, women should be especially attentive to their health.

We can summarize: a woman retains fertility for another 3-5 years after the onset of menopause.

What is the danger

Despite the fact that you can give birth at 50, there is a considerable danger both for the woman herself and for the fetus. First, the body of a fifty-year-old woman cannot "boast" of excellent health, which was 20-30 years ago. Organs begin to malfunction, the function of the musculoskeletal system is disrupted, the amount of vitamins and hormones decreases, and metabolism slows down. All this does not contribute to the proper bearing of the child. The body will need strength, which is not so much at 50.

As soon as the fact of pregnancy is confirmed in a mature woman, she is immediately determined under the strict supervision of a gynecologist, since the risk of miscarriage is extremely high. Also, in most cases, there is a significant deterioration in the condition of the pregnant woman herself.

The most dangerous is that in the early stages of pregnancy it can be easily confused with the onset of menopause, because the symptoms are the same. Therefore, not all women can immediately recognize their "interesting position". A visit to a gynecologist during early and late menopause is simply necessary.

Are there any benefits of late labor

Some women have a desire to give birth to a second child at 50. In this case, they already know what awaits them and are psychologically more stable than primiparous. At this age, the risk of postpartum depression, which is often exposed to young girls, is practically excluded.

The advantages of such a late birth include the fact that by the age of 50, a woman in labor is already a fully formed personality. She has financial wealth and life experience. Therefore, the maintenance and care of the newborn will not cause problems for the "young" mother.

Another reason to leave pregnancy in adulthood is well-developed medicine, which allows you to closely monitor the entire period of gestation.

The reason for leaving the baby is that at this age the pregnant woman is "rejuvenated". The point is that at this time in the woman's body there is a restructuring, the production of hormones necessary for normal bearing is actively taking place. The woman in labor feels several years younger, the risk of heart attacks, stroke and osteoporosis decreases.

How to recognize pregnancy at 50

As mentioned earlier, the signs of such a late pregnancy are similar to the symptoms of menopause. It is worth showing special care if such sensations appear:

• Morning dizziness and nausea.
• Delay of menstruation or its complete absence.
• Insomnia.
• The appearance of aversion to familiar smells and tastes.
• Swelling of the mammary glands.
• Fast fatiguability.
• Frequent mood swings.
• Irritability.

If the listed sensations appear, you should immediately consult a doctor.

First pregnancy after 50: truth or myth

The desire of a woman to give birth to a second child or a third child at 50 does not cause as many emotions in others as to give birth to the first. However, this is a completely natural process if the use of the IVF method was not required.

Before giving birth to a second or even first child at 50, a woman must weigh all the risks.

For the natural conception and bearing of a child, the following factors are necessary:

• Preservation of ovulation.
• The production of a sufficient amount of estrogen.
• Maturation and release of a mature egg.
• The fertilization process of a mature egg.

Danger to the unborn baby

It is possible to give birth to a child to a woman at the age of 50, but before that it is necessary to realize all the risks not only for yourself, but also for your baby. It's not just about premature birth or miscarriage. Most often, it is children born of a mature woman who suffer from congenital pathologies and serious diseases.

If a child is born completely healthy, the presence of elderly parents can affect his psychological state. Some children feel uncomfortable with such dads and moms in society, they are embarrassed. As practice shows, the relationship between children and elderly parents is not very trusting.

Each age has its own preferences and desires. A dad who is over 60 is not as active as one who is only 30-35. It is unlikely that he will be happy with his son to play football or do other outdoor games. A too adult mother, who already wants to just relax, but who is obliged to spend the whole day on her feet, caring for her little child, is unlikely to find the strength to go with him to the park or get ready for the matinee.

In addition, grown children are often accompanied by the fear of losing their elderly parents in the very near future. Therefore, such a decisive turn in life as late pregnancy must be made after weighing the pros and cons.

Difficulty in childbirth

Both gestation and childbirth in a mature woman are accompanied by difficulties. It is worth considering several complications that may occur during delivery:

1. Weak labor activity due to the low concentration of female hormones.
2. Profuse bleeding that occurs during gestation and delivery.
3. Numerous ruptures of the birth canal due to the fact that tissue elasticity is lost with age.

Due to the high risk of the danger of an upcoming natural birth, many women after 50 years of age have a caesarean section. However, the possibility of natural delivery is not excluded if age is the only limiting factor.

Opinion of doctors about late pregnancy

Can you give birth at 50? What do doctors say about this? The opinions of experts are ambiguous, since how smoothly this crucial period in the life of a mature woman goes depends only on the individual characteristics of the body.

Some doctors see nothing wrong with women becoming mothers at 50, especially for the first time. Others believe that the risks of complications are too high for both the woman in labor and the unborn child.

Most doctors are convinced that it is worth abandoning pregnancy planning at such a late age. The body is no longer adapted to gestation and childbirth. A woman will need to supply him with the necessary vitamins and minerals throughout the entire period of pregnancy.

The most important criterion against late pregnancy is a high chance of giving birth to a child with genetic disorders. According to statistics, mothers over the age of 40 are much more likely to have children with Down syndrome. Other chromosomal abnormalities are not uncommon. Therefore, many doctors recommend that their patients think carefully before planning the birth of a child. If a woman is determined, she is strongly recommended to undergo all the necessary examinations every month to eliminate the risk of developing fetal abnormalities.

Ways to conceive a child after 50

1. Natural process. Can a woman give birth at 50? Yes, but first you need to choose a method of conceiving a child. Violation of natural conception is a modern problem even for young couples, not only for the elderly. But such a possibility is not excluded.

2. In vitro fertilization. It is unlikely to give birth at 50 without IVF, as many people want, but it is possible. However, IVF is the most productive process suitable for women of mature age. The procedure is expensive, but safe for both the woman and the future fetus.

3. Surrogate fertilization. This is an option that comes only when a woman is not able to become pregnant and carry a child on her own. But a child developing in the womb of a surrogate mother has the genetic information of a woman who is not capable of bearing. Therefore, this method is the easiest and most painless for an elderly woman.

How to protect yourself from late pregnancy

Women who have a regular sex life during menopause and do not want to have children should take care of contraception.

1. Intrauterine contraceptives (spiral) are highly not recommended for use by women after 50 years.
2. Some oral medications are recommended to balance hormone levels during menopause. But it is better not to use emergency drugs ("Postinor").
3. Surgical sterilization.
4. Barrier contraceptives.

Conclusion

You can give birth at 50. A woman who decides to take such a step must undergo all examinations and listen to the opinion of the gynecologist.

Women who gave birth at 50 are undoubtedly admirable. How will the further fate of their baby develop? It depends on dozens of factors. Women who decide in favor of childbirth should weigh everything in advance.