To give birth to a child at 40 is the opinion of doctors. What is the probability that the doctor will prescribe surgery

The opinions of doctors about pregnancy at 40 differ. Some of them express their negative attitude towards this issue, while others, on the contrary, portend a positive outcome. Whether it is the first or the second pregnancy, it still has great risks, both for the health of the mother and for her child.

Probability of pregnancy

By the age of 40, a woman's body gradually begins to prepare for the upcoming menopause. The ratio of hormones changes and metabolic processes worsen. The chance of getting pregnant within one year is 40-50%. This indicator depends on periodic failures in the cycle.

Almost every woman at this age has chronic diseases that can adversely affect the health of the fetus. If this is the first pregnancy, then it can act as a catalyst for the development of previously undiagnosed hereditary diseases. But, if you choose the right approach to this issue, then at this age you can become a happy mother.

Advantages and disadvantages

Before making such a responsible decision, you should carefully weigh the pros and cons, while relying on the competent reviews of doctors.

pros	Minuses
Psychological readiness and responsibility of the expectant mother	The risk of genetic diseases in the unborn child - Down's syndrome
Strong and reliable family	Biological processes occurring in a woman's body: a smooth onset of menopause and a decrease in the number of eggs capable of fertilization; a decrease in the amount of calcium in the body of a woman, which adversely affects the development of the baby
Stable financial position	Severe and prolonged recovery after childbirth. Often women at this age are recommended C-section
The beneficial effect of pregnancy on the general condition of the body: under the influence of sex hormones, it is rejuvenated and restored	Exacerbation of chronic diseases and the possible emergence of previously undetected genetic diseases
Previous life experience	Higher risk of complications during pregnancy: late toxicosis, placental abruption and fetal hypoxia

Risks for the mother and baby

In order to prevent possible complications in time, you need to be prepared for them in advance.

First pregnancy

If this is the first pregnancy, then a woman may face a number of risks:

Risk of miscarriage. Up to 12 weeks, this can happen in 30-40% of women over 40 years old. It depends on a number of factors occurring in the body: a decrease in the activity of the ovaries and reproductive functions, genetic mutations. Previous abortions may also affect this.
Deterioration of carbohydrate metabolism, which leads to the onset of gestational diabetes mellitus.
Thickening of the wall of the placenta. This is due to malfunctioning of the blood vessels and leads to a deterioration in the penetration of oxygen and essential nutrients.
Early toxicosis and preeclampsia. Toxicosis occurs in a more severe form. This is due to the fact that the body tolerates metabolic changes worse. In addition, it can develop into preeclampsia, which has the same symptoms as toxicosis, only in a more intensified form. In addition, it negatively affects the functioning of the liver, kidneys and brain of the expectant mother and impairs blood circulation in the placenta.
Ectopic pregnancy. It may occur due to improper functioning of the fallopian tubes, the presence of adhesions and inflammation in them.
Purulent-septic manifestations. It could be postpartum ulcer, endometritis, myoendometritis, parametritis, metrothrombophlebitis, adnexitis, phlebitis of the veins of the pelvis and lower extremities, pelvioperitonitis.

Complications for the child:

Chromosomal abnormalities. Lead to the presence of Down syndrome in the unborn baby.
Hypoxia during childbirth and during pregnancy. The lack of oxygen negatively affects the work of all internal organs and the brain.
The birth of a child from 28 to 36 weeks. Premature babies in adulthood are more susceptible to various diseases.

Second pregnancy

It has the same risks and complications as the first. Only in this case, the abdomen is located somewhat lower, since after the first pregnancy, the muscles and ligaments abdominal cavity stretch and can no longer support the fetus so well. There is additional pressure on the pelvic organs. This leads to more frequent urination.

Important! Before planning a second pregnancy after 40 years, you should more carefully approach the issue of diagnosing the bladder.

In addition, one should not forget about the possibility of Rh mismatch between mother and child. This happens if the blood of a pregnant woman has rhesus negative and the child is positive. The consequence may be the threat of abortion or hemolytic disease of the fetus, which occur in edematous, icteric and anemic form.

Who can't give birth?

the presence of malignant neoplasms in the body;
cirrhosis of the liver;
renal, respiratory or heart failure;
arterial hypertension of the 3rd degree;
decompensated diabetes mellitus;
blood diseases;
autoimmune diseases.

Doctors strongly advise expectant mothers to thoroughly prepare for a planned pregnancy:

consult a gynecologist, therapist and geneticist;
3-6 months before pregnancy planning, pass all the necessary laboratory tests;
refuse potent drugs (hypnotics, antidepressants);
start taking additional vitamin complexes after consultation with a gynecologist;
give up bad habits and lead healthy lifestyle life;
adjust your weight
if necessary, additionally undergo examinations of internal organs, spine and pelvic bones.

Forecasts

Pregnancy after 40 years, despite the presence of aggravating factors, can pass without complications and risks for the expectant mother and her child. This directly depends on the psychological readiness of both parents and the medical indicators of the expectant mother.

Elena Malysheva touched on this topic in her program - her opinion is presented in the video below.

Pregnancy after 40 years is a very serious topic that requires a thorough approach, a thorough analysis of all the pros and cons, especially taking into account the changes that have occurred in a woman’s body since the very favorable period to conceive a baby is a thing of the past. But still…

Childbirth after 40 years in recent decades has become an increasingly frequent occurrence in our lives. And what pleases - the number of successful pregnancies is also increasing. What is the reason for this, let's not be afraid of this word, happy statistics?

There are many factors contributing to this.

Why do children become more frequent after 40?

Firstly, at such an adult age, a woman comes to the decision to give birth to a child consciously. Therefore, pregnancy is preceded by preparation, both physical and moral. The expectant mother tries to follow the recommendations of doctors, lead a healthy lifestyle, avoid stressful situations, and receive as many positive emotions as possible.

Secondly, pregnancy at the age of 40 is a completely conscious phenomenon, since the material basis of the future family has been prepared.

Thirdly, the level of development of medicine today makes it possible to cope with many health problems of the expectant mother, including those that were insurmountable just a few years ago. New drugs and technologies appear, thanks to which those who have long lost hope of giving birth at the age of 40 have real chances to conceive, endure pregnancy, and become happy mothers.

In addition, modern couples often resort to in vitro fertilization, as well as far-reaching pregnancy planning - egg vitrification (simply speaking, freezing of biomaterial in order to use it in the future). Thus, the problem of childbirth after 40 years is often resolved very successfully.

You can't discount the fact that women these days are more educated, armed with information, less superstitious. Today's adult mothers of toddlers are, of course, beautiful, happy and less and less worried about the opinions of others: "At her age ...".

We also do not use the medical epithet "old-timer" in this article, as you may have noticed. We are talking about “adult”, “mature”, “completed” as a person, prepared to become a mother, knowing the price real happiness.

And yet, childbirth after 40 years has not only pros, but also cons. Or at least be very, very attentive to yourself.

Risks of Late Pregnancy: Not a Cause for Disorder

... And the reason is to carefully weigh everything, think it over, prepare well to successfully endure pregnancy, even after passing the 40-year threshold.

How to minimize risks? Childbirth after 40 years: what does preparation for pregnancy include? How to behave as an adult expectant mother? This is what will be discussed in this part of our article.

Risks, what are they, what are they associated with? How to increase the chances of a successful pregnancy and is it possible? In most cases, the answers to these questions will be positive, BUT! if you're honest enough.

The first, main problem on the way to happy birth a child after the age of 40 is in itself a conception. As you know, with age, the number of female eggs decreases. If at the beginning of childbearing age (the medical language of the pubertal period) there are about 300 thousand of them, then by the age of 43 their number is so small that the chances of getting pregnant are reduced to only 1-2%. However, even a small fraction should not be discounted if pregnancy is still undesirable! Well, if you still intend to become a mother at this age - let's try!

In this article:

Nature is arranged in such a way that after the fourth decade a woman may well become a grandmother, and not a mother. And yet, life is unpredictable. It is not uncommon for a representative of the beautiful half of humanity to have not a grandson at this age, but a newly-made son or daughter. What problems may arise in this case, and what happens in the body, we will try to figure it out below.

Of course, childbirth after 40 years is not a common occurrence, and it is associated with a number of difficulties and risks. And yet, a woman who has found herself in an “interesting position” already at her Balzac age should not be afraid at all. It is necessary to approach the solution of the problem that has arisen in detail and with a cold mind, because there is no point in panicking: everything has already happened. give birth healthy child You can and after 40 years, and this is not surprising.

Late birth: how are they?

In gynecology and obstetrics, there is such a thing as "old-timer". Use it in relation to a pregnant woman whose age is already more than 35 years. However, in the West, this phenomenon has long been common. There, at first a woman tries to learn, then make a career and become independent, and only after that she decides on a family and a child. In Europe, many representatives of the weaker sex are going to give birth after 40, and no one looks at them as if they were aliens.

And this approach also has its own undercurrents. Firstly, not every woman, approaching the age line of 30-40 years, never becomes pregnant. On the contrary, she usually has more than one abortion behind her, and this significantly reduces the possibility of conceiving and successfully bearing a healthy baby. In addition, in the fourth decade, many already accumulate chronic diseases, which can also interfere with giving birth. As they say, you want to, but you can't. Finally, mothers of Balzac age have a significantly increased risk of giving birth to a child with down syndrome, which in itself is frightening.

How about us?

In Russia, childbirth after 40 is still something of a curiosity, and some people look askance at a pregnant old-born. You should not pay attention to them. With the right lifestyle, normal nutrition and compliance with all the recommendations of a gynecologist, a woman has every chance to endure and give birth to a healthy baby.

Let us consider the late birth from all sides, evaluating possible risks, complications, as well as highlighting all the advantages of this event.

What are the complications and risks?

So, a woman who is no longer 20 years old suddenly sees two stripes on the test. What should she do and how to properly assess the situation? Of course, there are risks. Just as there are a number of possible complications that you should definitely be aware of.

chronic diseases. First of all, late age is fraught with various diseases acquired during life. The fact that a young woman does not even notice can poison the existence of a pregnant woman in her age. Chronic diseases can really affect the health of the unborn child, and this must be taken into account. A woman should tell her gynecologist everything, including the names of sexual infections she has ever suffered. After the third decade, health is not at all what it was in youth, and in order to give birth to a cheerful baby, you need to constantly monitor your health, preventing the “chronicle” from aggravating. Pregnancy is a condition that checks all body systems, and if something is wrong somewhere, it will immediately let you know about yourself.

Bad habits. Another scourge of our times. At 20, the influence of alcohol and smoking does not affect a person’s condition as much as at 40. If a woman decides to give birth after her fourth decade, she must understand that she should never abuse alcohol and cigarettes. Yes, it is harmful for a young pregnant woman, but for an old-timer, this problem becomes even more relevant, because the body is no longer so strong and spoiled bad habits throughout life.

Ecology. It is impossible to talk about the current ecological situation without tears. Indeed, there are probably no pristine clean corners on the planet. And every day people experience the harmful effects of the environment. This is especially true for city dwellers. By the age of 40, the body is already quite exhausted and weakened, and this also needs to be understood. If a woman wants to give birth to a healthy child after 40, then it is better for her to spend her entire pregnancy outside the city limits in order to minimize the harm from smog, gas pollution and other “charms” of an urban lifestyle.

Body Features. At the Balzac age, a woman's body has a number of features that you need to know about. First of all, the muscles are no longer so elastic and strong, but the uterus will have to increase many times over. This sometimes leads to miscarriages and missed abortions, but it’s better not to think about the bad. Most often, pregnant women at this age are prescribed. In addition, the ligaments are also not the same as they were several years ago, but pregnancy and childbirth are complex physiological processes. They require enormous effort and affect specifically the muscle and connective tissues.

And yet, despite a number of complicating factors, and an increased risk of giving birth to a child with Down syndrome, there are significant advantages in childbirth after the fourth decade that cover all the bad.

What are the advantages of late childbirth?

Firstly, the birth of a new person into the world is already a positive event in itself. Children bring joy and happiness to the world, no matter how old their mother is. And if a woman decided to give birth at the age of "well over 30", then her desire can only be respected and supported. During these years, a woman already knows how to weigh and analyze everything, she understands what she is doing when she becomes a mother. And, of course, the decision to have a baby after 40 is a conscious one. Young mothers still do not understand much due to the lack of life experience, and they cannot always be aware of how difficult it is: to be the mother of a daughter or son. And if the disadvantages of childbirth in adulthood relate mainly to the health of the pregnant woman, then the advantages lie in the sphere of her mental state.

Awareness of the decision. This is perhaps the main plus of late motherhood. A woman already understands what she is going to, having decided to have a baby, she gives a full account of her actions and their consequences. Young mothers cannot always boast of this, many of them perceive the baby more like a living toy, and a complete understanding of the situation comes to them much later than childbirth. Some are frightened, unable to cope with a screaming lump that requires no one knows what, others have a hard time getting sleepless nights, and the first months of a baby's life seem like a nightmare. A mature woman treats everything differently, and even if this is her first baby, relationships will still be built differently.

Confidence in the future. It is not enough to give birth to a child, it needs to be raised and provided for. This truth is clear to many, but, as a rule, young mothers do not have a stable financial situation. A woman over 40 has already established herself as a specialist, she has built a career and managed to occupy a certain niche in the professional field. This is exactly the case when, after giving birth, you think first of all about the baby, and not about studying or working. The mother herself can provide for her son or daughter, and this is very important for the calm and confident state of the pregnant woman. You can completely and completely focus on well-being, without being distracted by any extraneous thoughts.

special treatment. With each passing year, a person accumulates experience, and after a certain period this knowledge results in a qualitative change in attitude to life. At 20, an individual is not the same as at 30, and even more so at 40. The later children are born, the more reverently and tenderly their parents treat them. These guys are harder, they are often weaker than their peers who were born to young dads and moms, and in general, mature people have a different attitude towards offspring. This happens as a result of wisdom acquired over the years. Children born to their parents after the age of 40 are almost always surrounded by a special halo of love and tenderness, they have a trusting and balanced relationship with both their mother and father.

So, is it worth giving birth, being far from reproductive age? There is no single answer to this question and there cannot be. Each decision should be made individually and only after all the pros and cons have been weighed. After all, the point is not even how old the mother is, but also the position of the family and the situation in which the conception occurred. Rarely at this age the child is planned. And that's why.

After 40 years, not all, but many women enter the menopause, and this, first of all, affects the nature of monthly bleeding. They become irregular and increasingly scarce. At such a time, representatives of the beautiful half of humanity can weaken the control of protection from unwanted pregnancy and conceive a child. There are many such situations. And they have a choice: to give birth or not? It is especially difficult to do it if there are older children who have already grown up, and you don’t want to plunge into caring for the baby again.

And no matter what decision a pregnant woman makes, it is always worth remembering one thing: a child is a miracle given by God, no matter how old his mother is. Every day spent next to your son or daughter is priceless, and you need to be able to enjoy it. The kid will grow up and after a few years will start living an independent life, but before this happens, he will repeatedly please his parents with a sincere smile and big victories.

Although it is said that after 45 “a woman is a berry again”, a lot is already perceived wrong and is much harder than in youth. For some people, overcoming the fourth decade is a milestone after which life begins to decline, but this is not so. The birth of a child at this age can turn the world upside down, bring an endless stream of positive and create a surge of new emotions. However, such a statement does not mean at all that everyone must necessarily acquire a baby after 40 years in order to feel a huge influx of strength and immerse themselves in the atmosphere of youth. But if this has already happened, then do not be afraid.

In conclusion, I would like to say about one more danger of late motherhood. If a woman aged after 35 - 40 years has a first-born, then all the fears of a young newly-made mother can touch her too. An adequate attitude to life and a sober look at the situation both in general and in general will help to cope. Do not immediately panic and draw the most gloomy prospects. All children get sick, and everyone has falls, bruises, bad moods and little sorrows. Not a single person has yet grown up without it, regardless of whether after 18 or after 38 his mother gave birth.

Video of the program "Health in the house"

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Depositphotos/DRAGONIMAGESASIA

Salma Hayek, Kim Basinger, Halle Berry are not just Hollywood beauties who have managed to make a successful career in their lives and have been married several times. They decided on a desperate act: to give birth at the age of 40 for the first time, and without using the services of a surrogate mother. Some will say that this is a common thing for stars, and the latest statistics say the opposite: the average age of primiparous is actively approaching 40.

Today, more and more women become mothers for the first time at the age of 35-37, and for the second time they decide to have a child, being at the age of 40 or more. Back in the Soviet Union, this was out of the scope, but now times have changed and this is becoming more of a norm. But how safe is pregnancy after 40 years, doctors' reviews on this matter are divided: from positive to negative. What to do, risk or not worth it? What awaits those who want to become parents at this age?

Why is it hard to get pregnant at 40?

Women's eggs are formed even before birth, their number is in the millions. They rapidly decrease during the intrauterine period, at the time of birth there are approximately 2 million eggs left. The process does not stop menstrual cycle a girl has only about 300 thousand eggs, and then their number decreases. This means that by the age of 40, a woman has very few eggs capable of fertilization. However, this is not the only reason why it is difficult to get pregnant at 40. Many factors, including age, affect the quality of the eggs themselves. They become less productive, and often harbor genetic anomalies.

How to prepare for conception

It is possible to give birth to a child in adulthood, but a preliminary preparatory period is necessary, both for a woman and for a man. First, it is necessary to give up cigarettes and alcohol; secondly, to reconsider your diet in favor of more healthy food. If there are problems with being overweight, it is imperative that both partners deal with this problem, because often it is because of this that the couple fails to get pregnant.

Pregnancy at the age of 40, according to doctors, is no different from an earlier one, therefore, before conception, a woman also needs to visit a dentist and cure her problem teeth. In addition, the preparation period includes the intake of a vitamin complex with minerals:

folic acid;
selenium;
zinc;
magnesium;
vitamins B6, C, E.

And men need medications that will increase the activity of spermatozoa, and hence the chances of conceiving a child. Both partners should start taking pills at least 2 months before conception.

In order for the probability of conception to be high, it is necessary to accurately determine the time when the egg is ready for fertilization (ovulation period). You can do this with the help of express ovulation tests.

Late pregnancy and women's health

What to do, to give birth or not on the threshold of the 40th anniversary, because this can affect health? This is the first question women ask themselves. And the second, how pregnancy and childbirth will be reflected. Do not be afraid if pregnancy was diagnosed after 40 years, doctors' reviews do not prohibit having children at this age, but only in the absence of direct contraindications.

How does pregnancy affect a woman herself? There are actually two sides, positive and negative. On the one hand, this period rejuvenates a woman due to a hormonal surge, and the effect persists for the lactation period. However, all this is of a short-term nature, as it disappears after the refusal of breastfeeding, as the level of hormones returns to its previous state.

Necessary examinations

If you decide to give birth after 40 to a second child, or if you are preparing to become a mother for the first time, be prepared to undergo a series of necessary examinations. This is necessary in order to determine if there are any genetic abnormalities in the fetus, since with age the risk of giving birth with genetic abnormalities increases. These include the following:

Ultrasound at 11 and 18 weeks.
« triple test". This is a blood test in the period of 16-18 weeks, helps to identify fetal pathologies.
Amniocentesis. To get results, make a fence amniotic fluid but not before the 14th week.
Cordocentesis. This is a blood test from the umbilical cord. It is done in order to calculate the exact number of fetal chromosomes. The optimal period for examination is from the 22nd to the 24th week of pregnancy.
Chorionic biopsy. It is carried out in order to identify Down syndrome and other abnormalities. Fragments of the placenta are taken as laboratory material. The test is carried out between the 11th and 14th weeks.
Cardiotocography. This is a test for the baby's heart rate in order to detect oxygen starvation. It is carried out at the end of the 3rd trimester.

Possible complications during pregnancy and childbirth

Even the first child at 40 will be healthy if future mom will fulfill all medical prescriptions and take care of his health with a redoubled effort. On the other hand, at any time, pregnancy after 40 years, according to doctors, can be complicated. It could be:

preeclampsia (increased blood pressure, swelling);
diseases of the endocrine system;
diabetes;
hormonal disbalance;
exacerbation of chronic infections.

What other difficulties might there be? Every year, the elasticity of the tissues and muscles of the female organs decreases, it becomes more difficult for the uterus to hold the fetus, and therefore a 40-year-old woman automatically falls into the risk group for miscarriage. However, difficulties await during childbirth. Weak generic activity, premature birth, ruptures and bleeding - all this can occur at any time when pregnancy is after 40 years, according to mothers.

Many believe that age means a direct hit on the surgical table. This is not so, caesarean section is prescribed only for certain indications. In other cases, it is recommended to give birth naturally, however, with long breaks, more than 10 years, the generic memory of the female body disappears and the process can take place as for the first time.

Opinion of psychologists: late mothers - good or not?

First, second or third pregnancy at 40 - to give birth or not, what to do? According to psychologists, the physiological readiness for motherhood lags behind the psychological one by 10 years. So, it is at the age of 35-40 that a woman is ready to become a full-fledged mother, devoting herself entirely to caring for a child and raising him. According to statistics, late parents are more likely than others to raise geeks and live longer than other couples of a similar age.

The second aspect why psychologists consider middle age to be successful for pregnancy is that by this time career, material level, and other values, for the sake of which many young women postpone the continuation of offspring until later. Subsequently, having secured a future for themselves and their future children, they can fully and completely calmly devote the first few years after their birth to the child.

For some couples, their first pregnancy at age 40 comes after a series of long failed attempts just when the last hope dries up. A born child is an unexpected happiness, but because of this, he is often under hyper-care in this case, although excessive care and attention negatively affect psychological development child.

Do not be alarmed if you have a pregnancy at the age of 40, doctors' reviews prove that with proper pregnancy management, taking into account all possible risks and the correct attitude of a woman towards her pregnancy, gestation and the birth itself pass without complications. A child born of adult parents in such cases is no different from their peers.