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How to assess the degree of risk


Pregnancy after 35 years, of course, can not be completely free of risk, but it is not as great as you think, and in many cases it can be minimized. These are the moments that should be taken into account by a not too young woman if she wants to give birth for the first time.
First, you may find it difficult to get pregnant. There is documentary evidence that after 35 years, the ability to bear children gradually decreases. “But you have to keep in mind that it decreases gradually, says Sally Faith Dorfman, MD, an obstetrician-gynecologist from New York. Even if you do not take into account such adverse factors as the premature onset of menopause, this means that you can conceive one day and can not conceive the next. You may need 6-12 months instead of four to conceive. ”
But the big danger that lies in wait for the primogenital woman of older age is associated with the birth of a child with genetic abnormalities, especially with Down syndrome.
Statistics show that for a 40-year-old woman, the danger of having a baby with Down's disease is nine times more than for a 30-year-old. “However, says Dr. Dorfman, let's look at the numbers, not the degree of increase in danger. For a 40-year-old woman, the probability of having a child with Down syndrome is less than 1 percent. And, although the risk increases with age, for a 45-year-old woman, it is 3 percent, that is, if you look at it from the other side, the probability of having a healthy child is 97 percent. Of course, the manipulation of numbers has its limits, she warns. If this happens to you, then it will happen 100 percent. "
Women over 35 are more likely to have health complications during pregnancy more often than younger ones, especially diabetes and high blood pressure, which are generally characteristic of older people. Complications of this kind are observed in about 6 percent of women over 35, compared with 1.3 percent in younger people. According to statistics, older women also increase the risk of pregnancy complications, including placental abruption and fetal condition, which require medical intervention and can have very serious consequences for the health of both the mother and the child. Increases the likelihood of miscarriage. Births can be more difficult and protracted, and this, with the current prevalence of caesarean section, is the main indication for it. However, after studying a number of studies on this topic, Dr. Dorfman found that, on average, the duration of labor in the late generators exceeded the duration of labor in young people only by 45 minutes.
The likelihood is also increasing simply because of the longer time spent on this planet, as Dr. Dorfman says, that an older woman experienced exposure to potentially harmful environmental toxicants. For women over 35, the risk of problems associated with endometriosis and fibroids, which can affect fertility and the course of pregnancy, increases.
But all these types of hazards can be minimized if a woman, who in all likelihood carefully plans her pregnancy, prepares herself physically for the upcoming pregnancy. The fetal organs are formed in the first 12 weeks of pregnancy, and at this time the fetus is most vulnerable, doctors say, so if you eat right, give up cigarettes and alcohol, caffeine and drugs, take vitamins and work Exercise, you increase your chances of easily and well tolerate pregnancy and give birth to a healthy baby. But pregnancy is not the time to start physical training, doctors warn. You need to physically prepare yourself for what is coming before you become pregnant, then it will be easier for you to deal with problems if they arise.