Fashion about to give birth to her first child 30 has reached Russia. If before all those who gave birth after age 30 were considered nulliparous age, it is now the "young" mom's closer to 40 - are not uncommon. And their number is growing. We are becoming a more civilized society, we appear western setting, and there are women rarely give birth early.Social scientists have long noticed: the lower the social level of women, the worse it is formed, the lower the ambition, the sooner she have kids. Of course there are exceptions, but they are akin to chance.Following the model of other countries, where women are just beginning to give birth to thirty-five, and sometimes in forty years, we have women who gave birth to their first child between the ages of 30 and 40 years, the last twenty years has been 3 times as much. Today, every 12th woman gives birth to a child older than 30 years.Later, the kids are always welcome, but sometimes much expected, as demonstrated by the model in Russia narrowed reproduction of the population. The reason for reducing the birth rate was negative reproductive health, against which an increasing number of complications during pregnancy and delivery, neonatal morbidity.Decree of the Government of the Russian Federation (28.06.2001 years, N 855) approved a national plan of action for the advancement of women in the Russian Federation and to enhance their role in society. Developed medical, social, employment benefits to pregnant women, as well as persons with children.The introduction of modern technologies aimed at improving the health of mother and child create a healthy, quality of medical care and its wide availability has led to a decrease in complications of pregnancy, childbirth and infant mortality.The best moment for the birth of a child? Perhaps this will never be found. But in a civilized society such a moment Telling a woman's age - after 30. Sorry, not interested in the nature of civility or social status of women.The most favorable period for the birth of a child is defined nature of the woman's age period - from 20 to 30 years. And not in vain - to conceive of 20-25 years is much easier, because ovaries at this age are still young and healthy, and the woman has not yet accumulated in his "baggage" a bunch of chronic diseases. Percentage of childless women this age period and the risk of miscarriage is minimal. Births are also lighter: 80% of women give birth at a young age naturally.



For subsequent births best interval is 3 years. During this time, a woman's body time to recover, that is to undergo a period of rehabilitation after childbirth.Of course, age is important when it comes to pregnancy, but not so much that in any age, even in 45 years, you deny yourself the joy of motherhood. That's just you, dear women, need to know what complications you may have.The fact that you need to know a woman, decides to give birth after thirty yearsIs it true that without the help of experts woman over 30 is difficult to have a healthy baby?
    In this issue should be approached not as forceful. If a woman is healthy, she probably did not need help and support.And yet, imagine a hypothetical woman, intelligent, educated, has attained a certain professional and social status, which decided that it was time to give birth. Why would she start preparing for pregnancy?
    With the joint with her husband visit a specialist. The fact that a similar age for conception is reflected in the male reproductive function. Often potency (the ability to develop and maintain for a certain time of erection) and fecundity, or fertility (presence of sperm that can fertilize an egg) are totally unrelated.

    From biblical times to the absence of children in the family traditionally blamed the woman, but now we know that 40% of infertile couples in the childbearing function is impaired in the stronger sex. The reasons for this may be different, but in the first place always stood infectious diseases.

    Exclusion of the partners of infection, sexually transmitted before the planned conception - the key problems in the absence of further treatment pregnancy.But then, a woman may suffer from infertility?
    A woman's fertility begins to decline for many years before the onset of menopause, despite the regularity of the menstrual cycle. Although there is no strict definition of the duration of the reproductive health of women, the occurrence of infertility is more likely after 35 years. This is primarily due to age-related changes of tissues, which involve a decrease in their functional characteristics. Chronic inflammatory diseases caused by infection, sexually transmitted here also play a role. That's why the first step in planning a pregnancy should survey partners for the presence of pathogens, preventing conception as well as nurturing and prosperous birth of a healthy baby.

    However, despite the known facts of a woman's fertility decline for many years before the onset of menopause, especially when planning a pregnancy should be evaluated man. Survey women produced for suspected infertility is complex, high-value and time-consuming, while checking her partner is a relatively simple, quick and inexpensive.Let us assume that the reproductive function in normal man. What is on offer in the future a woman?
    Examination of women planning pregnancy, in principle, does not stop after her conversion to the clinic. It is only held from simple to complex, you step through the test results. Performed ultrasound, biochemical blood, if necessary, the blood test for hormones.What's the difference survey twenties and thirties?
    After 30 years in women increases the risk of having a child with a congenital defect. Among them are heart defects, gastrointestinal, musculoskeletal system or genetic disorders such as Down syndrome known to all. What is important here, and the father's age. In a third of cases of Down's syndrome "blame" is pathology in the male chromosomes.

    Of course, the risk of a genetic disorder resulting from random mutation is present even at the young woman. But with age, impaired mechanism to distinguish between healthy embryo from a patient, and if the young organism often simply rejects such a fetus, after the critical age of spontaneous mutations is larger and the defense mechanism does not always work.

    Examination of women before pregnancy allows you to calculate the degree of risk of disease. Partially prevent disease helps set of preventive measures recommended for the 3 months prior to conception.

    In addition, women in this age group often develop during pregnancy or are aggravated comorbidities. Pregnancy - is a big load on the female body, and the manifestation of these diseases entirely undesirable in that period. To prevent such complications during pregnancy women are tested by related professionals (physician, ophthalmologist, dentist, audiologist, and other professionals as indicated). If necessary, for 2 - 3 months before the planned pregnancy is the treatment of chronic diseases with mandatory further observation during pregnancy in an adjacent specialist.

    Thus, a survey of women before planning a pregnancy - is the identification and elimination of vulnerabilities and a kind of future planning of pregnancy.You mentioned unfavorable factors, which include smoking, but I heard that if a woman smokes, in any case should not be thrown during pregnancy?
    Of course, it is necessary to throw before the planned pregnancy. Smoking, drug and alcohol use - the most common adverse factors, which are able to remove only the woman herself. Eliminate all the way! No reduce the number of cigarettes smoked or episodic drinking. This can only console myself.

    When a cigarette is smoked strain uterine arteries carrying blood to the fetus, oxygenated, which extends 20 - 30 minutes. Fetal breathing movements are suppressed, appears in his blood nicotine and other toxic substances, which ultimately leads to an increase in the frequency of mortality, the development of pulmonary pathology, delayed psychomotor development, and encephalopathy.

    According to the statistics: in women, even moderate smokers (1 to 9 cigarettes per day), neonatal death by 20.8% higher than in women who do not smoke. This figure rises to 25.9% if the woman smokes more than 10 cigarettes a day. This means that the smoking of half a pack of cigarettes a day leads to the birth of a dead child in every four cases. Do we need an even more powerful evidence of harm of smoking?

    Nicotine is excreted in breast milk, so breast-feeding woman, if she smokes, poisons their child that will grow weak, frail and more susceptible to various diseases than children whose parents do not smoke.What else needs to take into account a woman who dared to first pregnancy after thirty?
    Increased suspiciousness. Women planning pregnancy after the first thirty, psychologically more vulnerable than twenty years. They are more prone to feelings, other people's opinions, and depression. Constantly asking themselves questions such as "Are all be okay? And if something goes wrong?". They are more conscious approach to their pregnancy.

    Among obstetricians is believed that emotional disorders can negatively affect the process of conception. And if a complete gynecological examination, women and men andrologic examination revealed no abnormalities should consult a psychologist.Let's say, the woman responsible approach to planning pregnancy, but not always born healthy children. Why?
    The birth of a healthy child depends not only on the preparation for pregnancy, but also on how a woman bears a child. So the nine months required to be monitored regularly and follow the recommendations of experts.What is meant by regular supervision?
    First, early turnout for registration of pregnancy, which would eliminate the chromosomal, genetic diseases and malformations of the fetus.

    In physiological pregnancy follow-up visit an obstetrician-gynecologist with the results of analyzes and conclusions related professionals is recommended after 7 - 10 days, then 1 per month up to 28 weeks. pregnancy. After 28 weeks of pregnancy - 2 times a month. In identifying the comorbidity among pregnant and over the age of 35 years, the frequency of observation as an obstetrician-gynecologist increases.

    Require special monitoring pregnant smokers and drinkers or drugs.What investigations should take place in a woman during pregnancy?
    It is very individual and depends on how the pregnancy proceeds. The list of necessary laboratory and instrumental investigations in physiological and pathological pregnancy is regulated by clinical guidelines and national standards for pregnant women.What are the features of the program management of pregnancy in private clinics?
    The program, in fact, the standard throughout Russia. No matter it is a commercial center, a public hospital or antenatal clinic. Private clinics usually rely on personality: an appointment can be at any time, on any day of the week, including on Sunday, despite the large number of patients, there are no queues, the doctor does not think about the flow of patients, suffering under the office door, each the woman is given the necessary time, without haste and bustle, for women is a personal program, a personal calendar life for the year ahead, its condition and state of health of the fetus is constantly monitored, and all tests can be taken without the queues, instrumental studies are carried out without delay, if necessary, in day treatment in the clinic, to related professionals do not need to make an appointment for a month, all can be visited in one day, which tends to be problematic in the usual antenatal clinic.That is, after thirty-one can give birth to a healthy baby?
    Of course. Medicine today has a margin of techniques and technologies that allow a woman of any age to get pregnant, a pregnancy and give birth safely. But doctors - not magicians. Healthy children is impossible without self-interest of parents who still remember that, according to psychologists, having given birth to a long-awaited child, they are experiencing a second youth - not only physically, but also in a relationship with each other.