08.01.2014

Over 40 pregnancy complications

Thanks to the wide availability of contraceptives in Canada, we now have more control than ever over if and when we have kids, and how many we have.
There are several medical technologies that can help some women get pregnant, although they cannot necessarily make up for age-related fertility decline. For a woman without many eggs left, this may be the only effective treatment; pregnancy rates associated with oocyte donation are significantly higher than those associated with ovarian hyperstimulation or in vitro fertilization alone.
Some pregnancy complications become more likely when you use assisted reproductive technologies, including the risk of having twins or triplets.
The good news is that many women over the age of 35 become pregnant and have healthy pregnancies and babies.
It is standard to offer all pregnant women, regardless of age, noninvasive screening for chromosomal anomalies using ultrasound and blood tests.
The effect of a father’s age on fertility and pregnancy are not as well defined as for maternal age.
Some pregnancy complications become more likely when you use assisted reproductive technologies, including the risk of having twins or triplets. It is standard to offer all pregnant women, regardless of age, non-invasive screening for chromosomal anomalies using ultrasound and blood tests.


It is important for women and their partners to understand how age can affect fertility, pregnancy and childbirth, and to what extent medical technologies can help. It’s important to understand that these technologies can be invasive and expensive, can have undesired side effects or complications, and coverage by provincial health plans varies by province. This will cause your body to release more eggs than normal, increasing your chances of getting pregnant. Women carrying multiples have a higher risk of pregnancy loss, preterm birth and complications. Women who become pregnant over the age of 35 have an increased risk of miscarriage, ectopic pregnancy, preeclampsia, hypertension, gestational diabetes, placental complications, intrauterine growth restriction, and caesarean section. For women who are under the age of 35, this is usually done after one year of trying to become pregnant. There is some research that suggests a decrease in fertility for men over 40, and an increase in genetic disorders for children of older fathers.
It is important for women and their partners to understand how age can affect fertility, pregnancy, and childbirth, and to what extent medical technologies can help. Women carrying multiples have a higher risk of pregnancy loss, preterm birth, and complications.


And, when you have kids later in life, you may be better prepared to cope with some of the challenges of pregnancy and parenting. Older women, particularly those over 40, should consider IVF after only one or two unsuccessful cycles of ovarian hyperstimulation. Women aged 35 to 37 should be referred to a specialist after 6 months of trying to become pregnant, and women who are 38 or older and are trying to conceive should be referred to a specialist without waiting.
While these tests may be useful for determining if a woman is a candidate for assisted reproductive technologies, they have little reliability for predicting pregnancy.
First, the overall consequences of the trend toward older parenting are on balance positive, both for women's equality and for children's health.
Preterm births, low birth-weight and birth complications are major causes of developmental disabilities, and they occur most often among mothers with their own health problems.Most distressing, the effects of educational (and income) inequality on children's health have been increasing.




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