Many have questioned why pregnant women in their 30s or 40s are considered high risk. At the age of 35 years, there is some increased risk both for the mother (such as high blood pressure and pre-eclampsia) and also for the baby (such as the risk of Down Syndrome) to increase each year. But, notwithstanding these risks, women over the age of 35 years can really lead a healthy pregnancy and perfect baby.
If you are a woman over the age of 35 years and are pregnant, your doctor usually treats you with extra caution. You will be asked to check up pregnant more often, and more are required to undergo a series of tests, genetic counseling and screening constraints which may occur in pregnant women in their 30s. Childbirth options are also usually more limited. You may not be advisable to give birth in a midwife or maternity home is small, because you gave birth to a greater risk that you will be asked to give birth in hospitals or maternity homes of the great. However, by doing good prenatal care, you can reduce the complications related to childbirth age significantly.
The good news is, most women who are pregnant at the age of 40 were successfully completed a healthy pregnancy and healthy baby, too. And pregnant women at the age of 40 is usually more careful of her pregnancy than younger women. They will seek out and absorb more information by either of the conditions and risks that may occur in pregnancy. They are more often asked about the development of their fetus. They are also more concerned with pre-natal care and generally prepare themselves better before pregnancy, if the pregnancy was planned. Therefore, the scientists now believe that the risk to pregnant women at an older age did not increase significantly simply due to aging alone.
The main issues
There are some problems that are often found doctors in pregnant women over the age of 35 years, such as gestational diabetes (diabetes that appears during pregnancy), high blood pressure and also the problems in the fetus. Pregnant women with older age will also be more likely to experience bladder problems in pregnant women compared with younger age. Other risks are greater risk of miscarriage, giving birth more via Caesarean section because the conditions do not allow for a normal delivery, and also have a higher risk of birth defects.
When her late 30's, women tend to have medical conditions related to the reproductive system, such as uterine fibroid tumor and muscle. Uterine fibroids are growths of muscle cells or other tissue in the uterine wall, forming a tumor. Uterine fibroids and tumors can cause muscle pain or vaginal bleeding during pregnancy develops. If a woman is pregnant at the age of 40 years, the severity of even more severe. Problems had been able to grow in the presence of hemorrhoids (piles), incontinence (difficulty holding urine), varicose veins, vascular problems, muscle pain, back pain, and childbirth is more difficult and longer.
In addition to the risk of having a baby with Down syndrome, the risk of miscarriage and birth by Caesarean section, pregnant women aged over 35 also have an annual risk of babies dying while in the womb or during childbirth. Although there is risk in every pregnancy, but in women aged 35 years and over, the risk is greater, ie 7 out of 1000 pregnancies.
Pregnant women over the age of 35 years usually also be required to perform genetic counseling, or counseling can also be done by a gynecologist. There are three areas of focus at the time of genetic counseling, the history / patient's reproductive history, family medical history, and consanguinity, that is a genetic condition caused by inter-marriage of relatives.
Reproductive history included whether the patient ever been pregnant, had experienced keuguguran, or have experienced the death of the fetus in the womb or during childbirth. In addition the use of family planning methods, long time use of KB, and whether the patient had been exposed to harmful substances such as the work environment is also important information in counseling.
The patient's family medical history is also important to determine whether the pregnancy is being undertaken, including high-risk pregnancy or not. This includes information about the health status of patients and spouses, the siblings of the patient and spouse, if any who have died will also be asked for the cause and age at death and whether anyone died in connection with the birth (during delivery or at birth). Family health history will help doctors identify abnormalities that have emerged in the patient's family and to help predict likely to occur in patients.
If the patient is still considered a brother and spouse, it is also important to diinfokan the doctor / counselor, because if the couple are direct cousins, they have 1/16 of the same gene. This means that the possibility of genetic abnormalities in children born to be higher than if they marry someone who is not in the relatives. Some African and Mediterranean ethnic groups also have a tendency to decrease disease sickle cell anemia in derivatives.
The important thing to note is, counselor or doctor will not give decisions on patients and their partners with respect to the results of counseling. They will only provide the necessary information about the patient's pregnancy and the fetus, and whether the pregnancy is a decision that will be continued or terminated (if the prediction of the risks that may be experienced too high) left entirely on prospective parents.
Prenatal Testing-testing or testing during pregnancy is performed in high risk pregnancies can not detect any abnormalities that may occur. However, chromosomal abnormalities can be detected during fetal development through a series of tests such as amniocentesis, ultrasound, chorionic villus sampling and fetoscopy. The results of this test series will provide an option for couples to continue the pregnancy or abort the fetus if it detected abnormalities. The results of these tests will also be a guide for doctors and health workers to perform the actions deemed appropriate at the time of pregnancy, birth, and help the parents to make suggestions about growing up the child.
Pregnancy at the age of 35 years may sound scary, but as mentioned earlier, most women who get pregnant over the age of 35 years of successfully running a healthy pregnancy and perfect baby. It is true that the risk increased with increasing age of the mother during pregnancy, but with the preparation of a more mature, more complete information, and help health workers are more alert and informed of the condition of high risk pregnancies will help the expectant mother to be able to continue to believe self, healthy, and spirit while undergoing pregnancy.