How to give birth to a healthy baby: everything you need to know. Why children are born with disabilities What needs to be done to give birth to a healthy child

When you see a woman with a stroller on the street, it is not always easy to determine who it is: an elderly mother or a young grandmother? Now a woman can become a mother, regardless of age.

All more women decide to have their first or subsequent children aged 35-40 years and older. Some researchers attribute this trend to the development of early prenatal diagnostic technologies, which gives families confidence in the birth of a healthy child.

Over the past 25 years, the number of women becoming pregnant between the ages of 35 and 40 has increased by 90%. Over the years, medicine has accumulated significant information about the characteristics of pregnancy and childbirth in the late reproductive period. What difficulties will the expectant mother face?

According to statistics, a woman under 30 years of age is more likely to become pregnant
within one month it is 20%, and at 40 years of age it sharply drops to 5%.
Therefore, women planning pregnancy after 35 should
it is recommended to apply for medical care
after six months of unsuccessful attempts.

Probability of conception after 35

The ability to conceive begins to gradually decline after age 30. It's connected with:

decrease in the number of ovulatory cycles;
increasing incidence of endometriosis with age;
increasing the likelihood of tubal infertility;
high frequency of extragenital diseases.

Pregnancy over 35 years of age

Women over 35 years old are automatically at risk for developing pregnancy pathologies. However, statistics show that if future mom takes care of himself and has good health, then her pregnancy can proceed as successfully as at 20 years old. What pitfalls should a pregnant woman beware of?

In women of late reproductive age, the risk of miscarriage increases.
More often, abnormal development of the placenta occurs.
There is a high risk of exacerbation and appearance of somatic diseases, pregnancy complications: arterial hypertension, gestosis, eclampsia, bleeding, premature birth, pregnancy diabetes.

Features of childbirth over 35 years of age

As a result of a decrease in the elasticity of the uterus and soft tissues, and hormonal imbalance in women over 35 years of age, the likelihood of labor weakness increases, which leads to an increase in the duration of labor. The risk of uterine and perineal rupture increases. Childbirth is often complicated by large blood loss.

The first birth over the age of 35-40 is more difficult than repeated births and more often ends by caesarean section.

Late pregnancy: risk for the baby

The biggest problem of late pregnancy is the relatively high chance of having a baby with a genetic abnormality. This trend is associated, first of all, with the aging of germ cells and the accumulation of genetic mutations in the mother’s body. Over the years, the harmful effects of various teratogenic and mutagenic factors on the body accumulate: toxic products, ionizing radiation, and others.

In older pregnant women age category there is a higher risk of premature birth and low fetal weight, which reduces the adaptive potential of the newborn.

Pregnancy in late reproductive age is more common
multiple So, the age of 35-39 years is considered the peak of the birth of twins.

After 35: secrets to a successful pregnancy

Despite everything, most of desired late pregnancies are successful and end in the birth of a healthy baby. However, if a woman of 20 can afford some frivolity, then a woman over 35 will need to be especially sensitive to her health.

1. When planning a pregnancy, it is advisable to undergo a comprehensive examination and treatment of chronic diseases - gynecological and somatic. Pregnancy after the age of 35 should not be accidental.

2. It is necessary to register with an antenatal clinic in the early stages and undergo timely examination during pregnancy.

3. It is important to strictly follow the diet and regimen, not to overload yourself with work, and monitor your weight and blood pressure.

4. Screening during pregnancy for early detection or exclusion of the risk of congenital pathology of the fetus is of particular relevance.

Expert: Tatyana Ivanova, gynecologist
Tatyana Uzonina

Photos used in this material belong to shutterstock.com

Any person expecting a child dreams of him being born healthy. Unfortunately, these dreams do not always come true. There is nothing you can do - even babies are susceptible to serious illnesses, let alone all kinds of congenital diseases and disorders.

Many of them can be prevented by averting trouble from the long-awaited baby long before his appearance. And it is his parents who will have to take care of this first of all - as soon as they plan an heir.

Preparing for pregnancy begins even before conception, and it is a pity that many people neglect this. The modern lifestyle leads people to overload of the cardiovascular and nervous systems, chronic stress, poor nutrition and physical inactivity.

Few people closely monitor their health, not noticing alarming symptoms for the time being; Having many diseases in a latent or chronic form can affect the health of the unborn child in a negative way. This is especially true for residents of megacities. Huge cities, from an environmental point of view, are not the most best place for accommodation.

Some rely on their own health, on their age, hoping that everything will work out and that nature will help. It helps, but not always. Often, human nature is simply not able to independently cope with the severe consequences of all kinds of shocks and stresses that befall the life of an ordinary average person in our time.

When planning an upcoming pregnancy, you should try to eliminate possible disturbances and deviations - not only in the external environment, but also in the health of both parents. There is no need to be embarrassed about pre-pregnancy examinations, the main thing is to take care of the future little person.

First of all, the expectant mother should contact a gynecologist; Most likely, your spouse will also have an interview. In some cases, consultation with other specialists is required - it is important to assess the heredity of potential parents and assess their physical condition.

The greatest attention, of course, is paid to the well-being and health of the expectant mother. She will be examined by a gynecologist, checked for cancer - examination of the mammary and thyroid glands, and a smear. A routine examination certainly complements an ultrasound, which is prescribed at the initial phase of the menstrual cycle.

Infections that threaten the fetus

A number of infections that can infect both the mother and the father often have a hidden course and serve as the main cause of damage to the fetus, its death, as well as the appearance of various deformities. Many diseases occur in a latent form, threatening to cause congenital diseases of the fetus.

All microorganisms and viruses are divided into unconditional pathogens, which cause infection of the fetus, and conditional pathogens, whose pathological effects have not yet been proven.

More often the cause of the disease is viruses (cytomegalovirus infection, herpes simplex, rubella, hepatitis C and B, enteroviruses, adenoviruses, HIV); bacteria (treponema, streptococcus, Klebsiella, chlamydia, listeria, staphylococcus); protozoa (toxoplasma, malaria, plasmodia); Candida mushrooms. The detection of microorganisms in the fetus does not necessarily cause the development of the disease, but it increases the risk of possible negative effects. Even a woman who has been ill during pregnancy can give birth to a completely healthy baby.

The infection is transmitted from mother to fetus either through the reproductive tract or through the placenta. To infect a child, the presence of an infection in the mother’s body is not enough; there must be microorganisms a large number of; This happens with an acute infection or with a sharp exacerbation of a chronic one. But even in this case, the child will not necessarily get sick.

Chickenpox

When in childhood we heard that it is better to get over certain diseases before growing up, it was not very clear what we were talking about. But when faced with pregnancy, many understand that this opinion is not without logic.

There are infectious diseases that are practically harmless in childhood, but turn out to be very dangerous for pregnant women. The disease suffered in childhood is accompanied by the production of antibodies, making the body immune to the pathogen and eliminating the likelihood of infection in adulthood, especially during pregnancy.

Among other infections, chickenpox is potentially the least dangerous. It should be emphasized that it is less dangerous, but not completely safe. Firstly, this disease cannot go unnoticed, and a person almost always knows for sure whether he had chickenpox in childhood. Secondly, chickenpox is a childhood disease in 90% of cases.

Thirdly, its course is characterized by a low risk of damage to the embryo. Chicken pox becomes a disease dangerous for pregnancy if it occurs before twenty weeks of pregnancy, as well as before or immediately after childbirth.

But this does not mean that at other times chickenpox is not a reason to see a doctor. Risk may always exist, and only a qualified specialist can determine how best to minimize it.

Rubella

The rubella virus is considered the most dangerous for a pregnant woman: most often it is transmitted to the fetus and causes irreversible damage. Often congenital rubella causes the development of heart disease, cataracts and deafness. Sometimes pneumonia, blood disorders develop, and physical underdevelopment is possible. Infection in the early stages is most dangerous - there is a high probability of congenital deformities.

The pathogen is transmitted by airborne droplets, the source of infection is sick children; The expectant mother should avoid such contacts. For infection, fairly close and prolonged contact with a sick person is required, such as staying together in a room or caring for a sick person.

But a strong immunity to the disease is developed, so if a mother had rubella in childhood or was vaccinated, she may not be afraid of infection. In other cases, it is better to take a blood test for the presence of antibodies to the pathogen.

If pregnancy is planned in advance, then months before conception a vaccination is given, followed by checking for the presence of antibodies confirming the formation of immunity. And another one characteristic feature course of the disease in pregnant women - infection in the second half of pregnancy, after 20 weeks, has virtually no negative impact on the baby.

Cytomegalovirus

It is considered the second most dangerous infection among airborne and sexually transmitted infections. The worst option is for a pregnant woman to become infected with an acute form from someone who is sick, because the absence of antibodies in her body allows viruses to easily cross the placenta and affect the fetus.

If a woman was infected with the virus before conception, and during pregnancy the disease worsened, the existing antibodies significantly weaken the virus, preventing it from penetrating the fetus. When infected in the early stages, the likelihood of developmental abnormalities or spontaneous miscarriage increases. For more later Polyhydramnios, “congenital cytomegaly” may develop, and premature birth is possible. The baby will have jaundice, an enlarged spleen and liver, anemia, damage to the hearing, eyes and central nervous system. The best preventative measure– avoid contact with infected and sick people.

Herpes

The herpes virus among other viral infections is considered the least dangerous due to the fact that the likelihood of infecting the baby or the appearance of certain pathologies is low. A serious situation is considered to be an exacerbation of genital herpes in the expectant mother after 32 weeks. If the presence of the disease is confirmed by doctors, a cesarean section is indicated, eliminating the possibility of infection of the baby in the birth canal. To be calm in this regard, at the beginning of pregnancy it would not hurt to take a test for the presence of the herpes virus.

Flu

Everyone knows about the dangers of the flu, and infecting an expectant mother with it can cause quite serious consequences. It is no longer the pathogen itself that is dangerous, but the complications it causes to the immune system, kidneys and heart. In addition, the disease is fraught with premature birth or threatened miscarriage. After the flu, it is easier to become infected with staphylococcal or pneumococcal infections.

Influenza has the most severe impact in the early stages of embryo development - in the first trimester. It is during this period that the main formation and initial development of the most important systems and organs of the fetus occurs. The conclusion suggests itself - to increase the immunity of the expectant mother, hardening is recommended, good nutrition and vitamins.

Toxoplasmosis

The most dangerous bacterial infection is toxoplasmosis, which can be contracted through contaminated meat or contact with a sick cat. If a woman was ill before pregnancy, she received lifelong immunity. The danger of toxoplasmosis increases in parallel with increasing period. Infection in the first trimester is unlikely to cause pathology; in the second, the possibility of a congenital disease increases by 20% - numerous pathogens accumulate in the brain tissue and nervous system fetus

Frequent consequences of such a lesion are increased intracranial pressure, epilepsy, mental retardation and blindness. In the last trimester, the probability of the disease is 50-60%. As a preventive measure, expectant mothers are advised to eat well-processed meat and avoid contact with cats.

Other infections

Diseases such as thrush, or candidiasis, mycoplasmosis, gardenellosis, trichomoniasis, listeriosis and chlamydia can pose a real threat to both the mother and the fetus. Severe disease can cause spontaneous miscarriage and lead to stillbirth. Timely diagnosis and proper treatment suppress the infection without leaving the slightest trace of it. The main thing is to take the prescribed tests in a timely manner and listen to the doctor in everything.

Prevention of abnormalities in the baby

If a couple has previously had unsuccessful pregnancies and various problems that led to premature birth, miscarriages or the birth of sick babies, they need a thorough examination. It should include detailed tests, ultrasound at certain stages of the menstrual cycle (to determine the condition of the endometrium), and genetic consultation.

With the onset of pregnancy, studies and consultations are necessary even for a completely healthy woman - they will help identify possible abnormalities and disorders. Even with a week's delay in menstruation, the size of the fertilized egg and its position in the uterus can be determined using ultrasound.

In about a couple of weeks, the expectant mother will undergo a comprehensive examination, including a visit to a therapist, otolaryngologist and dentist. The next mandatory ultrasound is prescribed at 10-12 weeks and serves to exclude obvious disturbances in the development of the embryo.

If you suspect the presence of chromosomal abnormalities (especially if the age of the potential parents is above 35 years), a genetic analysis can be performed - a chorionic villus biopsy. This method allows you to reliably exclude certain severe disorders or diseases of the unborn child in the shortest possible time.

From 20 weeks of pregnancy, ultrasound can be used to monitor the condition of the fetus directly: during the procedure, its organs are clearly visible, the amount of amniotic fluid, the condition of the placenta, the quality of blood flow in the umbilical cord and the vessels of the uterus and other important indicators are determined.

Pregnancy and lifestyle

When planning a pregnancy, not only the health of the unborn child and parents is important. No later than 2 months before the expected conception, parents should begin to prevent possible deviations and disorders - it is during this time that the entire “reserve” of sperm is completely renewed in men.

You should try to avoid overwork and stress, beware of “accidental” illnesses and colds, avoid drinking alcohol and, if possible, stop smoking. Taking medications should be agreed with the doctor, excluding drugs that are contraindicated for pregnant women.

The expectant mother should lead a correct lifestyle and follow a diet: eat vegetables and fruits, meat and fish, cottage cheese and dairy products. They are irreplaceable sources of protein and calcium that your baby needs so much. They are necessary for the full formation of the fetus, skeletal bones and teeth, as well as to replenish losses female body and to maintain women's health.

It is better to limit flour dishes and sweets - overweight adversely affects the course of pregnancy. Various sodas, strong tea and coffee, which have an effect on cardiovascular system increased load. It is better to replace them with healthy fruit drinks and juices, and remove unnecessary gases from mineral water.

Physical activity should be moderate and planned; Special complexes have been developed to preserve the health of both the child and the mother, as well as to prepare for childbirth. Swimming in an indoor pool is useful - it prepares the muscles of the pelvis, back and abdomen for the upcoming loads. In the pools there are groups of special health-improving gymnastics for pregnant women, and their own complexes have been developed for different periods.

It is better to limit swimming in natural bodies of water or even leave it for later - the possibility of catching an infection in one of them is too great. Reasonable caution is required; physical activity should be alternated with rest. The expectant mother should eat healthy and varied foods, regularly consult and be examined by a doctor - then the pregnancy will proceed without complications, and the child will be born on time and healthy.

The pregnancy planning stage is extremely important, but not all couples go through it properly. Often all important tests begin to be taken after pregnancy. If their results reveal pregnancy-threatening infections, you should not self-medicate. It is not dangerous for pregnant women, but it can even cause disastrous consequences. The doctor leading the pregnancy must prescribe competent and adequate treatment that can minimize possible risks.

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When to start preparing?

It is best if future parents begin to prepare for the upcoming pregnancy a year before conception. Of course, not all couples have that much time for this, which is due to the great desire to have a baby as soon as possible.

That is why preparation should begin at least 3 months before the couple planned to conceive a child. This period is quite capable of protecting the baby from potential dangers.

Where to start?

It is best to start with psychological preparation: future parents must realize that a child is a responsible step and it is extremely important to really understand its significance.

If their family already has children, then it is necessary to prepare the kids for the arrival of a brother or sister, and also determine who can help the parents in raising the unborn child.

Proper nutrition

It is very important during this period to choose correct mode nutrition is the basis for the birth of a healthy child.

A married couple needs to eat a lot of vegetables and fruits, lean on fish and meat dishes, consume cottage cheese and dairy products.
A woman needs to eat sweets and baked goods as little as possible so as not to gain weight. excess weight even before pregnancy. If you really want something sweet, you can replace sugar with fructose or honey. The presence of salt in food should also be limited.
You should not drink tea or coffee, but rather switch to drinking plenty of juices and fruit drinks or drink bottled spring water.

The future mother's nutrition should be based on natural products, which should be consumed little by little, but under no circumstances should you overeat - just like starve.

Physical training

In order to keep fit, a woman needs to play sports. Performing some exercises every day helps the expectant mother carry the baby without problems, give birth safely and take on the desired shape as soon as possible.

In addition, moderate physical training helps in the fight against varicose veins, prevents the formation of stretch marks and tears, strengthens muscles and takes care of the condition of the hips and pelvis.

Taking vitamins

How good it would be if a woman received all the vitamins important for health while eating food! However, the reality is that at the preparation stage she must necessarily take vitamins from the “box”.

After all, the body of the expectant mother, as a rule, is depleted by all kinds of diets, and her health worsens due to smoking and the environment.

What do you need to know?

When choosing vitamins, you should not consult your friends or neighbors about this. Medicines and various dietary supplements are also not the best choice for women planning a pregnancy soon. And their use is possible only when a gynecologist or therapist insists on it.

An exception may be folic acid- It is recommended for all expectant mothers to take it, as it reduces the risk of possible defects in the development of the baby’s brain. As a rule, acid is consumed as a supplement to the vitamin complex that a woman’s doctor recommends.

Which doctors should I see?

Gynecologist

First of all, a woman should visit a gynecologist. This is necessary so that he can determine the presence of possible gynecological diseases, determine the stability of the cycle and take smears for vaginal microflora and infections.

Therapist

An appointment with a therapist is necessary for an in-depth examination of both parents. This doctor determines how their health can be corrected and what this will require: necessary treatment, recommendations for nutrition and physical activity.

If such a need arises, the therapist sends the future parents (and the mother first of all) to specialist doctors.

Endocrinologist

Without his examination, preparation for birth also cannot be considered complete. He will prescribe hormone tests for the woman, showing exactly how bearing a healthy child will occur.

Dentist

Since the baby “takes” a lot of calcium from the mother, causing the teeth to begin to decay, a visit to the dentist becomes a mandatory procedure when preparing for pregnancy. After all, caries is not so much an aesthetic problem as an infectious one.

During pregnancy, there is a high probability of transmitting this infection to the child.

Analyzes required for planning

During the planning period, a woman is usually prescribed the following types of studies:

UAC and OAM;
blood group test;
scraping from the cervix and its cytology;
three types of ultrasound;
tests for HIV, syphilis, gonococci, etc.;
Escherichia coli, staphylococcus;
blood clotting test.

The doctor prescribes other tests if:

The woman has already had a miscarriage or experienced a frozen pregnancy.
The expectant mother took antibiotics.
She already had an abortion.
The couple's closest relatives suffer from genetic disorders.

What should a future father be prepared for?

How to give birth to a healthy baby? It is important not only for the mother, but for the father to prepare for pregnancy and childbirth. He must join a normal lifestyle, eliminate alcohol and cigarettes from his diet, eat well and get enough sleep.

In addition, the future dad must undergo a medical examination, during which he will take a spermogram, be examined for the presence of hereditary diseases and possible infections, and also find out his blood type and Rh factor.

Possible infections: what are they?

Infections that affect future parents usually work in a hidden “mode”. However, it is they who subsequently become the cause of the possible appearance of congenital deformities in the baby.

Of course, not every microorganism found in the blood of future parents causes abnormal development of their child. However, no one wants to risk the health of the fetus, therefore, before conception and during pregnancy, it is better to protect yourself as much as possible from any types of infections.

How can infection be transmitted to the unborn baby?

It is transmitted in two ways:

with blood directly through the placenta;
through infected genital tract.

Flu

Very often, women do not pay much attention to the fact that they can get the flu during pregnancy. However, the danger is not so much the virus as its complications, expressed in the load on the kidneys and disruptions in the immune system. All this can lead to miscarriage or premature birth.

Let's say more: it is after the flu that a woman, especially a pregnant woman, becomes an “object of attention” for pneumococci or staphylococci. Therefore, it is very important not to lose sight of this and strengthen the immune system in all available ways.

Rubella

This is the most dangerous infectious disease, in which it is quite easy to become infected at the 5th week of pregnancy, but extremely undesirable. It is this period that becomes the cornerstone in relation to the development of the future child, because rubella is irreversible consequences leading to abortion and the death of the child.

But if the expectant mother has already had rubella or was vaccinated at one time, she may not worry about the baby’s health, since she has a powerful immunity to the disease.

For other women, to prevent rubella, it would be better to get vaccinated against rubella two to three months before they plan to become pregnant, and then monitor the process of developing immunity by taking tests during pregnancy itself.

Cytomegalovirus

It is also extremely dangerous for a newborn, and the worst thing is if a woman becomes infected with it through contact with a sick person.

If this occurs in the early stages of pregnancy, the infection will threaten miscarriage or the appearance of various abnormalities in the fetus. Cytomegalovirus, which “attaches” to a woman later, can trigger childbirth ahead of schedule or the appearance of its congenital form in an infant.

The best prevention against infection before and during pregnancy is to not have any contact with people who have this infection in the acute stage.

Toxoplasmosis

An infection that poses a serious threat to the health of the mother and her child. As a rule, infection occurs after a woman cuddles a cute kitten with toxoplasmosis. However, if she previously had this infection, immunity to it remains in her body for the rest of her life.

For all other mothers, the danger grows along with the timing, and if in the first trimester the infection is not dangerous, then:

on the second, the child has a chance of acquiring congenital toxoplasmosis (20%), affecting the eyes and central nervous system;
in the third trimester, the risk of infection increases to 60% of cases, and infection can lead to increased intracranial pressure, mental retardation and even epilepsy.

Herpes

The likelihood of contracting herpes is quite low, and its exacerbation deserves serious attention if it occurs at 32 weeks of gestation.

Other infections

These may be thrush, mycoplasmosis, chlamydia and other infections, which in severe form increase the risk of miscarriage and stillbirth.

Only timely diagnosis and competent treatment will help not only nip them in the bud, but also do it in advance - even before the woman becomes pregnant.

What do women need to know after 35?

Late childbirth, which occurs between 35 and 45 years, is a series of difficulties that accompany women from the very moment of conception. At this age, women often find it difficult to become pregnant and bear a healthy child, especially if they have previously suffered a series of infectious diseases or had abortions.

Age from 35 to 40 years is often accompanied by a decrease in the level of blood clotting, which is most dangerous during difficult childbirth, or, on the contrary, the formation of blood clots. In addition, babies in women over 35 are often born with low birth weight.

How to protect your baby and yourself?

If a woman decides to get pregnant after 35 years of age, she needs to know that keeping herself in good physical shape and taking care of her health is the main key to success in the field of childbearing.

The best solution would be to attend preparatory courses, which both future parents should attend at once. It is also worth finding a good specialist in advance who will guide the woman during pregnancy.

There is no need to panic if he suddenly begins to dissuade the woman from pregnancy: anxiety associated with late childbirth is natural, but this does not mean that giving birth after 35 is prohibited by law or medicine.

Examination of couples at risk

Any disease, whether it is in an active stage or occurs latently, can harm both the baby and his mother. Therefore, it is extremely important not only to determine its presence, but also to treat it in advance, before pregnancy.

In the case where future parents have an obvious problem with conception, or the woman has already had unsuccessful pregnancies that led to miscarriages or the birth of a sick child, the couple needs to undergo a thorough examination by doctors.

In this case, special attention will need to be paid to tests, appointments with a geneticist and ultrasound examinations at different times.

If a doctor observing a couple suspects the presence of chromosomal abnormalities in the mother’s body, which often affect women after 35, he may suggest that the future parents undergo a chorionic villus biopsy. This examination excludes a number of serious diseases and some serious disorders in the development of the baby.

In what cases is the help of a genetic specialist required?

Consultation with a geneticist is necessary if:

the presence of a hereditary disease in future parents;
the couple has a child who has already developed the disease;
the expectant mother is over 35 years old;
the wife had an acute respiratory infection or took medication in the early stages;
future parents are close relatives to each other;
Pregnancies that a woman had resulted in miscarriage or stillbirth.

7 rules for a healthy lifestyle (before and during pregnancy)

No stress

Expectant parents should avoid any stressful situations, overwork at work and at home, colds and viruses. It is best to eradicate the habit of drinking alcohol or smoking cigarettes.

Moderate sport

Before and during pregnancy, it will be useful for a woman to switch to moderate physical activity to keep herself in good shape. You shouldn’t remove them completely, because low-impact sports are extremely beneficial for health and well-being.

Swimming

It’s great if future parents love to swim and decide to sign up for the pool! Swimming has a beneficial effect on overall health and strengthens muscles.

Women who are in the “after 40” group should not neglect this sport and be sure to go to water aerobics groups, but it is better for them not to swim in rivers or lakes, as this increases the risk of contracting some kind of infection.

No extra loads

Pregnant women are prohibited from working at night and lifting heavy objects. Also, during pregnancy, you should not use ankle sewing machines or traveling by bicycle, making sudden movements and coming into contact with hazardous substances.

Daily regime

A pregnant woman must walk a lot, saturating her lungs with oxygen, in order to subsequently give birth to a healthy child. At the same time, she is supposed to sleep at least eight hours a day, and goes to bed no later than 11 pm.

It is best if the bed where the expectant mother sleeps is comfortable, but not very soft. Doctors believe that during pregnancy she should sleep on her back or right side.

Sex

Having sex during pregnancy is not prohibited, but it is better to leave it for a more favorable period: after the 1st trimester, if the woman has previously experienced miscarriages or became pregnant for the first time.

Also sex for 2 recent months It is better not to deal with women who have given birth not for the first time, but in the past they did it surgically.

Finally, during pregnancy you need to get plenty of rest, eat well and be examined by a doctor in order to give birth to a strong baby and become a truly happy parent!

One of the most fateful and important events in a family is the birth of a child. Many fears haunt future parents from the moment of preparation for conception until the birth itself. They all want their baby to be born healthy, happy, strong and smart. But modern environmental conditions, a large number of stresses and hereditary diseases pose a big question for parents - how to give birth and raise a healthy child? This topic is especially acute when what risks does a mother take after 35 years and how to reduce them to a minimum - more details in the article.

Risks of late pregnancy

Of course, today the average age of women giving birth has dropped significantly. It falls between the ages of 25 and 32. But still, an expectant mother after 35 is considered an old-timer. What problems does this promise for the child and the mother in labor?

Firstly, our body, unfortunately, tends to wear out. With age, more and more chronic diseases appear, perhaps there are consequences from sexually transmitted diseases. For some, this is also a terminated early pregnancy.

Secondly, the female uterus is no longer as capable of bearing as at the age of 25-30 years.

Thirdly, according to statistics, older women are more likely to have children with chromosomal abnormalities. 70% of children with Down syndrome were born to mothers over 35 years of age.

Fourthly, these are frequent complications during gestation, difficult to tolerate pregnancy, toxicosis, premature rupture of amniotic fluid, weak labor, and the need for a cesarean section.

In addition, problems with lactation and child development may arise.

In general, there are countless difficulties, but there are also many examples of healthy and happy babies being born after 35 years. The conclusion from the above is that the first late pregnancy must be planned; before its onset, the woman must undergo a thorough, full consultation with a doctor. So, after 35 years?

Planning a pregnancy

Early intervention will help you avoid many problems with your child’s health and development. medical examination dads and especially moms. How to give birth and raise a healthy child? Komarovsky advises first identifying the inherited genetic risks that may arise during late pregnancy. To do this, both parents must visit a geneticist who will conduct a blood test to determine the balance of the chromosome set. If the chromosomes of the mother and father do not match each other, if the woman has a risk of having defective offspring, the doctor will inform you after the examination.

The second step is a woman’s visit to a gynecologist, who will do all the necessary tests and smears for sexual diseases, toxoplasmosis, hepatitis B and C and some others, check for breast cancer, and do an ultrasound. If any diseases and abnormalities are identified, they must be dealt with before pregnancy occurs. It's good if the father will be complete examination by a urologist and venereologist.

And of course, the main thing you need to give birth to a healthy child is healthy image life of both parents, complete advance cessation of smoking and alcohol, physical health, playing sports, walking fresh air and proper nutrition.

Conception

There is a lot of scientific and unscientific advice on how to successfully conceive a baby.

First, you should stick to your menstrual cycle. The most suitable time for conception is considered to be ovulation (12-14 days after the start of the cycle). You can determine it either by your own health (strong discharge, sometimes bloody, pain in the lower abdomen, strong libido), or use more accurate means, such as ovulation tests.

Secondly, you should remain calm both during sexual intercourse and after, when you are waiting for the result. Scientists have proven that it is not the posture that affects positive result. After the act, you should also not run, jump or lie with your legs raised to the ceiling. It is enough to just lie on your back for 20-30 minutes; this position is considered the most favorable for the sperm to reach the walls of the uterus.

Thirdly, continuous sexual intercourse during ovulation does not increase, but on the contrary, reduces the chances of becoming pregnant, since sperm after several ejaculations loses its rudimentary properties. It is best to accurately check ovulation and try during it.

Pregnancy: first steps

As soon as a woman finds out that she will become a mother, unbridled joy first appears in her head, and then fears appear: how to give birth and raise a healthy child? Yes, she knows that she is completely healthy and prepared for pregnancy, but will everything go well at such a mature age?

Don't panic. Primarily because it can negatively affect pregnancy.

Having done a test or determined that you have a delay, you should first visit a gynecologist. He will do tests and perform an ultrasound, thereby confirming the pregnancy and its duration. Next, he will register you for pregnancy, create a medical record, collect anamnesis and send you to see many, many doctors, from a dentist to a surgeon. This will allow you to check once again whether everything is in order with your health.

The gynecologist is also obliged to advise you about nutrition and your behavior during pregnancy. For example, in the first weeks, doctors do not recommend playing sports or even being sexually active, since the egg has not yet attached to the walls of the uterus and your activity can lead to a miscarriage. Therefore, during the first trimester, a pregnant woman should be as calm and relaxed as possible, and should not worry or be nervous.

Pregnancy: nutrition and vitamins

A gynecologist, explaining to you how to give birth and raise a healthy child, will have to prescribe a course of vitamins. In the early stages it is vitamin D and folic acid. Next to this list will be added magnesium B 6, iodine, calcium and others. The doctor will prescribe them himself in accordance with the progress of pregnancy and necessity. You should not buy or take vitamin complexes yourself without consultation.

As for nutrition, in the first 2 trimesters you can eat almost everything that your body requires, with the exception of alcohol, excess coffee and strong tea, carbonated drinks, raw meat and fish, preservatives and chemicals, and stale foods.

Listen to your body, it will tell you exactly what you need to eat.

Pregnancy: rest and sleep

One of the main things you need to carry and give birth to a healthy baby is proper rest and sleep. Depends on this psychological condition mother. Treat pregnancy as a vacation before a difficult year of sleepless nights, whims and children's tears. This is your chance to relax, so don’t burden yourself with tedious work, get enough sleep, spend more time in the fresh air, take your time and enjoy this serene time.

Physical activity, unless indicated by a doctor, should not be minimized. For example, a swimming pool and leisurely walking will help prepare your muscles for future childbirth. Do not run, jump, lift heavy objects, or hold your arms up for long periods of time.

Don’t forget about positive emotions, because the baby feels and understands everything inside. And if you are upset or stressed, he experiences the same emotions.

Prevention of deviations

What to do to give birth Rest, sleep, eat tasty and healthy food, don’t be nervous. The rest should be left to the doctors. There is no need to worry about possible abnormalities in the child, since the gynecologist will see you monthly and monitor the progress of your pregnancy. During the 9 months of waiting, you will find multiple blood and urine tests, 3 ultrasounds, consultations with various types of doctors - a therapist, a surgeon, an ophthalmologist, a neurologist, a dentist and others. If any problems arise, you will be informed about it, so don’t stress yourself out and don’t be nervous.

Childbirth

If you think that the issue of carrying a pregnancy is the most important, then you are mistaken. This is important, but even more important is the question of how to give birth and raise a healthy child.

Childbirth is a great stress for both the baby and the mother, especially after 35 years. Most likely, you will have a caesarean section, since the woman’s labor during this period is already weak. But you shouldn’t be afraid of such an operation either, because many mothers go through this for various reasons.

It will be better if you prepare both mentally and practically. Attend courses for mothers, training on breathing, behavior during contractions, pushing, etc.

Remember that with the right approach, you significantly increase your chances of having a healthy and happy baby.

Let's start today with an exercise. This exercise sometimes baffles the participants in my trainings, but I’m sure you can handle it if you’ve seen my video about goal formulation. Shall we check?

Take a blank sheet of paper. Better yet, get yourself a separate beautiful notebook for work. It’s best if there is a child or a mother with a child on the cover of this notebook - a photograph from a magazine that you really, really like. And it’s even better if you cut out such a photo, and in place of your mother’s face, glue your own photo of the appropriate size - this way you begin to shape your reality and attract a child into your life.

So, you have a blank slate in front of you. Divide it into 2 columns. In the first column write sequential and detailed plan actions on what needs to be done in order to get the desired result.

By the way, what is your final desired result?

Possible answers:

A. Onset of pregnancy
B. Successful pregnancy
B. Easy birth
G. Feeling like a mother
D. Birth of a child
E. Healthy child

I'm very interested to know what you chose.

If you have chosen pregnancy as the final desired result, this is a very good result, but look a little ahead, pregnancy can come and come and come. In practice, this is possible every month, but it may not be preserved... And such cases, unfortunately, are not uncommon. Think about it: do you want to have a pregnancy that doesn’t last?

If you have chosen to have a successful pregnancy, then you are one step closer to your dream. This is very a good option, but is it final? Suppose that the pregnancy is carried out perfectly, but the birth is unsuccessful... As a result, you return to the starting point. Could this be the result you are looking for?

If you chose an easy birth, that’s great. Childbirth may be very fast and easy for you, but such a fast birth is not always good for the baby - it can get damaged due to moving through the birth canal too quickly. Do you want to order this result for yourself?

If you chose the option of feeling like a mother, that’s great, because it’s a magical feeling, and I really want you to experience it to the fullest in the near future. With this answer option, I suggest thinking about the following topic: where is your future child in this option? It is important for you to feel like YOU are a mother, this can be done at any time. After all, our feelings depend only on us, right? We will talk about this more in this chapter.

If you have chosen the option of having a child, then you are looking far ahead. This is really the result you want to get. I suggest you think about only one nuance: are you ready to become the mother of a not entirely healthy child, you don’t care who it will be a boy or a girl, will this child be born to you or a surrogate mother, or will you adopt him? After all, your child may be born, but you will not give birth to him - now this is not possible. Are you ready to accept this option?

If you have chosen a healthy child as the result, then you are closest to your goal; you formulate as correctly as possible what you would like to receive as a result of fulfilling your dream.

Why am I describing in such detail? possible options your choice of end result? Using these examples, you can understand how to correctly formulate your goals and events in your life. A lot depends on the correct determination of the final result of fulfilling your dreams. We ourselves often order such events in our lives from the Ecumenical Order Table that then we can only cry and ask: “Who did this to me?” Correct answer: ourselves. We ourselves ordered all the results that we get in life.

Therefore, already at the planning stage, it is very important for us to decide on the correct formulation of what will be the end result of the fulfillment of our desire.

So, you have time to determine what result you want to get.

Write it down in your notebook at the bottom of the page and frame it.

And now we will draw up an action plan for how you will reach this result.

We will write the plan on the same sheet where the final result is written down below, starting from the top of the page.

So, you have time to write a consistent action plan that will lead you to the birth of a healthy child.

Write your outline first and then continue reading this chapter.

Is the plan ready?

I now propose to complement it together.

I will tell you what plan was drawn up at one of my trainings “I want a child” by its participants.

So, the action plan for obtaining the “healthy child” result:

Want a child.
Consider your decision.
Talk to your husband and find out if he wants a child.
Check your health status.
Have sex with your husband.
Don't get hung up, live life to the fullest.
If your period is late, do a test.
See the second stripe.
Rejoice.
Tell your husband.
Rejoice with him.
Register for pregnancy.
Start treating yourself like a crystal vase.
Go shopping and choose things for the baby.
Choose a name.
Select the place of birth of the child.
Choose who I will have a baby with.
Take a childbirth preparation course.
Buy everything you need for childbirth and the first time of life with your baby.
Think about who will help for the first time after childbirth.
Feel happy that your dream is coming true.
It's easy to give birth to a healthy baby.
Feel like a happy mother.
Hug and kiss your baby and husband.
Feel that life is wonderful!

After drawing up this plan, all I could say was “Bravo!” participants of that training. I especially liked the points about “rejoice”, “feel happy”, “start treating yourself like a crystal vase”.

After drawing up this plan, I asked the training participants to think: which of the written points can they implement now, without waiting for the birth of the child and pregnancy?

I want to ask you this question too. Look at your plan. What points of the plan can you implement now, without waiting for the coveted two stripes?

If my question has puzzled you, then I will tell you how the participants in the “I Want a Child” training solved this problem. They also thought about it at first, and then decided that:

They can want a child, think about their decision, talk with their husband and check the state of their health right now. And most of them have already done all these points. I think that you have already passed this if you are reading this book.

Congratulations! You are already on your way to your desired goal!

You can have sex with your husband right today (if your husband is not on a business trip, of course).

Don't get hung up, live life to the fullest. This is one of the difficult moments, but, you must admit, this is quite accessible to you now. We will talk more about how not to get hung up in Chapter 7, “Turning the Toggle Switch”).

7,8,10 – Doing the test without delay, of course, makes no sense, just like telling your husband. Therefore, we leave these points until your dream comes true.

9.11 – Rejoice yourself and together with your husband. But you can complete these points right now! Why, you ask?

It’s very simple, this is the mechanism for attracting desired things into your life: if you are already sincerely happy as if you already have what you dream of, reality has no choice but to adjust itself to your feelings! If you are already happy about the onset of pregnancy, then reality may decide: “Yeah, she’s happy that she’s pregnant, sincerely, without a shadow of a doubt, we’ll see... It’s a mess, there’s joy, but there’s no pregnancy. We will fix it!”

But before that, the reality is to check every corner of your soul for insecurities, fears and doubts that you really believe that you are pregnant. Start enjoying yourself right now! It will move you forward in any case!

12.22 – We leave these points until the time of your pregnancy.

13-21 – But start treating yourself like a crystal vase, go shopping and choose things for the baby, choose a name, choose the place of birth of the child, choose with whom you will give birth to the child, go to childbirth preparation courses, buy everything you need for childbirth and the first time of life with a baby, think about who will help for the first time after birth, feel happy that your dream is coming true - you can do all this NOW!

You may ask HOW? Very simple, these are quite affordable things. I see you thinking and saying: “But this won’t be true?” I will answer you: “This will be the real truth, which has every chance of becoming a reality very soon.” Why?

The fact is that our subconscious mind does not distinguish events that happened in reality from events that we vividly imagined in our imagination - the subconscious mind adds both events to the treasury of its experience indiscriminately. What remarkable conclusion can we draw from this knowledge?

You can shape your reality yourself. This is a long-known fact that not everyone can accept at first. Many watched the film “The Secret”, but did not draw any conclusions and live as they lived before. And someone changed their life completely. Which of these groups do you want to belong to?

Who is stopping you from starting to treat yourself with care and love now? Is it necessary to get pregnant in order to love yourself?

You can make any choice regarding your future child and you now. More than half of the participants in my trainings on the items “Choose with whom you will give birth” say that they would like to invite me as a psychologist for childbirth. I am gladly ready to fulfill this honorable mission of helping a woman go through childbirth in such a way that it becomes a vivid spiritual experience.

You can already take a big step forward by taking courses for expectant mothers. There you can soak in the energy of motherhood, become your own and feel like you’re already pregnant. To do this, it is enough not to close this opportunity to yourself. It's best if you fake your pregnancy and come to the course in disguise. Don’t be afraid that you will be declassified - so far there has not been a single case in my practice. At the “I Want a Child” training, we spend the entire third day in the guise of heavily pregnant women, and all visitors to the “Smart Path” center, when they see my beauties during breaks, ask the administrators: “Do you have courses for pregnant women here?” We do have courses, three-month courses in psychological preparation for childbirth, “Reasonable Pregnancy”. And I hope to see you all there. This is my thing favorite wish to all participants of the “I Want a Child” trainings: “Next time I want to meet you at “Reasonable Pregnancy”!”