Late pregnancy is most often desirable. In recent years, significantly increased the age of marriage and first birth. This often creates difficulties both in child-bearing, and at his birth. Better still give birth on time, at an age in which it is intended by nature. The ideal age for childbearing - 20-30 years. But in recent years the age limit has shifted significantly upward. And now, in the US the best social and physical age for birth of first child is called 34 years. This is not entirely correct, because the nature is still not so easy to fool.

Certainly medicine has leaped forward, however, a woman who decided to have a baby after 35 years, a number of problems:

• not always possible to get pregnant, and it has objective reasons: firstly reproductive ability of women decreases with age (ie not every menstrual cycle is accompanied by the formation of the egg), and secondly those years, of course, exert their influence in the form of numerous transferred (often imperceptibly) infections and inflammatory diseases of the female genital system, which often leads to infertility; Finally, infertility may suffer husband;
• not always possible to carry a child: the amount of miscarriage increases with age, are affected by hormonal changes in women and various chronic diseases that she "earned" during life;
• during pregnancy increases the risk of preeclampsia (toxemia second half of pregnancy) because of women having various diseases (hypertension, renal diseases, etc.);
• childbirth also occur more difficult for women older than 35 years: the birth canal are revealed slowly, have less soft tissue extensibility; often at this age have resorted to caesarean section;
• Finally, there may be problems with the health of the child, especially dangerous variety of chromosomal diseases as Down syndrome, their number increases with age; the health of the baby may affect birth injuries Birth injuries - than they threaten your child?   and lack of oxygen during pregnancy and childbirth.

How to overcome all difficulties and give birth to a healthy baby

In order to help a woman give birth to a healthy baby, there are special medical institutions - antenatal clinics. The doctor of female consultation knows all the pitfalls that can trap the pregnant woman and may be time to warn her about it.

First of all, it is desirable that late pregnancy was planned. This is to ensure that both parents before conception Conception, ovarian cycle, fertilization and genetics of a child   examined, treated all foci of infection or some hormonal changes and consult a physician-geneticist.

Register at prenatal better early detection for a number of changes in the mother and fetus there are a number of studies that are carried out at different stages of pregnancy. If a pregnant woman does in a timely manner all of these studies, the risk of having, for example, a child with Down syndrome is reduced to almost zero.

Miscarriages and gestosis also learned how to prevent and treat the early stages - the main thing to recognize their early signs, and this can only be done by the doctor.

In most cases, women with late pregnancy hospitalized for delivery in advance in order to decide on the tactics of delivery. This is not a reinsurance: modern methods of studying the state of the fetus and the mother allow to develop optimum tactics of delivery, including the use of an operation such as a caesarean section.

If you get pregnant the natural way fails

As already mentioned, with age, the number of maturing eggs decreases and become pregnant within 1-2 menstrual cycles becomes very difficult. But if pregnancy has not occurred within six months after regular sexual intercourse without contraception, you will need to see a doctor, to understand the causes of this phenomenon.

The causes of infertility can be set both by women and by men. To help make the desired child, presently there are many techniques that allow you to help almost all the women:

• Intrauterine insemination by the sperm of her husband (IMS) - is used in case of partial male infertility, if a little sperm in the semen;
• Intrauterine insemination with donor sperm (BWI) - is used for full male infertility;
• intratubarny gamete transfer (GIFT) and zygote (zefta) - is used in the case when the mature egg can not get into the fallopian tube for fertilization because of the obstruction of the pipe; in this case taken from the ovary using oocyte puncture of the follicles, connected with sperm in vitro and using a special apparatus are transferred to the fallopian tube;
• a method of in vitro fertilization (IVF) - fertilization of the egg outside the woman's body, in vitro, and then the embryo is transferred into the uterus; indications for IVF are missing or blocked tubes Obstruction of the fallopian tubes - asymptomatic Infertility with hormonal disorders, endometriosis Endometriosis - a serious problem with serious consequences Infertility of unknown origin, declining quality of sperm of her husband;
• a method of in vitro fertilization with donor eggs (IVF OD);
• the method of intracytoplasmic sperm injection (ICSI); one egg is taken under a microscope and it is injected sperm, after which the ovum is implanted into the uterus.

If you decide to late pregnancy, then you should know that modern medicine can help you at every stage of the child's birth.

  Galina Romanenko

A woman goes to the hospital with complaints of abdominal pain Abdominal pain: Types and Symptoms And it is in the maternity ward, where he soon gives birth to a healthy - albeit completely unexpected - the child. She did not know that she was pregnant. Many have heard similar stories about the phenomenon known in medicine as a syndrome of denial of pregnancy. At first glance it seems that the victim of this syndrome may be poorly known any woman, regardless of her age, sexual experience and social status. As the results of a study published in 2009 in a special edition of Psychology Today, denial of pregnancy - a "mysterious and rare disorder." Mysterious and rare? Definitely. Upset? Not really. At least, not the physical properties of the disorder.

Denying the truth

Doubts that a woman may not notice their own pregnancy, perfectly normal. Given the hormonal and physical restructuring of the body, you need to believe that a woman should at least suspect that there's something going on that it is a child's heart. As a rule, women realize they are pregnant, a few months after conception. So why do some women remain in the dark about his position up to the birth, and sometimes after them? In general, we can breathe a sigh of relief, because of diseases caused by asymptomatic pregnant, does not exist, and normal, socially adapted woman is not at risk of becoming a victim of the syndrome of denial of pregnancy.

The fact that the denial of pregnancy - not a medical problem, but psychological. Denial - a primitive form of psychological defense, when the mind is literally denying unpleasant or frightening fact or thought. Agree, pregnancy falls under both definitions. For a woman it is perfectly normal to feel the wonder and fear when she finds out about her pregnancy. After all, not every pregnancy is planned and desirable. But most women, being in a position to quickly orient themselves, make correct conclusions, noting the characteristic symptoms - breast enlargement, nausea, cessation of menstruation. Women suffering from the syndrome of denial of pregnancy, ignore these symptoms or just do not associate them with the pregnancy.

The denial in all its forms

Denial of pregnancy may be manifested in different ways, depending on the circumstances. The term "affective denial" is used in cases where a pregnant woman is not experiencing maternal feelings for the child and did not change their way of life, adapting to pregnancy. It is often women who suffer from alcohol or drug addiction and women who are not planning to raise their own children. There is also a psychopathic denial, denial of pregnancy when the syndrome affects women with mental illness. Some experts also use the term "pregnancy denial syndrome" to describe women, hiding the pregnancy.

Approximately five hundred successful pregnancies have to worn-out one case of denial of pregnancy, but the media attention often rewarded with unusual cases of pervasive denial, when a woman has no idea about their own pregnancy until delivery. In this case, the woman turns to the doctor only at a late stage of pregnancy, with complaints of food poisoning Food poisoning: how to avoid becoming a victim of its own stomach   or stomach cramps. Some fall into the emergency room with vaginal bleeding or other complications, such as eclampsia, not realizing that they went into labor.

The risk group includes young women who have not received higher or secondary education, with limited intellectual abilities and menstrual irregularities; Many of them suffer from mental illness Mental illness - ashamed to ask for help?   disorders and, in particular, increased anxiety syndrome and depression. There are cases when the pregnancy is caused by the denial of religious conflict in the family, fear of being thrown the father of the child, disagreements with parents or fear for the future of the child.

Colds or pregnancy?

The most difficult pregnancy denial syndrome manifests itself in cases where the pregnancy is almost asymptomatic. As a rule, women who deny their pregnancies explain nausea and malaise flu or food poisoning. They believe that a small (compared with standard) weight gain is caused by poor diet or sedentary lifestyle and lack of exercise. Many women stubbornly believe in their own pregnancy, even when they are presented with all the evidence - because they have not stopped menstruating (bleeding during pregnancy Discharges during pregnancy - should not be afraid   - It is quite common). Furthermore, in the past, they are often faced with violations of the menstrual cycle, so did not notice any abnormalities. If the denial takes the form of a serious and lasts until late in pregnancy, a woman convinces himself that strange stirring inside - it's just puchit stomach. Some women even buy a pregnancy test, and if the result is negative, believe, and do not go to the gynecologist, although such tests are very unreliable.

In some cases, women have good reasons not to believe in the pregnancy, for example, if they are diagnosed with "infertility". Agree, it is difficult to understand the situation, if you are accustomed to the idea that you will never be a child. Pregnancy can be a surprise, and if a woman has long takes contraceptives. But most of all pregnant women are surprised, past surgical sterilization. Fortunately, only in rare cases, the expectant mother is still in the dark about his position before birth, most women still recognize the fact of her pregnancy.

Women suffering rejection syndrome pregnancy, ignoring the many symptoms: unexplained nausea, breast enlargement, weight gain, mood swings, cessation of menstruation. Noticing these symptoms should seek medical attention immediately. Blood test - the only way to confirm or rule out pregnancy.