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Late delivery after 40 years

Not so long ago, women who gave birth after the age of 28 were called "old-borns" in medical parlance. Today, no one uses such a concept anymore, even when it comes to a woman who gave birth after the age of 40.

Causes of late labor

Late childbirth after 40 years in the EMC maternity hospitalModern life is designed in such a way that many women want to get back on their feet before giving birth to a child: get a job, establish themselves as a person. And the general trend is that the first birth is shifting to a later age than it was 15-20 years ago.

Other women, on the contrary, are afraid to give birth after 40, fearing complications. Is it that dangerous?

The main problem for women over 40 is not that pregnancy can be complicated, but that the chances of conception decrease significantly with age. After 35 years of age, the ovarian reserve is sharply reduced. And every year it becomes more difficult for a woman to get pregnant. Therefore, if you are thinking about giving birth after 40, take into account this factor – the reproductive reserve.

Another important point is that the older a woman is, the more likely it is that she will have to give birth by caesarean section. This is due to the fact that with the age of a woman in childbirth, there is a weakness of labor activity. However, nowadays CS is a standard procedure that is performed at the highest level in specialized medical institutions.

Complications and risks of childbirth after 40 years

As we have already said, there is no direct relationship with age. It all depends on a woman's health. Modern sedentary lifestyle, excessive dieting, etc. They lead to the fact that today many young girls develop various diseases that can complicate pregnancy.

If a 40-year-old woman has no somatic pathologies, she will carry a child in the same way as she would have done at the age of 20. Therefore, it is recommended to exercise throughout your life, eat right, and give up bad habits – this way you will preserve your health, including reproductive health, much longer.

Do I need additional examinations for pregnant women 40+?

Additional monitoring is required if a woman has a somatic pathology. Otherwise, pregnancy management for a woman of 40+ is no different from that of a young girl.
It is mandatory to undergo prenatal screening (screening up to 12 weeks) in order to identify possible fetal malformations. Now medicine has reached such a development that the identified pathologies can be eliminated in utero.

Planning and management of late pregnancy in EMC

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  • Doctors of the highest category, Ph.D.
  • Doctors who specialize in complex cases of pregnancy and childbirth (late pregnancy, ER after COP, etc.)
  • Modern international pregnancy management protocols
  • Multidisciplinary clinic: in difficult cases, an interdisciplinary consultation can be organized for pregnancy management tactics with the participation of all necessary specialists (geneticists, endocrinologists, oncologists, etc.)
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  • Monitoring of the baby and mother by the medical staff 24/7
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Questions and answers

Dermoid cyst and pregnancy
An ultrasound revealed a mass in my left ovary during the first pregnancy. I was told that it is a dermoid cyst. Five years have passed since then. I gave birth to a second child. An ultrasound was performed annually. There were differences in size, but not significant. Since I’m going to have the 3rd child, another
ultrasound was done today. The doctor said that the cyst had increased. I am concerned about it. Don't know where to start. What tests are needed? Thank you.
...more
Surgical treatment is strictly indicated in your case given the long history of the mass in the ovary and its rapid growth in recent times. In our clinic, we perform such an intervention laparoscopically through 3 small punctures. Patients go home next morning after the surgery and may return to work after 3 days.
This surgery must be as delicate to preserve healthy ovarian tissue (considering your reproductive plans) as radical at the same time to remove the mass together with the capsule. At the preoperative stage an expert level ultrasound with Doppler is required, as well as blood tests for Ca-125 and НЕ-4 tumor markers. The decision concerning the necessity of FEGDS and colonoscopy is taken based on the results of these tests.
...more
Total knee replacement
My mom suffers from gonarthrosis for the past three years. Despite treatment by injections the pain is still present. MRI revealed a meniscal tear in the posterior horn, the presence of small bony osteophytes on the patella, a small amount of fluid in the joint cavity (signs of exudative synovitis were detected)
joint space is asymmetrically narrowed in the medial segment. The pain is ongoing but the knee remains flexible. Tell me, please, whether the surgery is contraindicated for meniscal tear in case of arthrosis? Is it possible to do an arthroscopic surgery on the meniscus in our case or it should be «major» surgery? And what would you advice concerning knee replacement for the patient in the age of 57? What is the life time of the artificial joint?
...more
It is necessary to make an X-ray of the knee in direct projection in standing position. If it turns out that there is no medial cartilage in the medial area, then the knee replacement is the only solution. The age of 57 is normal for the prosthetics. Modern artificial knee joint (when properly placed of course) will
serve for a lifetime. You can make an appointment via phone +7 (495) 933-66-44.
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Kardanov Andrey
07 September 2016
Pain
I am 19 years old, professionally engaged in weightlifting. I did an arthroscopy of both knee joint a year ago, now feel pain in them and it prevents me from training at full capacity. I visited a traumatologist, and «osteoarthritis of 1 degree» was diagnosed. Could you advise me some medicines or anything else to
relief the pain? Thank you very much for the answer!
...more
First of all you should undergo an MRI and find out what was done at arthroscopy; if it’s really an arthrosis of 1 degree, hyaluronic acid injections are possible and physiotherapy is not required. Anyway, you are always welcome to consultation for thorough examination.
Question to Dr. Yakobashvili
Tell me, please, at which age child's hearing should be checked-up if we were informed at the hospital before discharge that one ear does not hear. At the moment the child’s age is 1.5 months. Thank you.
These tests done in the hospital are often false negative. Hearing can be tested now, it is necessary to make an appointment to the audiologist.
Cought
A child of 11 years old, suffers from cough for more than six months. The cough is dry, sometimes attack-like, mainly begins during the day, and often occurs before sleep. There is no cough at night. CBC is normal, glucose is 4.16, total IgE 111.80, Toxocara, Ascaride are negative, Cytomegalovirus, Mycoplasma are
negative, PPD test is negative as well. A chest x-ray is normal. We have already consulted with a therapist, otolaryngologist, pulmonologist, neurologist, gastroenterologist... the cough is still present. What should we do?
...more
First of all, there are no results of whooping cough testing among the results provided above. The disease cannot be ruled out, even if your child was vaccinated. The blood test for antibodies against the whooping cough germ is required (blood test for class M and G antibodies against Bordetella pertussis). Second,
even a slight increase in class E antibodies is a reason to visit an allergist and to perform an evaluation of respiratory function with bronchodilator. This method will detect a latent bronchial spasm in your child. Even if the results of the test will be normal, allergologist mast rule out the allergic nature of the cough even if it's not obstructive syndrome. Third, this cough can be due to gastroesophageal reflux. It is difficult to draw any conclusions having no data of gastroenterologist’s consultation. 24-hour acidity monitoring of the stomach and esophagus is carried out to confirm or exclude the presence of reflux. Fourth, you didn’t mention whether x-ray of nasopharynx and paranasal sinuses was done. Perhaps, after all, the pathology is associated with ENT organs.
...more

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