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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

  • Specialists with experience in Europe and Israel
  • 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.)
  • Intensive care
  • The latest operating and intensive care equipment
  • Department of Neonatology
  • Monitoring of the baby and mother by the medical staff 24/7
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Questions and answers

Tumor in the breast
I’ve had a tumor in the lower part of my right breast and a metastasis in the left lymph node removed in 2011. I then had a recurrence in the upper quadrant of the right breast. But the doctors didn’t immediately react to this, even though I told them that I was experiencing some discomfort. After this I had biopsies
under ultrasound guidance at several medical centers, but I keep getting a completely different diagnosis everywhere I go. I still haven’t received any treatment. Test results are good. The metastasis is not growing but just sitting there. They’ve suggested a mastectomy. What’s the point? I don’t want to undergo chemotherapy. I’m on a raw food diet. I don't know what to do. I wish at least one of the diagnoses was confirmed. I want to be sure that I’m getting the right treatment. Because it’s the doctors that have brought me to this situation, even though I’ve had regular screenings for the past 25 years.
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Before answering any questions regarding treatment, it is necessary to carry out a successful biopsy under ultrasound or X-ray guidance, to obtain multiple tissue samples (not cells) with subsequent histological and immunohistochemical analysis. Only then can we discuss a specific treatment plan! In any case, EMC
staff are always ready to provide advice and carry out the necessary diagnostic tests. Best regards, Irina Vassilieva — M.D, radiologist, Head of EMC Breast Clinic
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