/ When does late pregnancy require special medical supervision?

When does a late pregnancy require special medical supervision?


ECO: technology to help

Pregnancy, resulting from IVF,Always requires increased attention. After all, unfortunately, it is not always possible to preserve it. According to various sources, about 30% of such pregnancies are interrupted before the 12-14 weeks period.

The main factors that lead to miscarriages of pregnancy after IVF:
  • Immunogenetic (eg, chromosomal changes in the cells of the parents);
  • Infectious (presence in the maternal body of a latent viral or bacterial infection - herpes simplex virus, cytomegalovirus, enterovirus, etc.
  • Endocrine. Stimulation of ovulation leads to hormonal changes. For hormonal support of pregnancy that has occurred with the help of IVF, you need to regularly determine the blood content of the hormones responsible for its preservation - estradiol and progesterone.
Why prepare after IVF?
  • Early and frequent ultrasound to assess the dynamics of the conditionFetus, ovaries and uterus. Also, the location of the embryo is assessed using an ultrasound (low location can provoke miscarriage), absence or presence of free fluid (eg, blood clots) in the uterine cavity, oviduct detachment, etc. All this allows to detect the threat of interruption in advance and take appropriate measures.
  • Preimplantation diagnostics for detectionChromosomal pathologies and some genetic diseases, the passage of biochemical and ultrasound screenings to reduce the risk of congenital malformations of the fetus after IVF (they can be related to both the mother's ages and the causes of male infertility).
  • Strict monitoring of cervicalThe second trimester often develops and rapidly progresses istmiko-cervical insufficiency, which in the worst variant can cause a spontaneous miscarriage).
  • Prevention of the development of viral or bacterial infection.
  • The intake of vitamins-antihypoxants (C, E, beta-carotene, as well as folic acid) from the earliest pregnancy.
Among the characteristics of pregnancy, resulting from auxiliary reproductive technologies, note:
  • Multiplicity;
  • Probability of miscarriage;
  • Risk of intrauterine fetal pathologies;
  • High infectious index.
Miscarriage: we start anew
Spontaneous abortion can provoke the mostVarious reasons: genetic disorders and fluctuations of the hormonal background, pathologies of the cervix, external factors and stresses. In addition, the female body at the age of thirty is often unable to render the baby without the competent help of medical specialists. It may be due not so much to the fact that the older a woman, the more difficult it is for her to physically endure pregnancy, but also with the fact that with age in a woman's egg cells genetic changes occur, resulting in a fetus with genetic abnormalities, often incompatible with life .

Most women successfully become pregnant again a year after the spontaneous abortion.

The risk of miscarriage depends both on the type of pathology leading to infertility, and on the age of the woman: up to 35 years - 10.5%, 35-39 years-16.1%, more than 40 years -42.9%.

What do you need to remember?
  • Very often miscarriages occur because of chromosomalAbnormalities of embryos, and with age they usually increase. During the period of pregnancy planning, it is advisable to undergo genetic counseling: a geneticist will examine your specific case and find out how likely the complications of the genetic plan are.
  • Contact your doctor to have your new pregnancy under strict medical supervision, starting with the smallest time frame.
  • Adjust your diet in favor of healthy food, drink plenty of water, do not forget about vitamins and rest more. Alcohol and smoking are banned!
  • Keep a positive attitude. A long-awaited pregnancy can be difficult emotionally: memories of previous losses do not recede immediately.
Pregnancy in chronic diseases
Waiting for the baby is a serious pressure onAn organism that can provoke the relapse of many "sleeping" before the disease. The greater the age of the future mother, the higher the likelihood that she has chronic sores. To diseases that complicate the course of pregnancy include:
  • Diseases of the cardiovascular system (hypertension, heart disease);
  • Diseases of the respiratory system (bronchitis, asthma);
  • Kidney disease (pyelonephritis, glomerulo-nephritis, urolithiasis);
If before a chronic disease did not give aboutImagine being in a "sleeping mode", then the accompanying development of the embryo a surge of hormones in the body and an increased burden on all organs during pregnancy contributes to its aggravation. Usually, the disease makes itself felt in the first three months of pregnancy, when the active laying of organs and tissues of the future baby. The most important thing in this case is close and confidential contact with the obstetrician-gynecologist: he will give valuable instructions on nutrition, lifestyle and taking appropriate medications to reduce the negative effect of a chronic illness on the course of a long-awaited pregnancy.
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