Properly prepare for pregnancy after 30. Modern pregnancy planning: where to start for a young couple? Important examinations for women and men

Pregnancy - an important event in a woman's life, for which she is not always ready. Something as simple as planning a pregnancy will help you avoid problems and have a healthy baby.

Many expectant mothers do not think about how to prepare for pregnancy. Often a woman finds out that she is pregnant after 7 weeks. This is the time of formation of the internal organs of the fetus. A planned pregnancy is mandatory so as not to endanger the baby.

Walkthrough:

  1. It is necessary to collect a family history, ask the doctor about the likelihood of the child inheriting diseases and the possibility of preventive measures.
  2. It is necessary to exclude active and passive smoking, the use of alcoholic beverages in advance. Otherwise, the risk of miscarriage and the development of pathologies increases.
  3. Some drugs can cause fetal abnormalities and should be stopped before conception. Only a doctor can determine whether medications are safe in a particular case.
  4. Before conception, you need to protect yourself from possible diseases, get vaccinated and cure existing infectious diseases. This will avoid serious deviations in the development of the fetus.
  5. To reduce the likelihood of neuro-cerebral disorders in a child, doctors recommend dieting and taking vitamins. Nutrition should include cereals, foods rich in calcium, iron and vitamin B9. Micronutrient deficiencies increase the risk of spontaneous abortion.
  6. Stressful situations and heavy physical exertion can cause miscarriage.

Features of conception depending on age

The reserve of eggs in every woman is limited and decreases with each cycle, as well as the ability to become pregnant. When planning a pregnancy after 30 years, you must first visit a gynecologist. The doctor will order tests. With age, diseases can occur that affect the success of conception.


How to prepare for pregnancy correctly: advice from doctors.

After 30 years, the ability to conceive does not cause serious concern. However, the following features should be taken into account:

  • The probability of spontaneous abortion reaches 15%.
  • At this age, a woman may develop chronic diseases that affect the course of pregnancy.
  • Preparation for conception should be more thorough.
  • Pregnancy usually occurs within a year of active trying. The probability of conception is 86%.

After age 35, fertility declines sharply. In connection with age, a number of problems also arise during conception and gestation of the fetus:

  • The risk of having a child with Down syndrome and other abnormalities increases by 3 times.
  • The possibility of childbirth without surgery is reduced to 60%.
  • There is an increased risk of ectopic pregnancy and complications.
  • The chances of conception are reduced to 78%. It is recommended to see a doctor after 6 months of trying.
  • The risk of inflammatory processes of the reproductive organs increases.

Conceiving at a later age has its advantages. The chance of multiple pregnancy is 1 in 3.

After 40 years, you can conceive a child, but the question is individual:

  • The aging of the eggs every year is faster. From 50% chances can drop to 2% in 3 years.
  • At this age, there is a risk of hypertension and diabetes.
  • Pathological processes in the placenta often lead to fetal hypoxia.
  • Stillbirths and premature births are on the rise.
  • The number of miscarriages reaches 35 - 50%.
  • With age, the partner's sperm quality deteriorates, which leads to the development of genetic abnormalities in the fetus.
  • The ability of the uterus to bear a child decreases.
  • Most eggs contain abnormal chromosomes.

Which doctors should be visited when planning a pregnancy and why

  • The most obvious answer to the question of how to prepare for pregnancy is to visit a gynecologist and a urologist. After the examination, the doctor will refer future parents for tests, prescribe other examinations in order to exclude the presence of an inflammatory process and infections. It must be remembered that sexually transmitted infections can be latent.
  • Therapist. The doctor will conduct a general examination of the woman's condition, check her blood pressure, make sure that there are no pathologies based on a general blood and urine test. Even slight inflammation during pregnancy can affect the fetus.
  • Otolaryngologist. A visit to the doctor will reveal chronic diseases of the nose, larynx, ear. Due to the weakening of the immune system during pregnancy, diseases can occur.
  • Dentist. Before pregnancy, it is recommended to cure the teeth in order to prevent possible inflammation and not expose the fetus to anesthesia and drugs.

How to prepare for pregnancy: factors you need to know.

When there are problems with conception, you will need to consult other specialists:

  • Nutritionist. Being overweight or underweight can cause complications during pregnancy and childbirth.
  • Geneticist. If there is a family history of genetic diseases, you should find out about the likelihood of abnormalities in the unborn child. The doctor will determine possible measures to reduce the risk of disease transmission.
  • Specialist physicians. If the expectant mother has chronic diseases, a visit to a highly specialized specialist is mandatory. The doctor will tell you about possible exacerbations during pregnancy and help to avoid complications.
  • Psychologist. Pregnancy and the year after childbirth is a difficult time for a couple. A conversation with a psychologist will help get rid of misunderstandings in relationships, clarify expectations, and make sure you are ready for a new role.

What is preconception preparation and why is it needed?

Pregravid preparation is a complex of advisory and therapeutic measures aimed at identifying and eliminating possible problems with conception and childbearing. Planning allows you to prepare a woman's body for pregnancy and childbirth, as well as prevent the appearance of pathologies in the fetus.

Even if a woman already knows how to prepare for pregnancy, preconception preparation should be resorted to under the supervision of a doctor. The process takes 3 to 6 months.

At the first stage of preconception preparation, a comprehensive assessment of the health of future parents is carried out., treatment of existing diseases. Inflammation and chronic processes during pregnancy can cause serious harm to both the mother and the fetus.

Careful diagnosis and preventive measures will reduce the risk of miscarriage, pathologies in the development of the fetus. Vaccinations and certain medications are recommended several months before conception, so it is important to take this into account when planning.

At the second stage, a woman is prescribed a complex of vitamins. The use of special preparations improves a woman's well-being and reduces the risk of developing diseases of the cardiovascular and nervous system in a child.

Your doctor may also advise you to change your lifestyle. You should give up harmful foods, alcoholic beverages, smoking, and certain medicines. Shown moderate physical activity.

The last step is early diagnosis. Studies conducted at this stage reveal developmental pathologies and deviations in the course of pregnancy. Identification of deviations on early stage will allow the process to be corrected.

Required tests

Preparation for pregnancy primarily consists in examining the condition of the mother, since the well-being of the development of the fetus depends on her health.

For achievement positive result necessary:

  1. Gynecological examination: examination of the cervix, cytological analysis, bacteriological culture, antibiogram, analysis for sexual infections are performed. An analysis for infection is also given by a partner.
  2. Blood test for HIV, hepatitis.
  3. Analysis for ToRCH infections - toxoplasmosis, rubella, cytomegalovirus, herpes. Infection with these viruses is dangerous for the fetus. If antibodies are found in the body, conception is contraindicated before undergoing a course of therapy. If a woman has not had rubella, she is vaccinated.
  4. General analysis of blood, urine.
  5. Biochemical analysis blood.
  6. Coagulogram.
  7. Analysis of the concentration of hormones in the blood. If the hormonal background fails, the ability to conceive decreases, problems may arise during pregnancy. The analysis is indicated for patients with impaired menstrual cycle previous failed pregnancies.
  8. Analysis of the blood group and Rh factor of both parents. A blood type or Rh conflict between mother and child can cause complications and requires careful monitoring.
  9. ultrasound. During the study, pathological conditions of the pelvic organs (polyps, tumor) are determined, which can affect the conception and development of the fetus.

Rejection of hormonal contraception

In order for the body to fully restore its functions, some time must pass after the abolition of oral contraceptives. After prolonged use of hormonal drugs, the work of the reproductive organs normalizes more slowly than after a short one.

It is recommended to bring the cycle to the end, after which you can begin to cancel. On average, this happens 3 months before the start of attempts at conception. In a healthy woman, discontinuation of hormonal contraception passes without side effects. In rare cases, there is a disappearance of menstruation.

The hormonal component of drugs can upset the balance of vitamins and minerals in the body. For the successful conception and development of the child, you will need to take vitamin and mineral complexes. In particular, it is necessary to compensate for the lack of iodine, magnesium, selenium, calcium.

Rejection of bad habits

An important step in preparing for pregnancy is the transition to a healthy lifestyle as a guarantee of the development of a healthy child. Changes should concern not only the expectant mother, but also the father. Alcohol abuse negatively affects the quality of spermatozoa and their mobility, provokes pathological changes eggs.

As a result, the chances of a child developing congenital diseases increase up to 50%. Men are advised not to drink alcohol 3 months before the intended conception, women - from 6 months to a year. In the first weeks of formation, the fetus is extremely sensitive to alcohol.

In addition to external defects, the child has problems of the central nervous system, developmental disorders of the intellect. The most severe case of the influence of alcohol is the development of fetal alcohol syndrome.

The disease is characterized by multiple anomalies of internal organs, deviations in development. The condition is irreversible.

Smoking is also a factor in the development of fetal pathologies and the cause of spontaneous abortion. This is due to the effect of nicotine on the female reproductive system. Toxins in tobacco smoke alter the genetic material of the egg.

Nicotine causes vasoconstriction, which leads to fetal hypoxia. As a result of smoking, a child is born weak, premature, with a weakened immune system, problems with the respiratory and cardiovascular systems. A smoking woman may experience improper attachment of the fetus, placental abruption.

Cleansing the body from the effects of smoking takes at least a year. Passive smoking should also be avoided, it is no less dangerous.

Vitamins to prepare for pregnancy

Before pregnancy, it is necessary to restore the balance of microelements in the woman's body, as these substances will nourish the fetus. The lack of vitamins and minerals before conception will cause a deterioration in the condition of the teeth, hair, skin during childbearing.

Due to unhealthy environment and malnutrition, the use of special vitamin complexes is indicated for all women planning a pregnancy.

Mandatory complex includes:

  • Folic acid. Recommended to both partners. It is a must-have vitamin for women before conception and up to 12 weeks of fetal development. Taking folic acid (vitamin B9) will prevent delays in the development of the child, ensure the correct formation of the nervous system. Folic acid also influences the formation of the structure of spermatozoa with good mobility and proper functioning.
  • Vitamin A. Strengthens a woman's immunity, improves skin and hair. Participates in the formation of the placenta and membranes of the fetus.
  • Vitamin B1. Improves the state of the nervous and cardiovascular systems. Prevents toxicity.
  • Vitamin B2. One of the vitamins necessary for the formation of an unborn child.
  • Vitamin B6. Forms the nervous system of the fetus, strengthens the immunity of the mother.
  • Vitamin C. Increases immunity, prevents the risk of miscarriage.
  • Vitamin D. Promotes the rapid absorption of calcium in the body. Forms the bones, teeth, muscle tissues of the child.
  • Vitamin E. Normalizes the functions of a woman's reproductive system, reduces the likelihood of miscarriage, missed pregnancy, and developmental pathologies.

In addition, a woman's body needs minerals. Iodine deficiency can provoke miscarriage, disorders of the nervous system. Iron prevents anemia, placental insufficiency.

Power correction

Proper nutrition will allow you to normalize the content of trace elements in the body in a natural way and maintain balance throughout pregnancy.

You need to include the following foods in your diet:

  • fish varieties high in omega-3 fatty acids, walnuts, linseed oil;
  • foods high in iron: meat, eggs, dairy products, legumes, apples, pomegranates;
  • fish and seafood to compensate for iodine deficiency;
  • whole grain cereals;
  • whole wheat bread;
  • vegetables;
  • nuts;
  • berries high in vitamin C;
  • vegetable oils.
  • coffee and tea in large quantities remove folic acid and iron from the body;
  • sugar and products with its high content;
  • flour;
  • fast food;
  • soy products;
  • foods high in animal fats;
  • carbonated drinks.
  • products without heat treatment: meat, eggs, fish;
  • products with artificial colors and preservatives;
  • spicy, smoked;
  • alcoholic drinks.

Normalization of body weight

Overweight can cause an imbalance of hormones, problems of the cardiovascular system, the appearance of shortness of breath, increased fatigue, severe swelling. Get rid of excess weight will help the use of foods high in fiber, vegetables, fruits, fermented milk products.

It is necessary to give up flour, sugar, drink more water. In no case should you starve, give up fats, meat products. The diet must be balanced so as not to harm the body.

Physical activity combined with proper nutrition will allow you to quickly reach the optimal weight and prepare the body for pregnancy.

Lack of weight can affect the ability to conceive and bear even more than excess. In women with low weight, irregular menstruation, missed pregnancies are observed. High-calorie foods will help increase weight: vegetable oils, fatty fish, cereals, seeds, nuts, legumes, full-fat dairy products, bananas.

Physical training

Heavy physical activity negatively affects the ability to conceive. The body is depleted, disrupting the hormonal balance. Gymnastics, yoga, dancing will help keep the body in shape when planning pregnancy. The muscles of the back and abdomen should be strengthened, this will reduce the likelihood of problems during gestation. lovers active rest They can run, walk, swim.

Pay attention to cardio exercises. They train the cardiovascular and respiratory system.

At the final stages of planning, when pregnancy is possible at any time, jumping and any activities that involve the risk of being injured are excluded. You can do swimming, Pilates, yoga, body flex, while avoiding overexertion and abdominal exercises.

The simplest exercise to strengthen the muscles of the pelvic floor can be performed almost anywhere. It is necessary to tighten the muscles of the buttocks and keep them in tension for 5 seconds. Do several approaches with breaks of 10 seconds.

Stretching exercises are important. You can train the plasticity of the muscles while sitting on the floor, connecting the feet and pulling them to the body. The purpose of the exercise is to touch the knees to the floor.

Psychological preparation

Not everyone knows how to prepare for pregnancy psychologically and why to do it. The appearance of a child inevitably changes the lifestyle of parents.

Getting through pregnancy and adapting to change without stress will help mental attitude:

  • Harmonization of the internal state. Constant stress, aggression affect the ability to conceive. To conceive and bear a healthy and happy child, a woman must protect herself from negative emotions. Difficulties should be approached calmly and balanced. A harmonious internal state will make the solution of one's own problems. On emotional condition women during pregnancy are also affected by physiological changes, the features of which the man does not know. Partners must get rid of misunderstandings among themselves. Psychological consultation, trainings will help future parents become united and patient.
  • Set up for pregnancy. A child should be planned when both parents are ready for it. You need to understand that a child is a big responsibility. It will take a lot of time and effort to educate him. Relationships in a couple will also be tested, which can only be passed together.
  • Psychological relief. Pregnancy is a difficult time. Vacation before planning will help to relax and tune in to positive emotions. Reduce psychological pressure stable financial condition and harmony in relations between partners.

Pregnancy after a miscarriage

A miscarriage is a difficult test for a married couple. Some do not know how to mentally prepare for pregnancy, they are afraid of repeated disappointment.

It is important to plan a pregnancy after a spontaneous abortion, observing the following recommendations:

  1. From the moment of miscarriage, you should wait from 6 months to a year.
  2. To identify the cause of miscarriage, a full examination of both partners is recommended. In addition to the tests necessary for planning any pregnancy, they take a genetic analysis and an analysis for the biological compatibility of blood.
  3. Before planning a conception, both a woman and a man must undergo a course of preventive procedures.
  4. You should not blame yourself or your partner for what happened and be afraid of pregnancy. Proper preparation will avoid such a situation. If the anxiety does not go away, you need to talk with loved ones or visit a psychologist.

How to prepare for conception after a missed pregnancy

With a frozen pregnancy, the fetus stops developing and dies. The cause may be a genetic pathology, hormonal disbalance, infection.

  1. The first thing to do after the death of the fetus is to determine the cause. Doctors perform a histological examination of the tissues of the fetus.
  2. Both partners are sent for tests: genetic examination, ultrasound, examination by an endocrinologist, immunologist, hormonal examination.
  3. Conception after curettage is possible almost immediately, but you must first restore the hormonal background and undergo treatment. It is recommended to plan a new pregnancy in six months or a year.
  4. A woman should strengthen her immune system, give up bad habits.

Proper preparation - necessary condition easy pregnancy. To protect both mother and child from health troubles, planning should be approached responsibly.

Video on how to properly prepare for pregnancy

How to properly prepare for pregnancy after 30:

How to prepare for the conception of a child after a missed pregnancy:

myths

First of all, I would like to dispel myths - the expectant mother already has enough reasons to worry (some doctors of the "old school" like to "warn" about the many difficulties of pregnancy at 30), why focus on far-fetched fears.

“Getting pregnant and having a baby after 30 is more difficult.”

This statement is more suitable for women aged 35-45.

From birth to adulthood, our body develops, flourishes, and then begins to age. In all functions of the body, organs, at the level of cells, gradual age-related changes occur. And yet, 30-35 years is the period when a woman can still conceive and bear a child without any problems. Despite the fact that the risk of termination of pregnancy (miscarriage) grows from 7% (among women 20-29 years old) to 18%.

Risks during pregnancy, complications, difficulties associated with bearing depend on the individual physiological characteristics of the body. If by this age you have acquired bad habits, lead a passive lifestyle and have a bunch of health problems, including in the female line, there will be problems. You can reduce the risks if for the sake of the future baby and start planning pregnancy. If you are young at heart, take care of your body and health, continue to take care of yourself and boldly start planning a pregnancy.

Theoretically, risks are possible in both cases, but under the supervision of a doctor, they can be avoided or minimized (in most cases, not counting diseases that are inherited).

“You can’t have a healthy baby after 30”

The risk of giving birth to a baby with pathology (chromosomal abnormalities) is present in and due to heredity. A geneticist will help dispel fears, perhaps there were no such diseases either in your family or in your spouse's family. And if they were, it is not at all necessary that they will be passed on to your baby. But in extreme cases, after visiting a specialist, both of you will have a choice and the opportunity to discuss it to the “point of no return”.

“Pregnancy after 30 years will end only by caesarean section”

There are indeed more indications for a caesarean section in women over 30, but the reasons lie in the state of health, and not in age. If you are morally determined, and the state of the reproductive system is assessed as satisfactory (at least without adhesions, with good muscle tone, the correct position of the uterus), you can give birth yourself, without surgical intervention. Another thing is if you have already had a caesarean section ...

“After such a pregnancy, I will lose physical attractiveness”

When your beauty or the birth of a child is on the scales, some women will prefer the former. I have no right to judge them. But such a statement of the question is fundamentally wrong. You should not be afraid to give birth: if you are confident in your own abilities, you can return your body to its previous shape. If a woman did not take care of herself before childbirth, is not going to do it after, then even at the age of 20, pregnancy may end in a loss of shape. Everything is in your hands, and yours. Of course, changes cannot be avoided, but they can occur in positive side. Many women over 30 note that "late" pregnancy has affected them in a positive way. These women became happy mothers and remained attractive because:

  • take care of the intake of calcium in the body during pregnancy in sufficient quantities,
  • we took care of increasing the elasticity of the skin and thus were able to avoid stretch marks, deterioration of the teeth and sagging breasts.

“A child will not be happy with elderly parents”

There are no grounds for this fear at 30 with a ponytail. The problem of fathers and children will manifest itself with any difference in age. But your maturity, wisdom will play into your hands. It is not easier for young parents to understand their child, they are still concentrated on their own desires (they themselves have not yet walked up, have not traveled). Your relationship with will depend on the ability to interact with the child.

Data

chronic diseases

After 30, many women already have chronic diseases. During pregnancy, they go into the stage of exacerbation. The risks are hidden in incorrect, careless treatment or in its absence. You can not take the usual pills (which have already been taken to relieve the exacerbation) without the supervision of a doctor. Only an experienced specialist can prescribe the necessary and sufficient dose to a pregnant woman, track changes in the body after taking the medication.

If you refuse treatment, the disease can lead to complications, and they, in turn, can recognize premature birth. Since we are talking about the health of mother and baby, it is necessary not only to consult a doctor without fail, but also to approach with all responsibility the choice of a good specialist - an experienced, decent, responsible one.

Possible complications

At the age of 30, the list of theoretical complications during pregnancy expands significantly. The expectant mother may experience (or may not experience) various disorders in the functioning of the body, health problems. The likelihood of their occurrence increases if there are prerequisites for this - a genetic predisposition, bad habits, excess weight, passive lifestyle.

What should be mentally prepared? TO high blood pressure during pregnancy, varicose veins, edema, pain in the lumbar region and kidney failure.

Not the first birth

A certain stability during the course of pregnancy at 30 can be expected if the child is no longer the first, but the second or third. Many midwives noticed: the body "remembers" past experience and "acts" in almost the same scenario.

Recover from previous births

The risk of complications during pregnancy at the age of 30 increases if the body "did not have time" to return to normal after the previous birth (it takes 1.5-3 years to recover).

In the female body at the age of 30+, more follicle-stimulating hormone is produced, because of it, during ovulation, instead of one, two or three eggs can mature. The chance of getting pregnant with twins increases by 3-4 times. This news will please many, but remember that with multiple pregnancies, the risks of complications increase.

Planning and preparing for pregnancy: minimizing the risks

From all that has been said, it is worth making the main conclusion - good preparation will give every chance of having a healthy baby. For the sake of the health of the unborn child and your own peace of mind, before conception is:

  • bring the body into tone (not only pump up the press, but also intimate muscles)
  • undergo a complete examination of the body to identify all the risks, be sure to go to the gynecologist, visit the genetics (to learn about hereditary diseases and inform the obstetrician-gynecologist later, he will monitor the signs in order to warn you in time)
  • carry out prophylaxis if there are chronic diseases, cure teeth and “sores” that can be cured
  • prepare mentally for the fact that conception will not occur immediately (2-6 months, not 1, as in 25 years for most women)
  • find a good obstetrician and gynecologist and follow the doctor's recommendations exactly,
  • take care of during pregnancy balanced diet, the intake of vitamins in your body and the normalization of your emotional state.

The reason for refusing pregnancy after 30 years, if desired, can be found. But if you really want to experience the happiness of motherhood (for the first time or again), remember, a lot depends on you. With good preparation, responsible behavior during pregnancy, you have every chance to give birth to a healthy baby and maintain your health.

Pregnancy is a wonderful time in every woman's life. Times have changed, and now having a first child at 30 is not a problem. There would be desire and health. How to plan a pregnancy after 30 years, what is the complexity of such a pregnancy - you will learn in this article.

Modern world causes early physical development of a person. At the same time, the successful social component loses significantly in comparison with past times. Self-support for oneself and the family is a work that not everyone can do. Therefore, the birth of a child is often postponed until better times.

First pregnancy after 30 years

The first child in 30 years is a frequent occurrence in our time. It used to be that such mothers were called “old-timers” and a lot of complications were predicted. Now pregnancy after 30 years is the norm, which has its pros and cons.

Possible risks of a first pregnancy at this age may include:

  • The threat of spontaneous abortion (miscarriage). Over time, the uterus loses its ability to hold a fertilized egg.
  • Severe preeclampsia (late toxicosis) is a serious complication that occurs in the middle of pregnancy. Symptoms of preeclampsia are the presence of a significant amount of protein in the urine, swelling, high blood pressure.
  • Unproductive labor activity. This is due to the fact that the birth canal loses elasticity with age. In this case, the solution to the problem is a caesarean section.
  • High risk of having a child with Down syndrome.

How to prepare for pregnancy after 30

Pregnancy at 30 and the first child is not a reason to worry. Stressful situations are now contraindicated. The main thing is the right emotional preparation. Hormonal changes caused by disorders affect the development and formation of the embryo. Physical training necessary step on the way to a happy birth.

Strengthening the muscles of the pelvis and the anterior abdominal wall normalizes weight, speeds up metabolism and facilitates the process of childbirth.

Preparing for pregnancy after 30 takes time and effort. The advantages of such a pregnancy will be:

  • Most often, pregnancy after 30 years is desired and planned. Future parents have a sufficient material base for the birth and full-fledged upbringing of the baby.
  • The time of the so-called "maternal fever" is over. This life period does not require proof of the exclusivity of your child. Mom, who is over 30 years old, takes care of the child and rejoices in his success.
  • Life experience allows you to analyze and act in a balanced way. Young mothers often use other people's advice or act intuitively.
  • Late pregnancy provides a surge of hormones that can rejuvenate the body.

The disadvantages of pregnancy after 30 years can be considered:

  • Conception will not be quick. This is due to a decrease in the number of eggs capable of fertilization.
  • The risk of not carrying a pregnancy and giving birth to a child with abnormalities increases.
  • Chronic diseases during an exacerbation can affect the course of pregnancy.
  • There is a high probability of having twins or triplets, which will cause an incredible burden on the body.
  • Caesarean section is often the only way to have a safe delivery at this age.

Planning for pregnancy after 30 years requires:

  • Medical examinations. Treatment as needed.
  • The expectant mother must understand that good rest during this period is the main thing. A properly balanced diet and normalized physical activity are also necessary.
  • Exact implementation of the doctor's recommendations is the key to the health of mother and child.
  • Trust in the doctor and confidence in his professional competence. In many cases, childbirth after 30 years of age proceeds with complications, they can be postponed or accelerated according to indications. Also only possible solution may be a caesarean section. Therefore, it is important to trust your doctor.

A woman over 30 years of age who is in a normal physical condition and does not have chronic diseases has a slightly increased risk.

For various reasons, many women are increasingly thinking about a child already at a fairly mature age. They believe that before having children, it is necessary to acquire their own housing, build a career. That is why the question of how to prepare for pregnancy after 30 years is heard by gynecologists more and more often. Consider the main aspects, talk about the nuances that must be observed when planning a pregnancy.

How to prepare for pregnancy after 30?

First of all, a woman should consult a doctor for a number of examinations. In addition, doctors advise adhering to the following set of rules:

  1. Consultation, examination in a gynecological chair. This stage is the initial one, it allows you to accurately determine the violations that can become an obstacle to conception (polyps, cervical erosion, etc.).
  2. Pass and from the urethra. Using these laboratory methods, it is possible to identify hidden infections genital tract, among which the genital tract predominates: gonorrhea, trichomoniasis, syphilis, etc.
  3. Examination of the sexual partner. The health of the future dad is an important factor for successful conception. Ideally, when a spouse, together with his wife, undergoes an examination, takes smears from the urethra.
  4. Taking stimulants. In cases where a woman has a violation, infection, an appropriate course of therapy is prescribed. If there are none, the expectant mother is healthy, they take vitamin complexes, minerals to restore their balance in the body: Elevit pronatal, folic acid, Vitrum, etc.
  5. In about 2-3 months they produce a complete the abolition of oral contraceptives, remove the intrauterine contraceptive.
What are the risks of late gestation?

Having figured out how to prepare the body for pregnancy after 30, it must be said that this process itself is accompanied by many dangers at this age. These should include:

  1. Weak labor activity. Many women in their thirties, closer to 35 years old, are faced with a violation of the birth process.
  2. High risk of developing pathologies in the baby. It has been scientifically proven that after the age of 35, the likelihood of having children with a genetic pathology increases: Down syndrome, trisomy, polysomy, etc.
  3. Long recovery period. The process of childbirth for the female body is a great stress, which it cannot always cope with. As a result, exacerbation of chronic infections and diseases.

As soon as a married couple decides to have a child, it means that they have already undergone moral preparation and are fully prepared for these changes in their lives. When planning a pregnancy, not everyone knows where to start and what important points take account.

When planning a pregnancy, there are several risk factors:

  • age restrictions(doctors recommend giving birth to women from 20 to 35 years old, after 35 years old women may experience a decrease reproductive function);
  • weight category(increase and decrease in weight in a woman provokes hormonal disruptions, against which there may be a problem with conception);
  • health problems(diseases of the endocrine system, diabetes, kidney disease, asthma, epilepsy);
  • infections associated with the reproductive system(herpes, gonorrhea, syphilis, chlamydia, etc.);
  • harmful professional activity (contact with harmful substances such as mercury, radioactive dust, pesticides);
  • constant reception medicines ;
  • reception alcohol and smoking when planning pregnancy and bearing a child;
  • usage narcotic substances;
  • stressful life situations(influence the formation of ovulation).

Basic steps to prepare for pregnancy

Pregnancy planning (where to start and how to continue, not every woman understands) must be started as early as possible.

It takes place in several stages:

  1. First you need to make a trip to a qualified gynecologist. Together with the woman, her partner must also be checked by doctors. This is necessary in order to exclude implicit pathological processes in each of the partners.
  2. If a couple who wants to have a child has relatives who have children with pathological abnormalities, then you should definitely visit a geneticist.
  3. An important factor is the psychological attitude. Without it, the functions of the body may not work to the full extent, namely, delay the process of conception.
  4. Correction of the diet, especially if a woman is overweight or, conversely, underweight, is also an important component in planning pregnancy.

When to start preparing for conception

As soon as the couple is psychologically ready, and the main part of the doctors has been passed, you can start planning pregnancy.

Which doctors should be visited

Pregnancy planning (where to start preparing, the obstetrician-gynecologist will tell you - he is the most important doctor who will help to conduct a long-awaited pregnancy before the birth of a child) necessarily includes a comprehensive examination by a number of doctors.

When the question is “Planning pregnancy: where to start?”, It should be said that, first of all, a woman will need to visit a number of doctors, starting with a gynecologist

Doctors you need to visit before planning a pregnancy include:

  • gynecologist;
  • therapist;
  • specialist in endocrine diseases;
  • dentist;
  • mammologist;
  • geneticist;
  • nutritionist (if there are problems with weight);
  • ophthalmologist

What examinations to pass

A complete examination of the body before conception is a significant contribution to the successful course of pregnancy and childbirth. It will help to identify pathological processes that can go unnoticed by a woman and prescribe treatment in time.

Most importantly, you need to be examined for the presence of pathological processes and infections. associated with the reproductive system, examine the pelvic organs, examine endocrine system, conduct an extensive blood test and check the readiness of the mammary glands to feed the baby.


If necessary, a woman planning a pregnancy is prescribed histological examination of the cervical canal

If necessary, laboratory studies of the histology of the cervical canal are carried out. If conception does not occur, studies of the hormonal background and the state of the thyroid gland are separately assigned.

Hormonal studies include:

  • hormonal background of the thyroid gland;
  • progesterone;
  • testosterone.

What tests are required

Pregnancy planning (where to start the doctor will tell you at the consultation), including testing, is for a woman who wants to give birth without problems and negative consequences, since a colossal burden is placed on the body of pregnant women. All appointments for examinations are issued by a doctor.

Mandatory tests and studies that need to be done before conception:

  • blood test for antibodies to childhood infections;
  • rhesus conflict;

Blood test for different indicators- one of the main when planning pregnancy
  • for toxoplasmosis;
  • herpes;
  • hepatitis;
  • biochemistry;
  • chlamydia;
  • PRP survey;
  • fluorography;

What drugs to take

Pregnancy planning (where to start should be known to every woman) is a process that not every girl is dedicated to. Saturation of the body with the necessary vitamins before pregnancy should be carried out not only with the help of food, but also with the help of special preparations that will help a woman give birth to a healthy child.

Folic acid is given to every woman before she starts planning for pregnancy. In addition, this drug is prescribed for pregnant women. It is necessary for the proper formation of the organs of the unborn child. According to statistics, women who took folic acid before conception do not experience miscarriage and stillbirth.


Foods containing folic acid

Vitamin E contributes to the formation of healthy eggs. It also helps to produce the right amount of progesterone, which is good for maintaining pregnancy.

Vitamin C helps boost immune cell activity. This is necessary so that in the process of bearing a woman does not get sick viral infections.

The drug Iodomarin is usually prescribed after a visit to the endocrinologist. But in fact, this drug accompanies women both in planning and in carrying a child.


Magne B6 relieves uterine tone

Magnesium is able to have a beneficial effect on the tone of the uterus and the flow of menstruation. If during pregnancy there is a lack of this substance, then the woman will feel a breakdown, a headache. In extreme cases, there may be a threat of premature birth.

Multivitamins are preparations that contain a vitamin complex necessary to provide the body with all the necessary elements. If they are taken correctly, then the body will postpone the components it needs, which are necessary for the expectant mother.

How to prepare for conception after a missed pregnancy

After a frozen pregnancy, it is necessary to start planning the next one only when the body is fully restored. The attending obstetrician-gynecologist will help to understand this.

According to most doctors, most best option if at least six months have passed since the termination of a previous pregnancy. But this period can be extended for some time on the recommendation of a doctor.

The onset of ST is not a simple everyday outcome, first of all, it is a complication associated with the health of a woman. It is necessary to pass a comprehensive examination prescribed by the attending physician. After a frozen pregnancy, if no pathologies are found on the part of the parents, it is possible to conceive a child with an accuracy of 99.9%.

If the STD is associated with deviations in the health of a married couple, then the planning of the next child is postponed for that period of time until the body is fully restored.

After a frozen pregnancy, you must undergo the following examinations:

  • Ultrasound of female organs;
  • smear for infection;
The procedure for taking a swab for infection
  • blood test for homocysteine;
  • examination for the presence of autoimmune bodies;
  • a blood test for the presence of antibodies to rubella;
  • a complete examination of the organs of the endocrine system.

How to prepare for conception after a miscarriage

A miscarriage is psychologically and physiologically significant event. On a psychological level, he can cause severe damage to a woman.

In order for the next pregnancy to proceed well, several rules must be observed:

  • Lead a healthy lifestyle.
  • If possible, do not take any medications.
  • Do not be stressed, live in a calm and moderate rhythm.
  • Do not do hard work and give up sports for a while.
  • Do not come into contact with sick people.
  • Eat only healthy food and vitamin complexes.

If the miscarriage was late term, you need to start planning the next pregnancy only 2 years after the previous pregnancy, so that there is no recurrence.

After the abortion

After the pregnancy was terminated by abortion, the next conception should be planned only when three months have passed. That is how much time is needed for the full restoration of all functions in the body.


Curettage of the uterus after a missed pregnancy

If a woman wants to endure and give birth to a healthy child, it is necessary to inform her doctor about the reason for the abortion. After everything is clarified and the recovery period passes, it is necessary to constantly monitor the woman during the first trimester of pregnancy.

Important! There is no need to delay registration, the sooner a woman does this, the more likely she is to give birth, as expected, on time, to a healthy baby.

After an ectopic pregnancy

If the previous pregnancy was ectopic, then you can get pregnant and give birth to a healthy child with strict adherence to all the recommendations of the doctor.

After undergoing surgery to remove the embryo due to ectopic accession, a woman must carry out a comprehensive examination, namely, an ultrasound of the pelvic organs. This is necessary to check the condition of the tubes suitable for the uterus. The next examination should be a visit to the endocrinologist.

The study of patency of the fallopian tubes is also an important procedure. after the pregnancy ended with an ectopic attachment.

After all doctor visits are over, It is best to plan conception with the following actions:

  • conduct control tests for ovulation;
  • measure basal body temperature.

Types of ectopic pregnancy

Attention! It is necessary to plan the next pregnancy after at least six months have passed since the last conception. It is necessary to be protected hormonal drugs, they will also help balance the cyclicity of menstruation.

After laparoscopy

After laparoscopy, the recovery of the body occurs within 60 days. Only after such a period of time should you start planning a pregnancy. According to statistics, pregnancy occurs within the first year after laparoscopy.

Important! In the first trimester of pregnancy, a woman who has undergone laparoscopy should be under the full control of an obstetrician-gynecologist.

After cesarean

Planning a pregnancy after a caesarean section is possible, but this requires a thorough examination. Where to start, many women do not know. Only after that a woman is able to endure and give birth to a child.

Whether a woman can give birth after a cesarean is decided solely by the attending physician. He will assess the condition of the scar after the operation and give detailed recommendations.

Doctors do not recommend early pregnancy planning after surgery. Careful contraception should be taken in the early stages, as the suture will fail for some time after the operation and cannot withstand stretching.

Indications for caesarean section

The condition of the scar can be checked with:

  • gynecological examination;
  • hysterography;
  • hysteroscopy;

The next pregnancy is possible only if the uterine scar after the operation is fully formed. According to the results of examinations, it should be visually barely noticeable.

Attention! The onset of pregnancy is unacceptable if three caesarean sections have been performed. Most often, women in this case are prescribed contraceptives or do tubal ligation.

Features of pregnancy planning after 30, 35, 40 years

Today, planning a pregnancy after 30 years is normal and familiar. First of all, this is due to the fact that a woman wants to initially make a career, and only then start a family and children. According to doctors, after this age, a woman is considered old-bearing.

Planning at 30 is no different than planning at 20. Drugs are also prescribed to help replenish the body. useful substances and initial surveys.


The chances of conceiving and giving birth to a child after 35 years of age are reduced primarily due to a decrease in egg activity.

As for women after 35 years, the chance of conceiving a child is halved.

Doctors attribute this to several factors:

  1. At this age, egg activity decreases several times.
  2. Attachment of eggs to the uterine walls is difficult due to changes in the mucosa.
  3. Irregularity of menstruation.
  4. The occurrence of polycystic and endometriosis.

Forty-year-old women can also carry and give birth to a child, but conception is also affected by a number of factors that are listed above. They are also joined by the onset of menopause, and this is the complete cessation of menstruation. Without it, pregnancy is impossible.

How to increase the chance of pregnancy

If a woman is healthy, then the onset of pregnancy occurs independently without difficulty. This may take several attempts, but pregnancy will still occur.

There are several methods that will help bring the long-awaited conception closer:

  • Calculation of ovulation dates. To do this, you need to purchase an ovulation test at a pharmacy and conduct a study on the expected days. Another way to calculate ovulation is to measure your basal body temperature.

To do this, you need to measure the temperature in the rectum every day in the morning. All data is recorded and in a month you can predict the ovulation schedule. If there is a rise in temperature and this falls in the middle of the cycle, then this is a “super” day.

  • Diet adjustment. Sometimes there is too little or too much nutrients can significantly affect the state of the reproductive system. Proper Diet contributes to the rapid onset of pregnancy.

To do this, you need to eat red fish and seafood. Fruit consumption should also be in the first place for a woman who wants to get pregnant. It is necessary to exclude coffee and carbonated drinks from the diet.

  • Healthy lifestyle. Complete abstinence from alcohol and smoking. Moreover, this rule must be observed by both future parents.
  • The use of multivitamins. All appointments are made by the attending physician after a complete examination. Only he will be able to correct the intake of vitamins after certain tests.
  • Psychological mood. It is necessary to remove all stressful situations from life. Stress promotes the release of hormones that can block a woman's reproductive system. Those who strongly desire to have a child should let go of the situation, because this is also considered a psychological burden, which is equated with stress.

How to use the calendar planner

Calendars have been developed to help women plan their pregnancy. They contain both the graph itself and useful advice expectant mother. Such calendars help determine the day when ovulation is at its peak.


Pregnancy planning calendar allows you to choose the sex of the child

Ovulation is the maturation of the egg and the complete readiness for fertilization. If a woman's cycle is constant and does not change, then ovulation occurs at the same time every time. It happens that in some women, due to some pathological process, ovulation does not occur or occurs, but always on different days.

The calculator-planner will help you reflect the ovulation schedule and decide which days are most favorable to conceive a child. To do this, you need to enter the date of the last ovulation in a special field, after which he will independently calculate the next auspicious days.

Planning the gender of the child

It is necessary to prepare in advance for the birth of a child and not only undergo examinations, but also plan the future sex of the child.

There are several ways to plan the floor:

  • Calculate ovulation. There is an opinion that if it is necessary to conceive a girl, it is necessary to have sexual intercourse a week before ovulation, and if a boy is planned, then sexual intercourse should be as close as possible to the “super day”.
  • Blood renewal. You can make a mathematical calculation, for this you need to take the age of the father and divide it by 4, and divide the age of the mother by 3. Whose value is less, this sex will be the unborn child.

In vitro fertilization (IVF) helps childless couples become happy parents, while choosing the sex of the unborn child
  • IVF procedure. Carrying out such a procedure, you can accurately plan the gender of the future baby. In laboratory studies, cells of a girl or a boy are selected by specialists. This procedure is suitable for those couples who cannot conceive a child on their own. It is quite expensive, about 250 thousand rubles.

What should a future father do?

When planning a pregnancy, the future dad also needs to follow a number of rules:

  • Undergo a complete examination for the presence of pathologies and genital infections.
  • Refrain from drinking alcohol and smoking.
  • Follow a certain dietary regimen to increase sperm productivity.
  • Do not succumb to stressful situations, this can adversely affect the expectant mother, as well as the reproductive function of the man himself.

Not every woman is able to immediately determine where to start preparing for pregnancy. Pregnancy planning is a diverse and complex process.

Article formatting: Natalie Podolskaya

Video about pregnancy planning

Video about pregnancy planning - where to start:

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