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IS A HEALTHY PREGNANCY POSSIBLE AT THE AGE OF 45?
Pregnancy after the age of 45 is rare and its risks are greater. However, a healthy pregnancy at the age of 45 is not impossible. If you’re 45 and over and you’re pregnant, there’s a lot to think about, like the benefits of being an older mother. You probably know yourself better than a 20-year-old now. It means there are more life experiences to consider.
Many 45-year-old women have had a healthy pregnancy and have given birth to healthy babies. However, there are also some things you need to think about at this point. And, you need to make sure you get good care before giving birth.
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CHANCE TO GET PREGNANT NATURALLY AT 45
Yes, it is possible that you will become pregnant at the age of 45. However, your chances of getting pregnant by natural means have decreased. A woman’s fertility time begins between the late teens and early 20s for the first time. By the mid-30s, your chances of having children and your fertility begin to decline.
From the end of the 30s, especially after the age of 40, the decline in fertility occurs faster. This is because a woman’s egg count begins to decrease with age. Also, by age 45, the remaining eggs are also at a higher risk of having chromosomally abnormalities. Therefore, the chances of a healthy pregnancy are lower. This, in turn, means an increased risk of miscarriage. A 45-year-old woman also has a higher risk of having female diseases that can affect her fertility.
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HOW CAN THE MEDITERRANEAN IVF TREATMENT HELP?
IVF in Turkey fertility rate of women 40 and older is lower than that of younger women. In addition, fertility treatments such as IVF treatment have a lower chance of success.
As couples try to have children naturally, the fertility problem reduces the chances of success. This is due to reduced egg quality. In women aged 40 and over, the issue that reduces the chances of success in treatments such as IVF is both the amount of eggs and the quality of eggs.
Egg quality is the most critical factor determining embryo quality. If more than one embryo can be taken in the entire baby treatment, the best for rahmr transfer can be selected. As the age of the woman progresses, the rate of chromosomal abnormalities in the eggs also increases.
An average of 30% of a 30-year-old woman’s eggs are chromosomally abnormal. At the age of 40, this figure increases to 60% and at the age of 45 to 90%. A study of 200 thousand women in America shows that infertility increases as women age progresses.
- From the age of 30, the chances of a live birth drop according to a woman’s age.
. - Around 38 years of age, egg quality and quantity drops rapidly.
. - At the age of 44 and older, the chances of IVF treatment are significantly reduced. The success rate using the woman’s eggs is around 1% per trial.
Another study at the medical park was conducted in 2020 examined the IVF cycle of 6841 women aged 42 and over. Of these, 11% resulted in pregnancy and only 6% resulted in a live birth.
Almost half of pregnancies can be seen to result in miscarriages. Only 9% of embryo transfers in this summer’s group resulted in live birth. In contrast, the live birth rate in women aged 38-40 was 28.5% of embryo transfers resulting in live birth.
From here, it is seen that the pregnancy rate with IVF treatment in women aged 42 and over is less than 5%. At 45, the rate is even lower.
Still, remember that a normal and healthy pregnancy is possible at the age of 45. Throughout pregnancy, you should have good prenatal care, eat well and adopt a healthy lifestyle. If you take care of yourself for 9 months, your pregnancy can be as smooth as that of a younger woman.
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45-YEAR-OLD PREGNANCY CHECKS
Proper care and follow-up throughout pregnancy is an important way to keep both yourself and your baby healthy. The goal here is to see a doctor regularly so that your health can be taken care of. In this way, your doctor can help you prepare for childbirth in the most accurate way.
If there are problems that may occur during your pregnancy, it can be checked through a physical examination, blood tests, and ultrasound. As with any woman who is pregnant, you should pay attention to the following;
- A healthy diet.
. - Folic acid and vitamin D supplements.
. - Quitting smoking and alcohol.
. - Screening tests.
. - Stress management.
. - Control of existing diseases
You may also want to talk to your doctor about other aspects of your life, such as exercise, work, sleep, or travel parental care for pregnancy at age 45.
Everything about prenatal care for pregnancy at the age of 45 is the same with young women. But there are also some things that are more common for a 45-year-old woman. Because a 45-year-old woman has a greater risk of having the following;
- Low.
. - High blood pressure and pregnancy test.
. - Premature birth.
. - Having twins and even triplets.
Therefore, good prenatal care is even more important.
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GENETIC CONDITIONS
Women aged 40 and over are more likely than others to have a child with a genetic condition such as Down syndrome. You can talk to your doctor about the possibilities and what you want to do about it.
There are tests that you can do to find out. However, none are mandatory, and they are personal choices. If you want, you can have early screening tests such as ultrasound and / or blood tests.
Risks for Mother and baby for pregnancy at 45
Being a mother at an advanced age carries some risks. If you’re a 45-year-old pregnant woman, some risks are even higher;
- Gestational diabetes.
. - Preeclampsia.
. - A complication with the placenta.
. - Premature birth.
. - Having a longer workforce.
. - Chromosomal abnormalities (the chance of having a baby with Down syndrome at age 45 is about 1 in 35).
. - A baby with a low birth weight.
. - Low.
. - Ectopic pregnancy.
. - Stillbirth
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WHEN SHOULD SHE CALL THE DOCTOR?
When you get pregnant at 45, things seem a little more difficult. And for nine months, you need good prenatal care. If there seems to be a problem, you can have diagnostic tests, such as amniocentesis. If you think there are any problems, feel free to contact your doctor in Turkey.
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Turkey's world-renowned organ transplant specialist. Dr. Demirbaş has 104 international publications and 102 national publications.
Physician's Resume:
Born on August 7, 1963 in Çorum, Prof. Dr. Alper Demirbaş has been continuing his work as the President of MedicalPark Antalya Hospital Organ Transplantation Center since 2008.
Prof. who performed the first tissue incompatible kidney transplant in Turkey, the first blood type incompatible kidney transplant, the first kidney-pancreas transplant program and the first cadaveric donor and live donor liver transplant in Antalya. Dr. As of August 2016, Alper Demirbaş has performed 4900 kidney transplants, 500 liver transplants and 95 pancreas transplants.
In addition to being the chairman of 6 national congresses, he has also been an invited speaker at 12 international and 65 national scientific congresses. Dr. Alper Demirbaş was married and the father of 1 girl and 1 boy.
Awards:
Eczacibasi Medical Award of 2002, Akdeniz University Service Award of 2005, Izder Medical Man of the Year Award of 2006, BÖHAK Medical Man of the Year Award of 2007, Sabah Mediterranean Newspaper Scientist of the Year Award of 2007, ANTIKAD Scientist of the Year Award of 2009, Social Ethics Association Award of 2010, Işık University Medical Man of the Year Award of 2015, VTV Antalya's Brand Value Award of 2015.
Certificates:
Doctor of Medicine Degree Hacettepe University Faculty of Medicine Ankara, General Surgeon Ministry of Health Turkey EKFMG (0-477-343-8), University of Miami School of Medicine Member of Multiple Organ Transplant, ASTS Multiorgan Transplant Scholarship. Lecturer at Kyoto University. Lecturer at University of Essen, Research assistant at the University of Cambridge .
Professional Members:
American Society of Transplant Surgeons, American Transplantation Society Nominated, Middle East and Southern Africa Council Transplantation Society 2007, International Liver Transplantation Association, Turkish Transplantation Association, Turkish Society of Surgery, Turkish Hepatobiliary Surgery Association.
Disclaimer:
Our website contents consist of articles approved by our Web and Medical Editorial Board with the contributions of our physicians. Our contents are prepared only for informational purposes for public benefit. Be sure to consult your doctor for diagnosis and treatment.