As expected, in your forties and fifties

As expected, in your forties and fifties It 'been a complete paradigm shift in obstetric care for women in the 21st Century. As more and more women playing enlarged in   pregnancy, the upper limit of the representation has been withdrawn, so that almost all healthy women in the forties and fifties, the mother of success child.In a recent study, we have the pregnancies of 77 postmenopausal women with an average age of 53 years, was an in - IVF using egg donation (RJP, Boostanfar et al., Joual of American Medical Association 2002; 288: 2320-2323). This study of 10 years is the largest in the world? S literature of reported pregnancy outcomes for women in their sixth decade of the database life.This probably serve as a consultation tool for doctors and patients to know what to expect in their fifties. Although the results were very positive,   There are serious medical conditions that are or will be used during pregnancy. It is therefore imperative for the physiological changes during this period and will be prepared and attentive to possible   complications.A percentage of women in the first forty are successful, to become pregnant using their own eggs, many others are able, in collaboration with a   Egg donors. Although the probability of becoming pregnant is significantly higher with an egg donor, pregnancy and birth, of course, the results are very similar, if a woman is able to deal with their own eggs or an egg donor.That, whether the pregnancy is the result of a natural conception, a concept with their own eggs, and support of advanced reproductive techniques like in vitro fertilization or with the help of egg donation, it is likely that similar risks and of the results for the entire duration of the pregnancy. The main risk factor is not how the pregnancy was, but perhaps the age at which a woman reaches the limits of pregnancy.Pressing reproduction in women of advanced age can be the basis of disorders that are diagnosed. These factors, such as a   Decrease the reserve of the cardiovascular system and the diminished ability to adapt to physical stress is to accompany advancing age, and combine to   Risks to mother and child. Some authors have suggested that advanced mateal age, defined as more than 35 years by various authors and more than 40 years ago by others, is associated with an increased risk of poor pregnancy outcome (Lehman et   al., American Joual of Obstetrics and Gynecology 1987; 157: 738-742). These reports may be confounded by inconsistencies in prenatal care, pre-conditions and access to adequate health care. Conversely, when women of advanced mateal   Age and in a demanding, high-risk care Medical Center, no increase in adverse outcome was noted (Kirz et al. American Joual of Obstetrics and   Gynecology 1985, 152: 7-12). All in all, women in the forties and fifty should expect some slight increase in pregnancy problems. However, carefully selected and controlled women with a positive result. We recommend that all women in this age group for reproductive endocrinologist technology history and physical examination. It should also be an electrocardiogram, a chest x-ray, mammography, PAP smear and blood as part of their   Preconception evaluation. If the evaluation is complete, women can be advised on what their potential risks may be. According screened, healthy women in their fifties, with a single pregnancy, can expect their   Gestation to go practically full term and deliver children who are about the same weight as their counterparts half their age (RJP, Boostanfar et al., Joual of American Medical Association 2002; 288: 2320-2323). However, these women are about three times more likely to deliver by caesarean section from three to ten times more likely to experience pregnancy-induced hypertension and two to five times more likely to have diabetes than   Young women. Even if it seems not all the medical reason for the exclusion of women from trying to become pregnant, based on age alone, it is recommended that they should be the focus of reproductive technologies that endocrinologist   Aware of this complexity, so that they reviewed and considered as a suitable candidate for an inexpensive outcome.Finally, careful, deliberate and judicious transfer of embryos should be considered in patients who have a cycle of egg donation. Due to   significantly higher plant donor eggs and embryos, couples trying to escape with the help of a donor egg to have a particularly high risk of more   Gestation. Moreover, it is much more evident that pregnancy can continue to tu the course of pregnancy. These complications are higher in the moing sickness, labor and birth premature birth premature birth and increased rates of pregnancy-induced hypertension or the introduction of mode toxemia.The extended embryo culture, pre-implantation genetic diagnosis and transfer of blastocysts resulted in a conscientious and concerted efforts to increase   Pregnancy and implantation rates, and simultaneously to minimize the number of embryos to one or two per cycle in a realistic experiment, the number   order multiple pregnancies. It is essential to choose from, infertility centers and obstetricians, with significant clinical and laboratory   Know-how in this field of reproductive medicine.     Robert Boostanfar, MD is a Board Certified Reproductive Endocrinologists Technologies practice at Huntington reproductive technologies in Southe Califoia