More and more women are over 40 years' time or even for the first time mother. Is this selfish behavior? How hard it is at this age to be pregnant? What are the risks during pregnancy and childbirth?
Carla Bruni is 43 years, when in October she gives birth to daughter Giulia, Ute Lemper gets a few weeks ago with 48, the fourth child, rock singer Gianna Nannini in November 2011 with 54 experienced their first baby happiness. Even in Germany in recent years the number of late mothers has increased. Meanwhile, every twentieth child born with one parent, with over 40 years. In 1990 it was only sixty-sixth of each baby. This is confirmed by the Federal Statistical Office.
How high are the chances, with over 40 to be pregnant? What about risks and complications? Are older women better mothers or their behavior is selfish and irresponsible?
"Contraceptive" career
Between 20 and 29 years for a woman from a biological point of view is the best age to get pregnant. This is confirmed by Dr. Viola Twenty, senior physician at the Women's Clinic in the hospital in Dachau: "In this time a woman is most fertile and the risk for birth defects during pregnancy are low." Many women are in this age but in training or studies have not found the right partner or want to start only once in their careers and enjoy their independence.
Especially among university graduates, the number of mothers who turned 40, big. The career is often the best contraceptive. The academics want to get the job until something and be financially independent before they become mothers. The baby will request repeatedly postponed until the biological clock is ticking loudly.
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Last chance for a child
More and more often "caught" there are also women who have completed their family planning with a long time. Shortly before the menopause - just before it is irrevocably too late - many women experience a sudden strong desire to become a mother again. The first children are already high and the desire awakens a nest boxes: One last time to feel a baby grow in the womb, take one last time, a newly born bundle of life in the arm ...
Some women want to maybe two guys a girl or a child for whom they finally have the time because they now doing well financially. Also a new partner can ignite the desire for another child again. Even women who are really confident and happy, childless come just before the menopause once again to ponder: Is this really their decision right?
Declining fertility
But even if the heart and mind now say "yes", the body has yet to play. For 30 years, starting off slowly and clearly, the fertility of 35 years. With 40 to decrease the chances of getting pregnant naturally even rapidly. Young Women in the ideal childbearing age 20 to 29 years per cycle, a 30 percent chance of becoming pregnant. women around 40, however, have only a ten percent probability.
"Anyone over 40 years to become pregnant, help out at frequent intervals. Sometimes it is sufficient to stimulate the ovulation hormone, sometimes there is no way of artificial insemination over and also it needs it most, several attempts," said the Dachau gynecologist. "If an average of 50 years beginning menopause, pregnancy is almost impossible. Then a woman can still get pregnant by more than one egg. This is not allowed in Germany."
Risk of pregnancy from 35
Is from 35 in the maternity card the words "risk pregnancies" and sure enough: With age also increases the risk of suffering a miscarriage. Women aged 40 are twice as likely as a miscarriage 30 years. Even on high blood pressure and diabetes need to eighth gynecologists in the care of older pregnant women. These diseases remain undetected, it can cause serious complications such as a come-eclampsia. Moreover, it can happen at the end of pregnancy, the placenta, the unborn child is no longer sufficiently supplied with nutrients and the baby will be brought before the expected birth date must be.
Twenty senior physician Dr. soothes but: "The opportunities for older women to give birth to healthy baby are very large, the medical check-ups during pregnancy have improved considerably in recent years.." Even the women themselves, who want this child so much to do everything to ensure that their baby is born healthy: you eat a healthy diet, appropriate exercise to treat eighth to miss rest breaks and not the closely scheduled checkups.
Risk of Down syndrome
The only risk is not explained away, the more likely a child with the chromosomal abnormality trisomy 21 (Down syndrome) to get. The children are then - more or less strong - physically and mentally disabled to the world. The decisive factor is the age of the mother: the pregnant woman is 25 years old, the odds of having a child with Down syndrome get in less than 0.1 percent, with 35 years at 0.3 percent and at the age of 48 years ago at nine percent.
"Through an amniocentesis can detect such a chromosome abnormality, but not completely eliminate the risk," explains Dr. twenties. "Other diagnosed malformations, which are not due to chromosomal abnormalities can not be. But you must make a detailed ultrasound scan at 20 weeks of pregnancy." The gynecologist but warns that it could one hundred percent by any method that the child is handicapped in any way.
Young mothers: More energy, more chaos?
When it comes to the ideal age to become a mother, opinions are divided: Some argue for young mothers who involve their children in everyday life and often more flexible with their own age are still close to the needs of children. They crawl around without effort with the kids on the floor, playing hide and football.
For young mothers and their children often live a little messy. You may have separated from the father of the child and do not know how to make ends meet financially. Only when the children are grown, they have the opportunity to durchzustarten itself: Then they might finally finished their training and can be realized in the job.
The main thing loved: A baby does not care how old his mother's (Photo: Thinkstock)
The main thing loved: A baby does not care how old his mother's (Photo: Thinkstock)
Older mothers more serenity, more exhaustion?
Other women to live consciously an opposite approach: first you make career, and then give the child something and engage fully and completely on it can be. These mothers may no longer climb trees, but are often more satisfied overall with their situation. You can also cut back once and not have the feeling to miss something with the baby.
Older mothers are perhaps even more relaxed when the young mantscht at the dinner table with food or milk spilled on the other hand, they're always running at their physical limits: Chronic lack of sleep because the baby is not for nights sleep, older women is certainly a lot more than younger mothers.
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And who thinks of the baby?
Anyone over 45 years once again to become pregnant should also think about the child: How does it feel in kindergarten and at school when his mom is always much older than the other mothers? How does it feel for the young, when he left school when mom already close to retirement age?
Ultimately, everyone must decide for himself how he wants to live with his family. In the first and top priority should always be in each case that the child is loved by the heart.
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