1 out of every 3 females aged 40 and over are at low risk of birth in the first 12 weeks! The good news is; 85-90 percent of women who survive this period, have genetic tests and do not neglect regular controls can bring a healthy baby to the world.

In our country, too, the number of mothers who say 'career first, then child' in recent years is increasing. The good news is that mostly 35-40 year old and older pregnant women bring healthy babies to the world. It has not been determined that advanced maternal age increases the risk of birth congenital abnormality when chromosomal abnormalities are excluded in studies conducted. On the other hand, there are a number of studies pointing to the increased risk of mothers in the pregnancies of women between the ages of 35-40 and 40. How progressive age affects the health of mother and baby? Acıbadem Maslak Hospital Obstetrics and Gynecology Specialist and Perinatologist Assoc. Dr. Abraham Bildirici responded to this question, which the most over the age of 40 years and over women who want to have children are curious ...

Why Is Risk Increasing With The Progressing Age?
With the advancing age, serious health problemssuch as high blood pressure, diabetes, kidney and heart diseasesare more common in themother candidate. There is also an increase in the incidence of high blood pressure, pregnancy diabetes and embryonic chromosomal disorders during pregnancy. All of these increase the risk of low birth, premature birth, growth retardation and giving birth to a baby with Down's syndrome.

The Most Frequent 'Low' Problem is experiencing!
Obstetrics and Gynecology Specialist and Perinatologist Assoc. Dr. Abraham Bildirici, 40 years and older than the mother candidates 'low' problem is noticed that the problem. According to the works done; Low-birth-rate risk for women aged 20 is 10-15 percent, while risk for women aged 40-44 is 35 percent, 45 years and 50 percent later. This increase in the likelihood of being low with age is partly due to the formation of more chromosomal aberrations in the embryo. The risk of miscarriage is higher in advanced maternal candidates especially in the first 2.5 months. It is unlikely to prevent a significant portion of these early losses. But in fact, these early losses are useful in one direction when it is thought that there may be serious genetic or structural problems in the embryo / fetus in 60-70 percent of the losses. I mean, it's kind of natural selection. But there is no need to worry about it right now because there is a solution to almost every problem. It is important that the candidates of the mothers should have regular follow-ups and necessary tests on time.

There is no need to worry about Down Syndrome if tests are done
. There is an increased risk of chromosome anomalies like Down Syndrome in pregnancy with age. However, at age 40, this risk is 1 in 70 (1 in 35 if all chromosome anomalies are accounted for) and 1 in 20 at risk of 45 (1 in 10 if all chromosome abnormalities are taken into account). This means that all pregnancies over the age of 40 are 11-14. sampling of chorion villi between weeks (sampling fetus by fetus) or 15-20. If the amniocentesis is performed between weeks, the result will be 90% and it will likely be normal and after that the pregnancy can be continued safely. Moreover, if the tests are done in experienced hands, the risk is between 1 and 1000 in 200.

Important Risks in Advanced Age Pregnancy
Assoc. Dr. Abraham Bildir, the risks that may develop in the elderly is listed as follows:

• Pregnancy Diabetes: Women over 35 years of age are considered to have roughly doubled the risk of pregnancy diabetes. In cases of diabetes in pregnancy, the birth rate of large babies is increasing. In addition, newborn infants with diabetes mellitus, respiratory distress, hypoglycemia (hypoglycaemia), bilirubin increase (newborn hunger) problems such as more is seen. Good results are obtained with blood sugar controlled by dieting, exercise, medication or insulin therapy, and close follow-up to normal pregnancies.

• Early Birth: In studies; It was found that 40 years of age and older women had more preterm birth (37 weeks before birth) than 20-30 year old females. Taking necessary precautions when detecting a threat of premature birth, for example, the application of lung-enhancing steroids to the mother, increases the survival rate of newborns.

• Low Weight Baby: Some studies report that over 40-year-olds have a lower birth weight, ie, 2500 grams or less, giving birth to babies. Some behavior changes, such as smoking cessation, caffeinated beverages, can provide significant benefits.

• Growth Strain: Assoc. Abraham Bildirici, a college professor at the Department of Perinatology at the University of Washington School of Medicine, said the study found that over 40-year-olds were seen three times more likely to experience growth retardation in their womb. Assoc. Dr. As a perinatologist in the presence of such a situation, the informer expresses that these babies provide close support and support to their colleagues at the time of birth.

• Stillbirth: Several studies have shown that women over the age of 40 have a 2-3 times greater risk of stillbirths than women in the 20s. The causes of the stillbirths in women over 40 years old are still unknown. Assoc. Dr. Abraham Bildiric points out the importance of informing the pregnant women on 32 weeks of follow-up, especially baby movements, and asking their doctors without delay if they suspect.

• Placenta Problems: Placenta placed below the cervix can be seen 3 times more at the age of 30 than at the age of 2, 40 years when compared to the younger ones. This can sometimes lead to serious bleeding, which can pose a risk for the mother and the baby. If possible, when the time comes, birth is done with blood preparation and scheduled cesarean section.