Over 35 and expecting: Is it safer to give birth “early”?

Follow me at @hricciot Having a baby when you’re “older” can have some advantages—women may feel more secure with themselves, their relationships, or their careers. However, expectant moms 35 and older—and their babies—do face some increased pregnancy-related health risks. Probably the most dreaded is a stillbirth. Most often, the factor responsible for stillbirth occurs before labor. Some of the reasons a baby might die before birth include problems with the placenta, and women over 35 face increased risk for these complications. That’s why it isn’t unusual for doctors to recommend inducing labor a little early, usually about a week before the due date. For younger women, we often wait at least a week past the due date before helping labor along if it hasn’t started on its own. While there has been no conclusive proof that inducing labor prevents stillbirth, we worry so much about this potential loss that we want to do what we reasonably can to prevent it. And one of those things is not waiting too long for labor to start on its own. So why is inducing labor a big deal? One concern is that it may increase the chance that the delivery will end up as a cesarean. However, a British study recently published in the New England Journal of Medicine showed, surprisingly (at least to me), that there was no difference in cesarean delivery rates when women over 35 who were having their first baby were induced in the week leading up ...
Source: New Harvard Health Information - Category: Consumer Health News Authors: Tags: Family Planning and Pregnancy Health Women's Health inducing labor Source Type: news

Related Links:

Conclusion: A considerable knowledge gap about the factors that influence fertility was identified in reproductive-age individuals in an urban area of Thailand. This issue should be urgently addressed by promoting fertility awareness through education, discussions about social perceptions regarding fertility, and reliable sources of knowledge. PMID: 29662824 [PubMed]
Source: Clinical and Experimental Reproductive Medicine - Category: Reproduction Medicine Tags: Clin Exp Reprod Med Source Type: research
ConclusionsPerceived stress, infertility‐related stress, and cortisol levels were not associated with IVF cycle outcomes. These findings are potentially reassuring to women undergoing fertility treatment with concerns about the influence of stress on their treatment outcome.This article is protected by copyright. All rights reserved.
Source: Acta Obstetricia et Gynecologica Scandinavica - Category: OBGYN Authors: Tags: Original Research Article Source Type: research
Authors: Purewal S, Chapman SCE, van den Akker OBA Abstract OBJECTIVE: Lifestyle (smoking, drinking alcohol) and body mass index (BMI) predictors of successful outcomes in assisted reproductive technology (ART) treatments were examined in this meta-analysis. METHOD: A bibliographic search was undertaken using six databases. The review was informed by PRISMA/MOOSE guidelines. Meta-analytic data were analysed using random effects models. RESULTS: We included 77 studies examining effects of BMI, smoking and drinking alcohol. Patients with a BMI =25 OR = 1.219 (95% CI:1.128-1.319, z ...
Source: Journal of Psychosomatic Obstetrics and Gynaecology - Category: OBGYN Tags: J Psychosom Obstet Gynaecol Source Type: research
This report presents baseline estimates of the use of these preventive services before the publication of QFP that can be used to monitor progress toward improving the quality of preventive care received by women and men of reproductive age. PERIOD COVERED: 2011-2013. DESCRIPTION OF THE SYSTEM: Three surveillance systems were used to document receipt of preventive health services among women and men of reproductive age as recommended in QFP. The National Survey of Family Growth (NSFG) collects data on factors that influence reproductive health in the United States since 1973, with a focus on fertility, sexual act...
Source: MMWR Surveill Summ - Category: Epidemiology Authors: Tags: MMWR Surveill Summ Source Type: research
Authors: Salih Joelsson L, Tydén T, Wanggren K, Georgakis MK, Stern J, Berglund A, Skalkidou A Abstract BACKGROUND: Infertility has been associated with psychological distress, but whether these symptoms persist after achieving pregnancy via assisted reproductive technology (ART) remains unclear. We compared the prevalence of anxiety and depressive symptoms between women seeking for infertility treatment and women who conceived after ART or naturally. METHODS: Four hundred and sixty-eight sub-fertile non-pregnant women, 2972 naturally pregnant women and 143 women pregnant after ART completed a questionna...
Source: Journal of the Association of European Psychiatrists - Category: Psychiatry Tags: Eur Psychiatry Source Type: research
Conclusions Women pregnant after ART showed no difference in anxiety and depressive symptoms compared to naturally pregnant women. However, early psychological counseling and management of unhealthy lifestyle behaviors for sub-fertile women may be advisable, particularly for women with a previous history of psychiatric diagnosis.
Source: European Psychiatry - Category: Psychiatry Source Type: research
Discussion Of the 30 different microbes which can be transmitted by sexual contact, 8 have the greatest incidence of transmitting disease. Four are curable (Chlamydia, Gonorrhea, Syphilis and Trichomoniasis) and 4 are incurable at present (Hepatitis B, Herpes simplex virus (HSV), Human immunodeficiency virus (HIV) and Human papillomavirus (HPV)). Sexually transmitted infections (STIs) are important as they can cause: Increased rates of acquisition of other STIs (ie HSV and syphilis increase the rate of HIV infection acquisition) Pelvic inflammatory disease and infertility Stillbirth and neonatal death Neonatal morbidity i...
Source: PediatricEducation.org - Category: Pediatrics Authors: Tags: Uncategorized Source Type: news
AbstractSTUDY QUESTIONWhat is the impact of preconception lifestyle interventions on live birth, birth weight and pregnancy rate?SUMMARY ANSWERLifestyle interventions showed benefits for weight loss and increased natural pregnancy rate, but not for live birth or birth weight.WHAT IS KNOWN ALREADYEvidence on the practice and content of preconception counseling and interventions is variable and limited.STUDY DESIGN, SIZE, DURATIONSystematic review and meta-analysis (MA). Main search terms were those related to preconception lifestyle. Database searched were Ovid MEDLINE(R), EBM Reviews, PsycINFO, EMBASE and CINAHL Plus. No l...
Source: Human Reproduction - Category: Reproduction Medicine Source Type: research
Conclusions: Certain PFASs are associated with abnormal menstruation in humans. https://doi.org/10.1289/EHP1203 Received: 08 October 2016 Revised: 03 January 2017 Accepted: 25 January 2017 Published: 22 June 2017 Address correspondence to J. Zhang, Xinhua Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, 200092, China. Telephone: 86-21-2507 8871. E-mail: junjimzhang@sina.com, or Y. Tao, Xinhua Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, 200092, China. Telephone: 86-21-663846590-776806. E-mail: taoyx@163.com Supplemental Material is available online (https://doi.org/10.1289...
Source: EHP Research - Category: Environmental Health Authors: Tags: Research Source Type: research
Conclusion: Prenatal urinary BPA concentration was associated with some aspects of child behavior in this cohort, and some associations were stronger among boys. https://doi.org/10.1289/EHP984 Received: 18 August 2016 Revised: 09 December 2016 Accepted: 12 December 2016 Published: 16 June 2017 Address correspondence to Joseph M. Braun, Department of Epidemiology, Box G-S121-2, Brown University, Providence, RI 02912 USA. Telephone: (401) 863-5397. E-mail: joseph_braun_1@brown.edu Supplemental Material is available online (https://doi.org/10.1289/EHP984). The authors declare they have no actual or potential competing fi...
Source: EHP Research - Category: Environmental Health Authors: Tags: Research Source Type: research
More News: Alcoholism | Babies | Blogging | Cesarean Section | Harvard | Health | Hospitals | Induction of Labor | Infertility | Middle East Health | OBGYN | Pregnancy | Reproduction Medicine | Study | Women