Parenting Future: 9 Factors That Affect Reproductive Health
Miscellaneous / / December 16, 2021
1. Age
When to have a child and whether to have, only the future parents themselves should decide, and outside pressure is inappropriate here. However, when planning a pregnancy in particular, it is helpful to know what research on reproductive age has to say. Now the average age of birth of the first child in the Russian Federation isThe Ministry of Labor named the average age of birth of the first child in Russia / TASS 28 years, and by 2030 this figure may shift to 30 years. And this is a global trend: in the USA in 2020, the average age of childbirth wasUS birth rate falls 4% to its lowest point ever / BBC News 27 years old against 23 in 2010. The numbers are interesting and so far not very frightening, but still do not forget that with age, women may decreaseMenopause / Mayo Clinic the production of estrogens and progesterone, and these hormones are importantPROGESTERONE / National Center for Biotechnology Information for the onset of pregnancy and its normal course.
The number ofOvarian Reserve / American society for reproductive medicine
capable of fertilizing eggs. It is difficult to name the exact age after which a woman's ability to conceive is guaranteed to drop sharply, but American scientists believeOvarian Reserve / American society for reproductive medicinethat it happens at about 35 years old. The same threshold can be associated with an increase in the probabilityHaving a Baby After Age 35: How Aging Affects Fertility and Pregnancy / The American Colledge of obstetricians and gynecologists diagnosing uterine fibroids and endometriosis. In addition, the age of the mother may also increase the child's risk of developing Down syndrome.Down syndrome / Mayo Clinic and autism spectrum disordersAutism Spectrum Disorder / Cleveland Clinic.Do not think that the notorious ticking clock is an exclusively female trigger. Father's age is also an important indicator. Apert's syndrome, schizophrenia, autism, achondroplasia - these serious diagnoses may be relatedShould we be worried about advanced paternal age? / American society for reproductive medicine with advanced paternal age. At the hormonal level, men, however, remain more stable with age: the level of testosterone, the main reproductive hormone in men, also decreases, but by only 1%Male menopause: Myth or reality? / Mayo Clinic a year after 40 years.
Deciding to have a baby is sometimes difficult. If in doubt if you are ready to join the family, go test Life hacker and the national project "Demography" and find out for sure. By the way, you won't have to choose between parenting and a career: many mothers successfully combine parenting with school or work. You can choose a flexible schedule and a profession that is compatible with telecommuting, and arrange the baby in a nursery.
One of the tasks of the national project “Demography"- to help young mothers to go to work and feel confident in the modern business rhythm. And the opening of 180 thousand new places in the nursery is just one of the project's initiatives. You can also undergo professional retraining within the framework of the Employment Promotion program and seek help in finding a job at modern employment centers. A maternal capital, preferential mortgage and monthly payments for children under three years old will help young parents to be more confident in the future.
Learn more about supporting young families
2. Weight
Overweight and underweight can be attributed to up to 12%Quick Facts About Infertility / American society for reproductive medicine cases of infertility: unnecessary or missing pounds can causeWeight and Fertility / American society for reproductive medicine irregular menstruation and ovulation disorders in women and decrease sperm motility and testosterone production in men.
The numbers on the scales are an alarming factor for many, but in medicine it is not this factor that is taken into account, but the body mass index. You can check your BMI without leaving your home - it's an easy way to roughly understand if your weight is healthy. It is enough to measure the height and weight, and then enter the resulting data into a special calculator. The boundaries of the BMI norm are conditional. Thus, the UK National Health Service recommendsOverview / National Health Service stick to the interval from 18.5 to 24.9. This is a very important, but not the only indicator for the diagnosis of obesity. Both for pregnancy and childbirth, and for health in general, the ratio of bone, fat and muscle tissue must also be taken into account.
3. Timely appeals to specialists
Not everyone asks for help when something hurts. It seems that the symptoms of a cold can be defeated with tea with raspberries and honey, and if after a summer cottage the hand is ill - it is enough to reduce the load and lubricate the disturbing area with something from your home first aid kits. In fact, such excuses from going to a specialist are very dangerous. For example, a seemingly harmless problem with eternally freezing feet in combination with other subtle symptoms can become one of the manifestationsAnemia / Mayo Clinic anemia is a dangerous condition, severe forms of which are incompatible with pregnancy.
The delay in referrals to specialists is even called one of the reasons low life expectancy for men. Being embarrassed to deal with symptoms that seem ridiculous can affect reproductive health as well. But it's important to remember that embarrassment can be very costly. Many diseases, such as leiomyomaUterine leiomyomas, current concepts / National Center for Biotechnology Information uteri are asymptomatic for a long time, and only a specialist can diagnose them at an early stage, while the tumor still does not cause significant harm.
Natalia Dolgushina
Deputy Director of the FSBI National Medical Research Center for Obstetrics, Gynecology and Perinatology named after VI Kulakov ”of the Ministry of Health of Russia, chief freelance specialist of the Ministry of Health of Russia on reproductive health of women, professor.
Specialist examinations are extremely important for the prevention of gynecological diseases, including infertility and cancer. In our country, girls undergo preventive examinations at the age of 3, 6, 13, 15, 16 and 17 years. From the age of 18, girls and women must undergo preventive examinations once every 3 years. If a disease is detected, then treatment is prescribed, and in the future, observation is carried out more often.
Also, regular check-ups can be especially important after an abortion. If the procedure was unsafe, its possible consequencesSafe abortion: recommendations / WHO can become genital infections, bleeding and damage to the vagina and uterus.
4. Bad habits
According to the WHO, annuallyAlcohol / WHO due to the addiction of people to high-grade drinks, the mortality statistics add up to three million lives. Tobacco kills half of those who simply indulge in and smoke: this toxic addiction costs humanityTobacco / WHO eight million deaths a year. Parents-to-be should be especially careful about the risk factors for their unhealthy habits and addictions. Even mom's secondhand smoke is serious danger for the baby's body.
Natalia Dolgushina
Smoking during pregnancy is associated with fetal growth retardation, placenta previa, premature placental abruption, maternal hypothyroidism and other dangerous disorders. Approximately 5-8% of preterm births, 13-19% of low birthweight babies, 23-34% of sudden infant deaths, and 5-7% of deaths in childhood for reasons related to the pathological course of pregnancy may be associated with maternal smoking during pregnancy. Children born to mothers who smoke have an increased risk of bronchial asthma, intestinal colic and obesity. Therefore, during pregnancy, you should definitely quit smoking. In the case of long-term and intensive smoking, the cessation of it should be carried out gradually in order to reduce the stress level on the body of the pregnant woman.
And the combination of smoking with alcohol can to raise stillbirth risks two to three times more. And dads shouldn't relax here either: drinking alcoholGenetic and Epigenetic Perspectives on the Role of Fathers in Fetal Alcohol Spectrum Disorder / Canada FASD Research Network before conception affects the composition of the sperm and the health of the potential child.
The health of the unborn child is a worthy motivation to give up addiction. You shouldn't wait for next Monday: you can sign up for a free examination right now in the nearest health center. Experts will give advice on the state of the body and tell you how to cope with bad habits. And in case of serious addiction, you can get free help in drug dispensaries.
For those who have difficulty conceiving, thanks to the national project “Demography»There is an opportunity to undergo a free procedure ECO. You can get a referral at the nearest antenatal clinic, and the procedure will be paid for at the expense of the compulsory health insurance program.
Learn how to improve your health
5. Sexual infections
GonorrheaGonorrhoea / National Health Service, chlamydia and many other sexually transmitted infections can be asymptomatic for a long timeHow soon do STI symptoms appear? / National Health Service, accumulating its destructive power and eventually leading to infertility. Human papillomavirus is one of the diseases that many prefer not to notice and not treat, but this approach is also dangerous. HPV is not only linked to an increased risk of cancerHuman papillomavirus (HPV) and cervical cancer / WHObut also able to influenceInfluence of various variants of human papillomavirus infection on spontaneous fertility and the effectiveness of assisted reproductive technologies / A. Garolla, F. Muscianisi, B. Engl, M. Menegazzo, D. Pizzol, I. Cosci, M. Ghezzi, C. Foresta on male fertility and the likelihood of miscarriage. Therefore, it is important to plan a pregnancy and undergo screening in advance for diseases that are especially dangerous for future parents and the fetus. So, even before conception, you can manage to cope with the impact that both the disease and its treatment have on the body.
Natalia Dolgushina
Both parents must undergo preventive examinations. The future father is recommended to consult a specialist for the timely detection and treatment of diseases reproductive system, since men are responsible for 50% of all pregnancy failures and early reproductive losses.
6. Nutrition
For years living on fast food and semi-finished products, and a week before the planned conception, switching to vegetables, brown rice and spinach is a senseless undertaking. Nutrition should be correct on an ongoing basis. Moreover, not only mothers should think about the diet. Only a third of cases of infertility are associated with female factors, the same amount is due to a combination of female and male reasons. And another thirdWhat Causes Infertility? / American society for reproductive medicine refers to the reproductive health of men, which is also influenced by diet. Ignored celiac disease can cause male infertilityMale infertility / Mayo Clinic or a low-protein diet - an insufficient amount of protein in a man's diet is capable of lead to cardiovascular diseases in the fetus.
It is important for both parents to know that supplements like folate and zinc can have potentialLow sperm count / Mayo Clinic benefits for the quantity or quality of sperm, and for a healthy pregnancy.
Natalia Dolgushina
Ideally, both the woman and the man need to start a healthy lifestyle at least 3 months before the planned pregnancy. A woman needs to start taking folic acid, as it has been proven that a sufficient amount of folic acid reduces the risk of malformations of the nervous system in the fetus.
Do not forget about the benefits vegetables, in particular broccoli and tomatoes, which can have a positive effect on men's health. And, of course, it is especially important to monitor the mother's diet during pregnancy itself.
Natalia Dolgushina
Eating a healthy diet during pregnancy includes eating foods with sufficient calories and protein, vitamins and minerals. In the diet, it is worth reducing the amount of food rich in vitamin A (for example, beef, chicken, duck liver and products from it. It is also necessary to stop consuming fish rich in methylmercury (tuna, shark, swordfish).
There are other foods that should be excluded from the diet, or at least limit their appearance on the menu. These include, for example, coffee and soda. Abusing the first, by some datamay be associated with low fetal weight. And your favorite sizzling drink is able to reduceOne or More Sodas a Day Associated with Lower Chance of Getting Pregnant / Pioneering research from Boston University chances of a successful conception.
7. Sport
It is necessary to keep the body in good shape, but balance is important everywhere: excessive physical activity can causeAnovulation / Cleveland Clinic anovulation and reduce the production of progesterone in women. And men who take care of themselves should not get carried away with "drying" and immensely limit eating fat. Testosterone is formed from cholesterol, so if there is a lack of fat in the body, the main male sex hormone may suffer. Anabolic steroid addiction is also dangerous: drugs for gaining muscle mass can also causeMale infertility / Mayo Clinic infertility.
Lying for 24 hours and stroking the tummy is also an unsafe tactic for pregnancy. A sedentary lifestyle is dangerous not only before conception, but also after, because it can lead, at least, to overweight. Obesity during pregnancy is associatedObesity and pregnancy / National Health Service with an increased risk of miscarriage and premature birth, gestational diabetes, the likelihood of a surgical birth, and difficulty with epidural anesthesia. Walking a lot, doing swimming and special yoga for pregnant women are great ways to keep your body and your mood up.
Natalia Dolgushina
The lifestyle during a normal, physiologically proceeding pregnancy should not change much. The limitation is the types of work associated with a danger to the mother and fetus (X-rays, lifting weights). Training is not prohibited, but extreme sports or activities associated with excessive stress on the female body, such as mountaineering and equestrian sports, are not recommended.
8. Stress
A common reason to postpone children for later is the desire to build a career. Senior positions involve high responsibility and an equally high level of stress. And even though in the 21st century everyone is already accustomed to this word, the influence of nervous tension on reproductive functions cannot be underestimated. Stress and low physical activity can affectHealthy sperm: Improving your fertility / Mayo Clinic on male sex hormones and inhibit sexual function. In women, stress, along with malnutrition and excessive exercise, becomes a risk factor for the development of amenorrhea.Amenorrhea / Mayo Clinic - so called the absence of menstruation.
In addition, unsuccessful attempts at conception or a complicated pregnancy can also cause stress. In this case, you can get psychological support from non-profit organizations throughout the country. For example, specialists from the Light in Hands Foundation will help to cope with the worries of an interrupted pregnancy.
9. Living conditions
Habitual amenities and objects can be dangerous to the reproductive system. For example, heated seats and a sauna canTHE HOUSEHOLD CHEMICALS AFFECTING YOUR FERTILITY / The University of Melbourne negatively affect the activity of sperm - mobile fertilizers love coolness, and exposure to high temperatures is destructive for them. Health at home is also at risk: some household chemicals, food, store receipts and plastic bottles can alsoTHE HOUSEHOLD CHEMICALS AFFECTING YOUR FERTILITY / The University of Melbourne harm the state of the eggs, the composition of the sperm, and even the embryo.
Special attention of researchers isWhat is BPA, and what are the concerns about BPA? / Mayo Clinic bisphenol A - It is used in food containers, water bottles and cans. Any thoughtsWhat is BPA, and what are the concerns about BPA? / Mayo Clinicthat bisphenol A can negatively affect the fetus and the development of young children. There is no exact data on the permissible safe dosage of the substance, but many manufacturers already offer products with a special mark that there is no bisphenol A in the composition.
To reduce the risks associated with harsh chemicals, simple rules can be followedTHE HOUSEHOLD CHEMICALS AFFECTING YOUR FERTILITY / The University of Melbourne. It is necessary to thoroughly wash fruits and vegetables, do not reheat food in soft plastic containers, switch to electronic checks, because paper ones can be covered with dubious compositions, and more often air out at home and on work.