Blant kvinner i alderen 20 til 34 hadde de som oppfattet etter

Gjør det enda eldre moms må vente 18 måneder mellom svangerskap

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canada goose dame Mange eldre første gang mødre møter et dilemma når det gjelder canada goose jakke baby nr. 2. Klokken tikker høyere enn noensinne. Men leger anbefaler å vente minst et og et halvt år etter fødselen før de blir gravid igjen. canada goose dame

Dette er standardrådene, basert på flere studier og retningslinjer for folkesundhet. Men å bestemme når du skal prøve igjen kan være en vanskelig beslutning som veier medisinsk canada goose salg canada goose outlet risiko mot ufruktbarhetsrisiko. Nå er det noen nye datapunkter til faktor i. Et papir publisert mandag i journalen JAMA Internal Medicine analyserte medisinske journaler fra nesten 150.000 kanadiske svangerskap for å drøfte hvordan en mors alder påvirker effektene av et kortere enn anbefalt intervall mellom graviditetene.

canada canada goose jakke oslo goose jakke For eldre mammer har det travelt, er de dårlige nyhetene at studien legger til bevis for at det canada goose i norge blir 12 måneder etter fødselen, betyr økt helserisiko for både mor og barn. Men epidemiolog Laura Schummers, som ledet forskningen mens han canada goose dunjakke var i Harvard og nå er postdoktor ved University of British Columbia, sier at det også er gode nyheter for deg her: canada goose jakke

canada goose victoria parka ‘Det optimale canada goose norge avstandsvinduet vi fant var ett til to år etter levering av ett barn til oppfatningen av den neste graviditeten,’ sier hun. ‘Det var da vi fant den laveste risikoen for både mødre og babyer.’ Og hun legger til at det er kort sammenlignet med noen tidligere canada goose outlet norge studier som hadde antydet den optimale ventetiden var mellom 18 måneder og opptil fem år. canada goose victoria parka

canada goose jakker dame canada goose billig Tidligere forskning har funnet en klar sammenheng mellom korte ‘interpregnancy intervaller’ og økt risiko for helseproblemer for mor og baby, inkludert tidlig fødsel. Men hvorfor? Debatten Schummers sier dreier seg om hvorvidt det korte intervallet er en direkte biologisk årsak til risikoen, eller om den selv er et resultat av andre krefter på jobben i mors liv for eksempel mangel på tilgang til helsetjenester og utilsiktede graviditeter. canada goose jakker dame

canada goose salg Fordi eldre kvinner er mer sannsynlige å planlegge sine graviditeter og bedre tilgang til omsorg, antydet Schummers og kollegaer at disse mødrene ikke ville pådra seg så mye risiko som yngre kvinner gjør hvis de hadde barn i nærheten. canada goose salg

canada goose trillium canada goose norge nettbutikk ekte De fant ut at de hadde feil. canada goose trillium

canada goose jakke dame ‘Faktisk,’ sier Schummers, ‘vi fant ut at det var risiko for uønskede barnsutfall for kvinner i alle aldre. canada goose jakke dame

canada goose ‘Risikoen for babyene var høyere blant yngre canada-goose-jakker kvinner, som var i samsvar med lagets hypotese. Men risikoen for at mødrene var høyere blant eldre kvinner, reiste bare eldre mødre høyere risiko for egen helse ved å bli gravid igjen så snart. canada goose

Etter å ha regnskapet om andre faktorer som kunne kjøre disse tallene, sier Schummers, statistikken rister ut slik:

canada goose herre For kvinner 35 år eller eldre som oppfattet bare seks måneder etter fødselen, opplevde 6,2 per tusen alvorlig sykdom eller skade, inkludert død. Vent 18 måneder og at risikoen falt til 2,6 per tusen. Så, små absolutte tall, men en dramatisk forskjell. canada goose herre

Et ‘alvorlig uønsket spedbarnsutfall’ inkluderer dødfødsel og blir født veldig tidlig eller svært liten. Blant kvinner i alderen 20 til 34 hadde de som oppfattet etter bare seks måneder 20 barn pr. Tusen med de alvorlige utfallene; risikoen faller til 14 per tusen blant de som ventet 18 måneder.

Blant kvinner 35 år eller eldre var det 21 alvorlige spedbarnsresultater per tusen blant de som ventet bare seks måneder; risikoen faller til 18 per canada goose importør norge tusen blant de som ventet 18 måneder.

‘Dette viser både forholdet mellom graviditetsavstand og økt risiko,’ sier Schummers, ‘men også at eldre kvinner pleier å ha en høyere grunnrisiko for mange av disse resultatene i alle graviditetsavstandslengder.’

canada goose norge Forskningen viste et lignende mønster for tidlig fødsel: Et kort graviditetsintervall øker risikoen for alle kvinner, men spesielt for yngre kvinner. Risikoen for dem falt fra 53 per tusen på seks måneders intervall til 32 per tusen i et 18 måneders intervall. For kvinner over 35, falt risikoen fra 50 per tusen på seks måneder til 36 per tusen etter 18 måneder. canada goose norge

Det virker som en sunn fornuft at en kvinnes kropp kan trenge mer enn seks måneder for fullt ut å komme seg fra å bygge en baby og gi fødsel, men den faktiske mekanismen bak risikoen for korte graviditetsintervaller er ikke helt klart.

canada goose victoria Den ledende teorien, Schummers sier, er at næringsstoffer som jern eller folat kan være utarmet i mors kropp. Men mer forskning er nødvendig for å se om den teorien holder i utviklede land som USA og Canada, eller om det er andre mekanismer som ennå ikke er identifisert. canada goose victoria

canada goose jakke herre For nå sier hun, teamet hennes håper disse nye funnene kan hjelpe kvinner med å ta avgjørelser i sin egen personlige sammenheng og i samråd med sine medisinteam. Dataene kan være spesielt nyttige for eldre kvinner, sier hun, fordi de oftere bestemmer seg for å ha korte graviditetsintervaller med hensikt canada goose jakke herre.

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