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Conducting pregnancy after IVF: features and recommendations

Great work and effort requires the management of pregnancy after IVF. The fact is that this process is somewhat different from the usual conception of the baby. It is accompanied by additional training, research and analysis. Artificial insemination is something that will require more attention from future parents than a normal pregnancy that has come naturally. So what to look for? What advice and advice do doctors give in the field of pregnancy after IVF?

Possible complications

First of all, it is necessary to take into account that artificial insemination is not a natural process. He has the probability not only of failure, but also of certain complications. Therefore, the correct management of pregnancy after IVF is the key to the success of bearing a healthy child without risking the life and health of the new mother.

Complications can occur for the following reasons:

  1. Age of the future mother. Usually IVF is performed after 30 years, because before this age couples try to conceive a child on their own. Even with normal pregnancy, late birth can lead to fetal malformations.
  2. Anamnesis with complications. For example, chronic or gynecological diseases that led to infertility or problems with conception.
  3. With IVF, the likelihood of multiple pregnancies is high.
  4. Changing the hormonal background. The use of medications with the IVF protocol increases the content of FG and estrogen, while reducing the level of progesterone. Therefore, it is necessary to monitor the normal level of these components of the female body.
  5. Change in hemostasis. This is due to the use of hormone therapy with IVF. Most often leads to a violation of blood circulation.
  6. Weakening of the body as a whole. This is due to physical stress and stress during IVF. With reduced immunity in the body can enter a variety of bacteria, affecting the negative impact not only on the mother, but also on the future baby.

That is why pregnancy after IVF has a specific reference. What should I look for to future parents? How to behave properly in the period of bearing a child, which was conceived by artificial insemination?

Objectives of monitoring

To begin with it is necessary to learn that monitoring of IVF should perform certain functions. Which ones? What should patients pay attention to?

Any research should be informative. Among the monitoring objectives, IVF are:

  • Overcoming the possibility of miscarriage in early pregnancy;
  • Identification of possible developmental defects and fetal anomalies at the initial stages of development;
  • Hormonal support of the woman's organism for the successful course of pregnancy;
  • The development of tactics of bearing several fruits, which can be found approximately on the 9-10th week of an interesting situation.

In fact, the risk of miscarriage in the early stages of IVF (in the first trimester) is extremely small. It is only about 6%. But even this figure for some is great. Monitoring and self-monitoring of pregnancy will help to reduce the risk of abortion to a minimum. It is enough to know about some features. Conducting pregnancy after IVF in Moscow and other cities is conducted in accordance with similar principles.

Standards of monitoring

Artificial insemination is an extremely difficult process. He, as already said, requires more attention than a normal pregnancy. In Russia, there are special standards of the Ministry of Health, which indicate how pregnancy should be managed after IVF. It is somewhat different from similar monitoring, but at conception of the child naturally.

To date, it is worth paying attention to the following standards:

Gestational age Name of procedures
2 weeks after embryo transfer Blood test for hCG level
3 weeks after "planting" Ultrasound
Approximately on 13-14 weeks Ultrasound for the definition of Down's syndrome, an examination to determine the likelihood and elimination of spontaneous cervical dilatation
10-14 weeks Fetal screening, blood test for hCG and AFP
16-21 weeks Determination of the level of male hormones in the blood, ultrasound
20-24 weeks Ultrasound, screening, estriol level determination
32-34 weeks Ultrasound, CTG, Doppler
37 weeks Planned hospitalization for the preparation for childbirth

Accordingly, such recommendations are given to women in order to observe the pregnancy after IVF. To them, as it is easy to guess, it is worth adding all the standard research and procedures that all pregnant women face.

Where to watch

Gynecologists for the management of pregnancy after IVF work in different medical institutions. For today the woman can choose independently, where exactly to her to address for the help. Most often, the management of pregnancy after artificial insemination is carried out in the same medical facility where the embryo was implanted. This is the most correct and correct decision.

In general, you can lead a pregnancy:

  • In free women's consultations;
  • In paid medical centers.

You will have to register at the very beginning, while in the usual conception you can postpone this moment to a later period. It is better that the doctor who followed the woman's health before fertilization, led the pregnancy to the very end.

To speak or not

But that's not all. What other features are the management of pregnancy after IVF? Women's reviews often reflect only one question - do I need to tell a doctor in a women's consultation that the conception did not happen naturally?

The answer to this question is simple - yes. The girl must necessarily inform that the pregnancy was due to IVF. Otherwise, the entire process of monitoring the health of the future mother and baby will be disrupted. This leads to increased risk of interruption or unfavorable flow.

Analyzes and studies

Now a little about what other studies and tests the girl will have to undergo after the conception occurs. Conducting pregnancy after IVF in St. Petersburg and other cities is carried out taking into account the procedures already mentioned. In the rest, as it was said, it will be necessary to go through standard studies for pregnant women.

Among them are:

  • general urine analysis;
  • Determination of the blood group and Rh factor (for women and men);
  • general blood analysis;
  • HIV testing, hepatitis, syphilis;
  • A smear for sexually transmitted infections;
  • Blood coagulation test;
  • ECG;
  • A smear on the flora of the vagina;
  • Examination on the gynecological chair;
  • A study on hidden infections.

A gynecologist can prescribe additional tests. Research of urine should be spent before each visit to the doctor. Usually it is required every 2 weeks. But all this is only the beginning. Conducting pregnancy after IVF, as well as after normal fertilization, requires a visit to some narrow specialists.

On Narrow Specialists

Which doctors are required to send any pregnant woman? It does not matter how the conception took place - by artificial insemination or by natural means. As already mentioned, in general, the procedure for monitoring an interesting situation is not much different.

Among the narrow specialists, in which all future mothers are sent, they are singled out:

  • Dentist;
  • Otolaryngologist;
  • Therapist;
  • Cardiologist;
  • The oculist.

It is noted that it is required to visit these specialists at least 3 times for the entire pregnancy. The exception is the dentist. To him invite in 1 and 3 trimesters. Depending on the results of the surveys, the girl can be referred to other specialists.

Delivery

Now it is clear what features are the management of pregnancy after IVF in Moscow. Feedback indicates that the final stage of the process will be considered the choice of delivery. This is an important moment, which the future mother should pay attention to.

The point is that with ECO, the technique of caesarean section is most often used. All this is due to the fact that the patients belong to one or another group of risk of complications during delivery. But natural birth is also not excluded. Recommendations on this issue will give a gynecologist who will lead the pregnancy.

Where to apply in St. Petersburg and Moscow

Very often, women seek institutions in large cities, where one could observe the development of the fetus during artificial insemination. In fact, the choice is great. But where to go to Moscow or St. Petersburg, for example?

In the Russian capital you can apply to almost any private gynecological clinic. For example:

  • "Mama";
  • "Mother and Child";
  • "Expert clinic."

All this is only the beginning. In St. Petersburg it is recommended to pay attention to the following establishments:

  • "AVA-PETER";
  • Medical clinic "ECO Center";
  • "Energo".

From now on it is clear what includes the management of pregnancy after IVF. In this period it is necessary to follow all the recommendations and advice for ordinary pregnant women. Namely:

  • To refrain from stress;
  • To establish a food;
  • Regularly visit a doctor and follow his recommendations;
  • to refuse from bad habits.

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