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Pregnant at 41: Fears and ensuring a safe delivery

Dr Nandita

Dr Nandita Palshetkar  |51 Answers  |Ask -

Gynaecologist, IVF expert - Answered on Nov 04, 2024

Dr Nandita Palshetkar is the medical director of Bloom IVF.
She is a pioneer in ICSI, laser hatching, spindle view, oocyte and embryo freezing, IMSI, in vivo vaginal culture, metabolomics, embryoscope and spindle check technologies.
With over 30 years of experience, Dr Nandita is managing 10 centres across India.
She has written over 100 papers, edited 25 books and given over 1,000 lectures and speeches.
She has also won several prestigious awards, including the Dronacharya Award (2021), the Bharat Gaurav Award at the House of Commons in London (2014) and the Inspiring Gynaecologists of India (2018) to name a few.
Dr Nandita completed her MBBS from Grant Medical College and Sir J J Hospital, Mumbai, and her MD in obstetrics and gynaecology from Mumbai University."... more
Asked by Anonymous - Oct 10, 2024Hindi
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I am 41 and my husband is 45. After 3 miscarriages, we are having our first baby after 10 years of marriage. I am scared and anxious because of my age. Will there be any complications to the baby? My gynaec has advised some genetic tests but I am worried about the results. How can we ensure to have a safe delivery for a healthy baby?

Ans: Since you are 41 years old, had three previous miscarriages, and were conceiving after ten years, there were certain measures that needed to be taken.
1) To have a BOH profile completed in order to gain insight into specific blood characteristics that aid in determining whether aspirin or low molecular weight heparin (blood thinner) is necessary.
2) Taking age into account, keeping an eye on blood pressure, blood sugar, and weight growth during pregnancy
3) To use an early screening scan for routine screening to find any type of congenital abnormality, use an anomaly scan or NT scan with dual markers.
4) To use nipt for accurate trisomy 21, 13, and 18 diagnoses
5) To do routine prenatal screenings with routine blood work and scans
6. To keep up wholesome eating practices. Protein supplements or a high-protein diet in the form of powder or biscuits.
7) To practice meditation yoga. Breathing techniques to preserve mental health
8) To adhere to your obstetricians' advice on the choice between vaginal birth and elective LSCs
9) To take multivitamins together with iron and calcium supplements.
10) To finish the influvac and tetanua vaccination program with booster shots
DISCLAIMER: The answer provided by rediffGURUS is for informational and general awareness purposes only. It is not a substitute for professional medical diagnosis or treatment.
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Hi Dr I had my first child at 31. My son is 6 years old now. I would like to try for a second child. Do you think it would be okay? How can I check and ensure I have a healthy pregnancy? Will my age be a factor in the health of the second child?
Ans: 31 seems to be an appropriate age for sure to plan the next baby. Since you are beyond 30 years of age, it would be worth while doing a basic health checkup around your hormones and basic sugar levels, vitamin D B12 and hemoglobin levels before planning the pregnancy starting folic acid supplementation. Would be appropriate. Stopping any kind of recreational drugs, smoking or alcohol and bit of lifestyle optimization like increasing proteins, fresh fruits, green vegetables, nuts, seeds and berries and the diet and starting some form of exercise would be useful. To ensure a smooth pregnancy.
Anti-mullerian hormone or AMH levels prior to planning a pregnancy will be helpful in discerning the fertility, the probability of getting pregnant and also. Appropriate or good image levels usually ensure a healthy pregnancy during pregnancy screening of the baby with a Nuchal translucency and nasal bone or level one scan bit around 12 weeks, a double marker subsequent to the scan if need be. A NIPT screening and a level 2 ultrasound usually, or level 2 ultrasound or an anomaly scan usually ensure that the fetus is more or less normal. If any other advanced investigation is needed, that too can be done during pregnancy. To ensure the the health of the baby.

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Dr Nagarajan Jsk   |224 Answers  |Ask -

NEET, Medical, Pharmacy Careers - Answered on Feb 01, 2025

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I have completed my msc in biochemistry n now doing internship but I am confusing about my future because I see this field don't pay me inuff for life even for future... N don't have more jobs in Maharashtra. I don't like production jobs but in Pharma only production pay much so what can I do .. Can u suggest me which job is high payable after Msc biochemistry
Ans: Hi Nandu,

Greetings!

Could you please let me know which year you completed your course and whether you are currently doing an internship or apprenticeship? An internship is part of the curriculum, where students gain practical training, sometimes with a stipend and sometimes without. After completing your course, you can opt for an apprenticeship, which typically lasts one to one and a half years and includes a stipend, usually split 50%-50% between the industry and government.

If you are in the internship phase, please inform me about the specific field you are working in. Initially, you may not expect a high salary, but after gaining expertise in your field, your compensation will improve. Typically, this takes about three years, so it’s important to focus on skill acquisition for a better future.

If your internship aligns with your field of study, I encourage you to continue and consider starting a medical lab or exploring opportunities in medical devices related to biochemistry. However, pursuing a career in pharmaceutical production may not be suitable for you, as it is a different field, and you may find it challenging to grasp the processes involved since you are currently inexperienced in that area.

Please share the specific field of your internship, and I would be happy to provide more tailored advice.
with regards

Poocho. Life Change Karo!

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