And finaly your dream came true and the wishful phrase “Congratulations, you are pregnant” from your doctor made your heart flutter.
Important problems were left behind, you had to go through many difficult days together, you fought a lot and the desired result came, however, the main result is the birth of a child, so the fight for a new life is not over for you yet.
Pregnancy after IVF has its specific moments
In vitro fertilization patients are mostly women over 35 years old, and at this age, a woman usually already has some kind of changes (pressure, “kidneys”, “veins”, migraines, etc.) during pregnancy, these changes are even more pronounced.
What problems can a woman face in the first stage of pregnancy as a result of in vitro fertilization
- If the partner had unsatisfactory sperm quality, then the risk of developing an embryo with genetic disorders increases, due to which the embryo may stop developing at an early stage. Hormonal drugs (estradiol and progesterone) are prescribed during the preparation of embryo transfer, which continues after the transfer of embryos. It usually includes several hormonal drugs, anticoagulants, vitamins. In some cases, it is necessary to take prednisolone drugs to suppress possible immune aggression of the body. After the transfer, the prescribed drugs should be gradually withdrawn under the supervision of a doctor, then it will be safe.
- Small bleeding during pregnancy (up to 8 weeks) is more often associated with an existing hematoma. In general, it is not dangerous, but sometimes the treatment must be carried out in the hospital, the doctor will inform you about this immediately. It is also possible to have a small bloody discharge when the pregnancy does not develop.
- After hormonal stimulation, taking into account the possible risks of complications related to disorders of the blood coagulation system, regular monitoring of blood coagulation factors is carried out and, if necessary, treatment. You should not be afraid of the drugs that the doctor prescribes after the embryo transfer: first of all, absolutely all doctors are guided by the principles of “do no harm” when treating their patients. Often, women are afraid when they read in the drug instructions that the medicine has contraindications during pregnancy. But all the auxiliary schemes used today are developed taking into account scientific data on the effectiveness and safety of certain drugs during embryo implantation, many studies have proven that the use of these drugs will not harm the baby with the right individual approach.
10-14 days after a positive hCG blood test result, an ultrasound should be performed to confirm pregnancy. As a rule, from 5-6 weeks we can see the amniotic sac with the embryo in the uterine cavity. In addition, her heart activity is also noted, which is a sign of a developing pregnancy. After the heartbeat of the fetus has been recorded, you can register the pregnancy. Prenatal screening is a very important research during pregnancy, which allows you to rule out genetic pathology of the embryo in the early stages of pregnancy. It is performed for the first time during 9-13 weeks of pregnancy. The second screening is performed at 16-22 weeks of gestation. The third screening is performed at 32-34 weeks. After 12 weeks of pregnancy, IVF patients may develop preterm labor related to cervical weakness (called isthmic-cervical insufficiency (ICI)). Its main causes are multiple pregnancies, hormonal imbalance, anatomical changes of the cervix. At the same time, dynamic monitoring of the condition of the cervix is carried out by ultrasound. If there is an indication, surgical correction of ICI is performed by suturing the cervix.
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