{"id":515,"date":"2019-03-21T17:43:39","date_gmt":"2019-03-21T17:43:39","guid":{"rendered":"https:\/\/fivclinic.es\/?p=515"},"modified":"2024-12-22T17:56:26","modified_gmt":"2024-12-22T17:56:26","slug":"ser-mare-a-quina-edat","status":"publish","type":"post","link":"https:\/\/fivclinic.es\/ca\/ser-mare-a-quina-edat\/","title":{"rendered":"“Ser mare a quina edat”, pel Dr. Eduard Gratac\u00f3s"},"content":{"rendered":"\r\n

Es pot ser mare en moments molt diferents de la vida, per\u00f2 hi ha una edat ideal? L’edat mitjana del primer fill ha augmentat amb el temps. Succeeix a gaireb\u00e9 tot arreu, per\u00f2 especialment al sud d’Europa i, per descomptat, a Catalunya i a l’estat espanyol. Quins efectes t\u00e9 en la fertilitat? I en l’embar\u00e0s? <\/strong><\/p>\r\n\r\n\r\n\r\n

Les embarassades de m\u00e9s de 35 anys han passat del 5% en els anys 70 al 25-35% d’avui. El canvi s’explica per motius econ\u00f2mics i culturals. Per a moltes dones treballadores, un embar\u00e0s encara pot frenar la seva carrera, amb la qual cosa la seva decisi\u00f3 es posposa durant anys. A m\u00e9s, hi ha una tend\u00e8ncia social a retardar l’edat de la maternitat.<\/p>\r\n\r\n\r\n\r\n

Biol\u00f2gicament, l’edat ideal per a un embar\u00e0s est\u00e0 entre 25 i 28 anys, per\u00f2 tamb\u00e9 podr\u00edem dir que estem programats per viure menys del que ho fem avui. Els aven\u00e7os m\u00e8dics s\u00f3n una revoluci\u00f3 contra la selecci\u00f3 natural, l’esperan\u00e7a de vida ha augmentat i els conceptes cl\u00e0ssics de joventut i vellesa han canviat. Aix\u00ed, per a moltes parelles, el moment d’encaixar una maternitat en la seva vida \u00e9s m\u00e9s enll\u00e0 dels 35.<\/p>\r\n\r\n\r\n\r\n

\r\n

Per\u00f2, encara que la salut i la medicina s\u00f3n infinitament millors, endarrerir molt l’edat d’embar\u00e0s t\u00e9 inconvenients.<\/strong><\/p>\r\n<\/blockquote>\r\n\r\n\r\n\r\n

El problema m\u00e9s obvi \u00e9s la reducci\u00f3 de la fertilitat. L’edat de menopausa no ha canviat. La qualitat i quantitat d’\u00f2vuls es redueix amb els anys i a partir dels 35 anys baixen les possibilitats d’una gestaci\u00f3 espont\u00e0nia. Tot i que encara moltes ho aconsegueixin, s’incrementa el nombre de parelles que necessiten reproducci\u00f3 assistida. Un cop aconseguit, estad\u00edsticament es tracta d’embarassos amb m\u00e9s possibles riscos, s\u00ed, per\u00f2 la majoria de dones amb bona salut no notaran canvis rellevants entre un embar\u00e0s als 30 o als 40.<\/p>\r\n\r\n\r\n\r\n

En relaci\u00f3 al fetus, cert \u00e9s que hi ha m\u00e9s probabilitat de malformacions o anomalies cromos\u00f2miques. Hist\u00f2ricament, es considerava que els 35 eren una edat “l\u00edmit”, per\u00f2 aix\u00f2 avui no t\u00e9 cap base cient\u00edfica. S\u00ed que hi ha un augment progressiu: als 25 anys el risc de s\u00edndrome de Down \u00e9s d’1 entre 1000, mentre que als 40 \u00e9s de 20 entre 1000. Hi ha un augment clar amb l’edat, per\u00f2 fins i tot als 40, la probabilitat real \u00e9s del 2%. A m\u00e9s, avui en dia disposem de gran quantitat de proves<\/strong>, fins i tot no invasives, per a la detecci\u00f3 preco\u00e7 d’aquestes anomalies.<\/p>\r\n\r\n\r\n\r\n

La mare tamb\u00e9 t\u00e9 m\u00e9s probabilitat de patir complicacions, entre elles, avortament, part prematur, retard de creixement fetal que oscil\u00b7la entre un 1% i un 3% – i un lleu increment de diabetis o hipertensi\u00f3. L’embar\u00e0s \u00e9s una sobrec\u00e0rrega per al cos i pot accelerar l’aparici\u00f3 d’aquests problemes, especialment si ja existia una predisposici\u00f3, i \u00e9s m\u00e9s f\u00e0cil que aix\u00f2 passi als 40 que als 30.<\/p>\r\n\r\n\r\n\r\n

Per\u00f2, com sabem, en la salut influeix una mica la gen\u00e8tica i molt l’ambient, \u00e9s a dir, el que ens cuidem. D’aqu\u00ed que una dona de 45 amb molt bons h\u00e0bits de salut pot tenir un millor embar\u00e0s que una de 30 amb mals h\u00e0bits.<\/strong><\/p>\r\n\r\n\r\n\r\n

Per tant, des de la perspectiva de salut p\u00fablica, posposar els embarassos no \u00e9s el millor, perqu\u00e8 augmenta la reproducci\u00f3 assistida i les complicacions. Des de la personal, els riscos s\u00f3n petits i la majoria poden plantejar embarassos fins als 45 (o m\u00e9s) si hi ha bona salut. Una altra pregunta \u00e9s si \u00e9s bo, dolent, o tant \u00e9s que els pares ens portem amb freq\u00fc\u00e8ncia 40 anys amb alguns dels nostres fills. Per\u00f2 aix\u00f2 \u00e9s una altra hist\u00f2ria \u2026<\/p>\r\n\r\n\r\n\r\n

Eduard Gratac\u00f3s Solsona, director m\u00e8dic de FIVcl\u00ednic<\/strong><\/em>.<\/p>\r\n","protected":false},"excerpt":{"rendered":"

Es pot ser mare en moments molt diferents de la vida, per\u00f2 hi ha una edat ideal? L’edat mitjana del primer fill ha augmentat amb el temps. Succeeix a gaireb\u00e9 tot arreu, per\u00f2 especialment al sud d’Europa i, per descomptat, a Catalunya i a l’estat espanyol. Quins efectes t\u00e9 en la fertilitat? I en l’embar\u00e0s?… Continueu llegint “Ser mare a quina edat”, pel Dr. Eduard Gratac\u00f3s<\/span><\/a><\/p>\n","protected":false},"author":3,"featured_media":2356,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[282,251],"tags":[],"autores":[],"tipo_de_blog":[],"class_list":["post-515","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-estil-de-vida","category-fiv-clinic","entry"],"acf":[],"yoast_head":"\n"Ser mare a quina edat", pel Dr. Eduard Gratac\u00f3s - fivcl\u00ednic | barnacl\u00ednic+<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/fivclinic.es\/ca\/ser-mare-a-quina-edat\/\" \/>\n<meta property=\"og:locale\" content=\"ca_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\""Ser mare a quina edat", pel Dr. Eduard Gratac\u00f3s - fivcl\u00ednic | barnacl\u00ednic+\" \/>\n<meta property=\"og:description\" content=\"Es pot ser mare en moments molt diferents de la vida, per\u00f2 hi ha una edat ideal? 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