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Hello welcome to help plug undocumented science has made it easier for women to start their families later in life.
But waiting to have a baby can come with risk joining me now is doctor Abdullah Al con director of the center for abnormal presentation of Hackensack University Medical Center in New Jersey.
And to me wanna find -- -- provisions in the country a -- high risk of contrition I should say.
So welcomed back then.
All right let's let's -- because I want to go through a whole list real quick each.
More women are getting older.
And having babies I'm talking about not the 35 but -- surely people in their forties.
Idea have egg -- you name it -- -- -- final group of of women in their forties.
Does age matter.
When it comes to placing a woman at high risk because that's a common question -- I'm 39 -- high risk.
Absolutely I think.
I think in the past when I wasn't training and and of course and I -- you doing this more than I have.
-- was a big -- big risk factor right I think the thing that we olds is to focus on his age.
And chromosomal abnormalities advanced maternal age.
But I think that is no longer an issue because we have modern technology in the science of picking those things up to.
I think the challenges with the advanced maternal age is not really the true chromosomal abnormality.
Is the underlying.
Disorders that there will have as we age naturally so when the patient is in her forties.
Late forties and she's pregnant she most likely will have.
Hypertension or perhaps diabetes or perhaps -- -- or perhaps -- all of these are conditions that evolve.
As we get older what's the deal with having a heart condition and being pregnant.
-- -- -- You know the -- one of them -- a pivotal organ that we depend on the cessation is as the and the -- If you have an on the -- -- the commission the stress of pregnancy the physiological changes the heart has to -- 50% to more volume if you pardon with a -- one baby that 80% more would -- so clearly there's going to be a lot of work load on the part.
Patient is pregnant shares on the one heart condition the likelihood of having worsening over some -- disease.
Is going to be there and we have to be very cautious with those individuals why -- we seeing more diabetes and how is diabetes dangerous in -- pregnant.
-- multiple faults.
One of the biggest issue that we have right here.
In our country years obesity right and it's a huge problem in fact it's I read an article that.
The thirty to 40% of Americans are obese it.
So long -- that comes diabetes.
Now multiple issues -- diabetes number one.
Mothers who -- diabetic.
They're off strings have a higher chance of you being diabetic.
And if there are obese obesity is a huge problem -- cardiac anomalies.
The larger babies high incidence of Sicilian section we're seeing a bit -- emea.
What's -- -- section across the world but of course all of these.
Really affiliated medical conditions are adding more towards -- hundreds -- C section so so diabetes itself.
Poses lots of complication for the pregnant mother.
And her unborn fetus.
Autoimmune diseases Lukas horses being one of the very popular -- -- that we seem pregnancy.
What's this what's the what's the deal with lupus and and -- and -- -- mothers who have lupus it depends.
What organ system.
The lupus is affected so if they have.
-- and their kidneys reflective I think they have higher risk of complication of preterm labor preterm delivery pre clamps here.
Which is high blood pressure and protein this village of protein and growth restriction so that's number one another aspect of it is is if they have on the line lupus.
Sometimes some of these antibodies that are formed -- cross the placenta and can cause cardiac.
Abnormalities in the baby usually it's courted this Rick -- which is a huge problem in babies.
Who are born to mothers with on the line lupus.
See more -- that are.
Transplant patients successfully and then getting pregnant and as well as cancer survivors people that I cancers.
Chemo -- radiation and now -- cancer free after five years and now they wanna have made.
Those two groups have unique challenges to tell me some of them and should do and should -- -- With these types of conditions be discouraged to have children.
You know very sensitive subject in terms of when you look at a patient until a look you can get pregnant.
I think she has to be adequately counseled.
And she has to make a decision after being counseled adequately in terms of what are the implications of one of the complications of pregnancy.
And undergoing transplant whether it's -- time we do see the kidney transplant right.
But if you see the cornea transplant that's to me quite frankly in my.
Limited experiences and -- -- Contra indication primacy.
But I think the -- transplant the pancreatic transplant patients could get pregnant as long as they're thoroughly counseled.
The understand the implications.
Right testicles of the fetus because organs are going to be that -- ones that are going to be.
Overworked absolutely and -- and -- -- see mothers who come to us with -- transplant -- they're not closely monitored them a high chance of rejection.
And now she has to go back on dallas'.
-- on a -- again for transplant.
I think these are things that she should be informed and she should make any rational decision.
A good choice.
And -- that depends upon -- the -- kids and often of course.
What family does not want to have children but I think all of these should be put into the equation.
And the same thing my hold true for Valencia and cast your patience.
But that are out five years you would recommend that -- be out five years cancer free absolutely absolutely five -- cancer free and I think they should be reassessed.
In terms of what's happening -- -- and evidence of the -- this is what type of cancer they have because some cancers could.
Exams have been term pregnancy and there's the whole controversy would breast cancer.
Especially in those who have not undergone a bilateral mastectomies have -- underwent just a lumpectomy.
In the residual disease and there are estrogen progesterone receptor positive.
Perhaps there is a theoretical chance that they -- as a -- pregnancy.
Well listen you're the man when he comes to all these things and and I think the message is quite clear.
There's a lot of medical conditions today that pregnant women are facing.
And indeed if you're thinking about getting pregnant -- you have one of these medical conditions you have to go see a guy like him.
Or gal like her -- or female doctor but but the bottom line is -- high risk obstetrician -- -- in conjunction with -- you'll be UN I get the right counts.
Anyway -- thank you for being here is the greatest thank you.
Thank conduct and learning.
I did you have any health topics you would talk to me about email me at fox -- document if fox was not come until next time -- document.
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