Pregnancy management after IVF: features and recommendations

Huge work and effort requires conducting pregnancy after IVF. The fact is that this process is somewhat different from the usual conception of a baby. It is accompanied by additional training, research and analysis. In vitro fertilization is something that will require more attention from future parents than a normal pregnancy that has come about naturally. So what to look for? What advice and recommendations do doctors give for managing pregnancy after IVF?

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Possible complications

First of all, it will be necessary to take into account that artificial insemination is not a natural process. It has the probability of not only failure, but also of certain complications. Therefore, the proper management of pregnancy after IVF is the key to the success of bearing a healthy child without the risk of life and health of the newly made mother.

Complications may arise for the following reasons:

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

That is why pregnancy after IVF has management features. What should future parents pay attention to? How to behave properly during the gestation period of a child who was conceived by artificial insemination?

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Monitoring objectives

To begin with, you will have to learn that IVF monitoring must perform certain functions. Which ones? What should patients pay attention to?

Any research should be informative. Among the goals of monitoring IVF are:

  • overcoming the likelihood of miscarriage in the early stages of pregnancy;
  • identification of possible malformations and abnormalities of the fetus in the initial stages of development;
  • hormonal support for a woman’s body for a successful pregnancy;
  • the development of tactics of bearing several fruits, which can be found out about 9-10 weeks of an interesting position.

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 is great for some. Monitoring and self-monitoring of pregnancy will help minimize the risk of abortion. It is enough to know about some features. Pregnancy management after IVF in Moscow and other cities is carried out according to similar principles.

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Monitoring standards

In vitro fertilization is an extremely difficult process. He, as already mentioned, requires more attention than a normal pregnancy. In Russia, there are special standards of the Ministry of Health that indicate how pregnancy should proceed after IVF. It is somewhat different from similar monitoring, but at the conception of a child in a natural way.





Today it is worth paying attention to the following standards:

Gestational ageProcedure Name
2 weeks after embryo transferhCG blood test
3 weeks after "sitting down"Ultrasound scan
at about 13-14 weeksUltrasound to determine Down syndrome, an examination to determine the likelihood and eliminate spontaneous disclosure of the cervix
10-14 weekfetal screening, blood tests for hCG and AFP
16-21 weekdetermination of the level of male hormones in the blood, ultrasound
20-24 weeksUltrasound, screening, determination of estriol level
32-34 weeksUltrasound, CT, Doppler
37 weeksplanned hospitalization to prepare for childbirth

Accordingly, it is precisely such recommendations that are given to women in order to monitor pregnancy after IVF. To them, as you might guess, it’s worth adding all the standard studies and procedures that all pregnant women face.

Where to watch

Gynecologists for managing pregnancy after IVF work in various medical institutions. Today, a woman can independently choose exactly where to turn for help. Most often, pregnancy after artificial insemination is carried out in the same medical institution where the embryo was planted. This is the most correct and correct decision.

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In general, pregnancy can be:

  • in free antenatal clinics;
  • in paid medical centers.

It will be necessary to get registered at an early date, while in the ordinary conception you can postpone this moment to a later period. It is better that the doctor who monitored the health of the woman before fertilization, led the pregnancy to the very end.

Speak or not

But that is not all. What other features does pregnancy management after IVF have? Reviews of women often reflect only one question - should I tell the doctor in the antenatal clinic that conception did not occur naturally?

The answer to this question is simple - yes. The girl must without fail inform that pregnancy occurred due to IVF. Otherwise, the entire process of monitoring the health of the future mother and baby will be disrupted. This leads to increased risks of interruption or adverse flow.

Tests and studies

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

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Among them are:

  • general urine analysis;
  • determination of blood type and Rh factor (for women and men);
  • general blood analysis;
  • research on HIV, hepatitis, syphilis;
  • swab for sexually transmitted infections ;
  • blood coagulation test;
  • ECG;
  • smear on the vaginal flora;
  • gynecological examination;
  • research for hidden infections.

The gynecologist may prescribe additional tests. A urine test will have to be done before each visit to the doctor. It is usually required once every 2 weeks. But all this is just the beginning. Pregnancy management after IVF, as well as after conventional fertilization, requires a visit to some specialized specialists.

About narrow specialists

Which doctors will any pregnant woman be referred to? It doesn’t matter how the conception occurred - by artificial insemination or by natural means. As already mentioned, in general, the procedure for observing an interesting situation is not much different.

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Among the narrow specialists, in whom all expectant mothers are referred, there are:

  • Dentist
  • otolaryngologist;
  • therapist;
  • cardiologist;
  • optometrist.

It is noted that visiting this specialist is required at least 3 times during the entire pregnancy. The exception is the dentist. They invite him in the 1st and 3rd trimesters. Depending on the results of the examinations, the girl may be referred to other specialists.

Delivery

Now it’s clear what features pregnancy management has after IVF in Moscow. Reviews indicate that the final stage of the process will be considered the choice of delivery. This is an important point that the expectant mother should pay attention to.

The thing is that with IVF, the cesarean section technique is most often used. All this is due to the fact that patients belong to a particular risk group of complications during delivery. But natural childbirth is also not excluded. Recommendations regarding this issue will be given by the gynecologist who will lead the pregnancy.

Where to go in St. Petersburg and Moscow

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

In the capital of Russia, you can contact almost any private gynecological clinic. For instance:

  • "Mom";
  • "Mother and Child";
  • "Expert Clinic".

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All this is just the beginning. In St. Petersburg, it is recommended to pay attention to the following institutions:

  • AVA-PETER;
  • medical clinic "Center IVF" ;
  • "Energy".

From now on, it is clear that includes pregnancy management after IVF. During this period, you must follow all the recommendations and advice for ordinary pregnant women. Namely:

  • refrain from stress;
  • establish nutrition;
  • regularly visit a doctor and follow his recommendations;
  • to refuse from bad habits.




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