Monday, November 24, 2008

Pregnancy at 20, 30, 40

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Most experts would say there's no one right time to start a family. But there are both advantages and disadvantages to giving birth at different ages: In your 20s, for instance, you'll have more energy to run after and care for your child but fewer financial resources and less personal life experience on which to draw; in your late 30s and 40s you may be more established financially but have a tougher time getting and staying pregnant and, afterward, keeping up with an active baby and toddler.

What follows is a look at the pros and cons of pregnancy at different ages.

Laura Flynn McCarthy writes often about women's health. She lives in New Hampshire with her husband and their two sons.

Ages 20 to 24
YOUR BODY

These are your most fertile years. Your periods are probably regular, and most, if not all, of them are ovulatory. Even now, however, you may not conceive exactly when you want to. The average woman between 20 and 24 years old has about a 20 percent chance each month of getting pregnant when she has unprotected intercourse.

Once you do conceive, your blood pressure will probably be checked at each prenatal appointment, even though most women in their 20s have only a small risk of hypertension during pregnancy. New research shows that you have about half the risk of gestational diabetes that women in their 40s do, which is why recent guidelines from the American Diabetes Association suggest eliminating the once routine test for gestational diabetes in women age 25 or under.

YOUR EMOTIONAL SELF

How you feel about your pregnancy may depend, in great part, on other things in your life. Some women who postpone job advancement to have a baby feel ambivalent or resentful at first, says Diane Ross Glazer, Ph.D., a psychotherapist in Woodland Hills, CA. "Another concern is body image, which is a bigger issue for most women in their 20s than for those who are older. Also, a woman at this age is likely to be focused more on her marriage than on other parts of her life, such as her job, and adding a third person into the mix may be difficult," says Glazer.

RISKS TO YOUR BABY

The miscarriage rate during these years is about 9.5 percent, the lowest it will ever be. Because your eggs are still relatively young, your baby is much less likely to be born with a birth defect such as Down syndrome (1 in 1,667 births among women age 20) or other chromosomal abnormalities (1 in 526 among women age 20). Yet more infants with these disorders are born to women in their 20s because those in this age group have more babies and women past 35 are more likely to be offered screening tests and may elect to terminate a pregnancy in which the fetus has a birth defect.

Saturday, November 15, 2008

Boys vs. Girls: Who's Harder to Raise(5)

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School

Who's harder? Mostly boys

Boys and modern education are not an idyllic match. An indoor-based day and an early emphasis on academics and visual-auditory (as opposed to hands-on) learning ask a lot of a group that arrives at school less mature. In their early years, most boys lag behind girls in developing attentiveness, self-control, and language and fine motor skills.

The relatively recent acceleration of the pre-K and kindergarten curricula has occurred without awareness that the brain develops at different sequences in girls and boys, Dr. Sax says. Music, clay work, finger painting, and physical exercise -- early-ed activities that once helped lively kids acclimate to school -- are vanishing. Few teachers are trained in handling the problems that result.

One area where girls do less well in school concerns spatial learning, such as geometry. Girls may use different parts of their brains to process space perceptions. The key is for parents to present both boys and girls with plenty of no-pressure opportunities to try out the areas that are challenging.

The bottom line? On balance, the general consensus seems to be that boys are more of a handful early on, and girls more challenging beginning in the preteen years. Which means that, as the mom of daughters who are 12, 9, and 7, I have the next ten years cut out for me!

Parenting contributing editor Paula Spencer is the coauthor, with Jill Stamm, M.D., of Bright From the Start: The Simple, Science-Backed Way to Nurture Your Child's Developing Mind, From Birth to Three.

Monday, November 3, 2008

Boys vs. Girls: Who's Harder to Raise(4)

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Self-esteem

Who's harder? Girls

Developing a healthy self-image is critical to all kids. But as the more compliant and people-oriented gender, girls tend to grow up less confident and more insecure than boys, researchers say. Famed gender researcher and psychologist Carol Gilligan, Ph.D., calls this "the tyranny of nice and kind" -- unwittingly raising girls to be people pleasers.

"This cultural pressure to put others' needs first, ignore one's own gut feelings, and avoid asking for what one wants has traditionally harmed girls," says Jenn Berman, a California family therapist who wrote The A to Z Guide to Raising Happy, Confident Kids. "Despite the fact that she enjoys the positive attention and accolades that people pleasing brings, the more a girl pushes her own needs and desires underground to please others, the more likely her own self-esteem will suffer."

"I see a natural nurturing instinct in my daughter and her friends," says Tracy Lyn Moland, a parenting consultant in Calgary, Alberta, who has a girl, 11, and a boy, 8. "I find myself saying, 'I can take care of that -- you get yourself ready,' when she's trying to mother her brother."

Make no mistake, helpfulness and nurturing are virtues for everybody. But this tendency in girls makes it smart to help her explore and strengthen her inner nature and encourage her to try new things.

Body image is a big part of self-esteem, and though there's certainly body-image dysfunction in boys and men, it remains mostly a female issue. The natural rounding out of the body that happens in puberty clashes with the unnatural slimness girls see in the culture around them.

Be aware of the messages you convey about your own body, diet, and exercise. "It's painfully obvious that girls' negative body image can come directly from seeing their moms look critically in the mirror and complain," says Berman. "Teach your daughter to listen to her body's signals of hunger and satiety. Girls who listen to their bodies tend to listen to their instincts in other areas." Sports are a great way for girls to build confidence and a healthy appreciation for their bodies.
 

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