Continuation of a sort - the birth of children inherent in every human being. However, about 30% of couples faced with infertility. Little miracle - fertilization may prevent many factors. Often the problem of infertility in the family is related to the man. But it is not always necessary to solve the problem fundamentally, with the help of in vitro fertilization (IVF). A more simple and accessible method, such as artificial insemination, very successfully helps in eliminating the problem of infertility.

Artificial insemination - is the introduction into the uterus pretreated sperm (husband or donor) for the purpose of pregnancy. In the future, the process of moving sperm fallopian tubes is naturally and ends meeting the egg with the sperm, ie fertilization. Sperm injection procedure performed by a special thin catheter, which easily passes the cervical canal. Manipulation itself is painless and lasts no more than two minutes, but after the procedure, the woman should lie down for half an hour.

Advantages of artificial insemination

• Reasonable price (as compared to IVF)
• Good tolerance
• The percentage of successful IVF pregnancies matches

Indications for artificial insemination (AI) are divided into three groups:

• Indications to AI by a woman
• Indications to AI from her husband's sperm donor
• indications for AI husband's sperm

Indications for use of the husband's sperm

• Cervical factor (in the case of loss of sperm mobility when released into the cervical canal). This is usually due to the presence of sperm antibodies in cervical mucus (also called allergic wife's husband)
• Oligospermia (low sperm count with normal mobility)
• Vaginismus
• Impotence
• The absence of ejaculation
• Malformations of the sexual organs, which is not possible with the natural sexual intercourse

Indications for the use of donor sperm

• Azoospermia (absence of sperm in the ejaculate)
• Incompatibility spouses Rh
• Hereditary disease husband, which may be transmitted to offspring
• Severe infections husband (AIDS)
• Reduction of semen, without the effect of the treatment

Indications for insemination by women

• Lack of sexual partner
• Severe adhesions in the pelvis
• Endometriosis moderate or severe

Contraindications to artificial insemination

• Malignant tumors of any localization
• General and mental illness Mental illness - ashamed to ask for help? In which pregnancy is contraindicated
• Acute inflammation
• Ovarian cysts or tumors Ovarian cysts - normal or dangerous?
• Malformations of the uterus, where it is impossible to child bearing
• The lack of consent of the woman
• Carrying out the procedure under general anesthesia
• No written confirmation of consent of both spouses
• Racist motives to "ennoble the race"

Stages of artificial insemination

• Stimulation of ovulation and normalization of the natural menstrual cycle
• Control of oocyte maturation and prepare the endometrium for fertilization (for US)
• The timing of the manipulation (the day of oocyte maturation and its exit from the ovary)
• Intrauterine introduction of sperm (artificial insemination)

Processing of semen for artificial insemination

Processing of sperm needed to eliminate alien organism proteins that it contains and can lead to allergic reactions. The processing carried thickening, settling and centrifugation of sperm, whereby it becomes more concentrated and discharged from the large number of abnormal sperm.

Never mix the husband's sperm and a donor, as it degrades the quality of sperm.

Factors that increase the effect of artificial insemination

• A woman's age is less than 30 years
• The presence of both fallopian tubes patency
• The use of drugs - stimulants Ovulation Ovulation - How to determine as accurately as possible?
• Using high-quality sperm

Artificial insemination is performed once or twice during the presumed ovulation. Suitable sperm which contains not less than 10 million active sperm per milliliter and less than 4 million spermatozoa with normal morphology.

Artificial insemination currently occupies an important place in the treatment of infertility Infertility Treatment - What principles are priority . Application of this method significantly reduces the number of childless couples, and the method of proving that infertility can and must be fought.

Anna Sozinova

The state of health of women in the 34th week of pregnancy

Nothing special this week is no different from the others, but it might well be taking delivery, so you should be ready for them. In order to know when to go to the hospital, the woman should be clear that such a distant forerunners of birth and how to distinguish the true from the moment of the onset of labor.

Deliveries start at the command of the brain, when it receives a signal that the fruit is ripe (this usually takes place two weeks before the birth). After receiving this signal the brain dramatically reduces the production of the female sex hormone progesterone Progesterone - norm and pathology   and also dramatically increases the production of the female hormone estriol - one of the estrogens. This contributes to softening of the cervix and preparedness uterine muscle to contract.

The fact that a woman's body prepares for childbirth, say distant forerunners of sorts, which appear about two weeks before delivery, while the true signs of beginning birth there in two days.

For remote delivery precursors (they appear two weeks) include:

• changes in mental status of women - it is closed, apathetic, withdrawal, memory can be broken; sometimes there is agitation and restlessness;
• falls stomach (fetal head drops out of the pelvis), it becomes easier to breathe passes heartburn Heartburn - no cause for concern? But amplified urination;
• Woman loses fluid, and with it weight (1-2 kg) - the result of effects on the body of estrogen;
• there are false (training) contractions - uterine muscles are trained before birth; some women are contractions periodically appear in the second half of pregnancy; from the real struggles of their distinguished painless and irregular; if false contractions are often disturbed, it is better to try to sleep or lie down, perhaps, on the contrary, a bit like - it individually;
• decreased fetal movement - he is already close to the mother's abdomen;
• of the female genital tract is allocated mucous plug - mucus from the cervical canal, which is still firmly closes the entrance to the uterus, protecting it from infection.

The appearance of precursors says that the body is ready for childbirth. But in the maternity hospital to go early, you need to wait for these signs of labor.

Signs of labor:

• the real battle - they are distinguished from the false by the fact that regular and painful; first fights are rare, and then become more frequent, prolonged and painful; to the maternity hospital is sent when contractions occur every 15 minutes;
• discharge of amniotic fluid; Water waste burst when the fetal membranes; if this occurs a small hole discharge of water will be slow, with a large gap of water moving away quickly; after the discharge of water is better to go to the hospital;
• sometimes a sign of delivery are spotting Spotting - it is important to rule out pathology   from the vagina.

All the signs of labor and the true harbingers of the onset of labor pregnant woman should know not to be frightened and in time (but without panic) to call an ambulance to move to the maternity hospital. And we must also know the most important thing during childbirth - a concentration, calmness and confidence that everything will be fine.

The child's condition on the 34th week of pregnancy

The length of the child's body 42-43 cm, weight - 1900-2100 grams, the amount of amniotic fluid is about 850 ml. Baby continues to grow and gain weight. The kid has basically has a definite place in the uterus, although it may even turn over. All his internal organs and systems almost fully formed. Exceptions are light - they continued to accumulate a surfactant, which is so useful in the first breath, because he will not allow to adhere small sacs at the ends of the smallest bronchi - alveoli.

It continues to lighten the skin - it is no longer red, and pink. Strengthens muscles, there is an active hryaschik ossification of the joints. Subcutaneous fat, which is very important to retain heat within the body, continues to grow. Growing hairs and nails.

Continue to develop the pancreas Diabetes and pancreas - the things you need to know   and liver. They will properly absorb nutrients that are ingested by a child with his mother's milk after birth. Disinfects all toxic substances is the liver, and remove them from the body it will help the kidneys and gastrointestinal tract.

This week is usually held fetal ultrasound for the exclusion of certain fetal malformations, fetal development delay it, the wrong position or previa (location in the uterus) of the fetus.

Galina Romanenko