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Maternidade na Menopausa

Omkari Panwar, uma indiana que tinha 70 anos em 2008, foi considerada a mulher mais velha a dar à luz um casal de gêmeos. O desejo de ser mãe de um menino trouxe coragem à senhora que, após fazer tratamento de fertilização in vitro (FIV), conseguiu ter um menino. “Minhas filhas ganharam um irmãozinho, meu marido e eu ganhamos um herdeiro – é tudo que sempre quisemos”, disse à época. Na menopausa, a ovulação deixa de existir. Mas graças aos avanços da medicina e das técnicas de reprodução assistida, ser mãe depois da chegada da menopausa, como ocorreu com Omkari, é uma realidade possível.

As técnicas podem ser de baixa ou alta complexidade, como a inseminação artificial intrauterina e a fertilização in vitro. No entanto, ainda que se submeta à FIV, a mulher que já está na menopausa precisa tomar medicamentos que estimulam a menstruação. “Isto porque não seria possível somente colocar o embrião no colo do útero, já que o risco de aborto espontâneo seria maior”, afirma a especialista em reprodução assistida, Paula Bortolai Martins Araújo.

Uma gravidez tardia pode aumentar os riscos de má-formação e de doenças genéticas, como a síndrome de Down. O óvulo tem prazo de validade; a partir dos 30 anos, sua qualidade diminui. A saúde da mulher também corre mais riscos e ela pode desenvolver doenças como diabetes e hipertensão. O professor de ginecologia e obstetrícia da Faculdade de Medicina do ABC, Anderson Moura, diz que “em média, o risco de trissomias (doenças como síndrome de Down) aumenta mais de 100 vezes depois dos 50 anos e a chance de hipertensão na grávida pode crescer de três a quatro vezes após essa idade”.

Mas isso não é um fator determinante para a desistência. A mulher que quer ter filhos após a maturidade deve tomar alguns cuidados a mais: as consultas são realizadas em intervalos menores; a dieta e o controle de peso, rigorosos. A suplementação com ácido fólico tem início pelo menos três meses antes de engravidar, a fim de colaborar na formação neurológica do bebê. Além disso, segundo Moura, algumas más-formações podem ser resolvidas ainda no útero, como a hidrocefalia, que pode ser tratada com a colocação de uma válvula que evita o inchaço na cabeça.

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