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Precautions for elderly pregnant women before and during pregnancy.
Healthy body
In order to give birth to a good baby, it is necessary to do physical conditioning and pre-pregnancy examination before pregnancy. Comprehensive and systematic pre-pregnancy health examination can greatly reduce the risk of pregnancy, not only can ensure the birth of a healthy baby, but also be of great benefit to pregnant women themselves. It is not only the first line of defense for prenatal and postnatal care, but also the first-level prevention of birth defects to find diseases that affect fertility and put forward medical opinions that are beneficial to the health of mothers and the birth quality of offspring.
Such as TORCH (rubella virus antibody, cytomegalovirus antibody, Toxoplasma antibody, etc. ) Infection in early pregnancy can cause miscarriage, premature delivery, intrauterine infection of fetus, birth defects of newborn, etc. Therefore, TORCH detection is of great significance in prenatal and postpartum health care.
mental health
Pregnancy and childbirth are women's psychological needs and also women's psychological stress factors. Older pregnant women are more likely to have psychological burden. It is not enough to ensure the health of mother and fetus only by increasing nutrition in diet. Older pregnant women need to be happy and emotionally stable. Family members should encourage and help pregnant women to exercise properly, and pregnant women should also vent their emotions scientifically and effectively and divert their attention by keeping diaries.
Preventive measures for elderly women
In order to have a healthy baby, older expectant mothers should listen to the following exhortations:
1) Pay attention to balanced nutrition and supplement vitamins and minerals;
2) Develop good living habits, work and rest regularly, quit smoking and drinking, and don't stay up late;
3) Relieve emotional reaction and adjust work pressure, avoid too many unnecessary fantasies and delusions under full cognition, and spend it with a normal heart.
4) Improve the working environment and avoid all possible harmful pollutants.
5) Receive pre-pregnancy examination on time, or receive the first prenatal examination as soon as possible.
6) Do a health check before pregnancy to see if there are diseases such as hypertension, diabetes and kidney. If so, wait until you are cured and stable before you prepare for pregnancy.
Specific measures for elderly women
Older primiparas should improve their self-vigilance and don't "memorize Buddha's feet by rote". That is, from early pregnancy to labor, we should always be aware of the possible pathological accidents of the mother and fetus, and regularly go to a qualified obstetrics and gynecology department for maternal and fetal monitoring and necessary preventive measures.
When approaching labor, you should be admitted to the obstetrics and gynecology department of the hospital in advance, one week or two or three weeks in advance, depending on your personal situation. It is safer to do prenatal monitoring and have cesarean section as soon as possible if necessary.
During pregnancy, after specific examination, if a severely deformed child is diagnosed or the mother cannot continue pregnancy due to serious complications, otherwise the life of the pregnant woman will be endangered, the pregnancy should be terminated immediately; If there is no fatal malformation and the fetus is likely to survive in the third trimester, cesarean section should be performed in advance to ensure the safety of mother and baby.
The harm of elderly women is mainly the increase of complications after pregnancy. For example, we usually say that the incidence of pregnancy-induced hypertension will increase, and gestational diabetes will increase. According to our 22-year research, the incidence of premature delivery and low birth weight will increase among elderly women.
In addition, because older women are older when they are pregnant, some chromosomal abnormalities are prone to occur during egg division, that is, the probability of fetal chromosomal diseases, that is, birth defects, is significantly increased. Therefore, when formulating the Regulations on Prenatal Diagnosis, China specifically pointed out that pregnant women over the age of 35 should have prenatal diagnosis after pregnancy to determine whether the fetus has chromosomal diseases.
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