How to reduce the risk of production for elderly pregnant women.

How to reduce the risk of production for elderly pregnant women.

How to reduce the production risk of elderly pregnant women? With the release of the second child, there are more and more elderly pregnant women. It is dangerous for elderly pregnant women to give birth, so we should pay great attention to various matters. Let's share how to reduce the production risk of elderly pregnant women. Let's have a look.

How to reduce the production risk of elderly pregnant women 1 How to reduce the production risk of elderly pregnant women

When you are pregnant at an advanced age, you must first assess your physical condition. You need to evaluate your current physical condition before you get pregnant. The human body is like a car engine. If the engine runs for a long time, there will always be some minor faults. Therefore, cars should be maintained regularly, and people should have regular physical examinations. Pregnancy preparation is equivalent to the car suddenly receiving a task and needing to be overloaded with delivery. It is very important to make a more detailed and systematic evaluation before delivery, otherwise the failure of climbing will be very troublesome and will endanger the goods and drivers of the whole car. The same is true for older pregnant women, who have to supply two people to eat and drink Lazar when they are pregnant. If the reserves are insufficient, problems will easily occur.

1 First of all, talk about the evaluation of hypertension:

Prepregnancy blood pressure assessment is simple and important. Mild hypertension can be controlled before pregnancy, so you should make a good preparation plan during pregnancy. If the blood pressure is too high, should you give up or suggest giving up? Two children are important, but the maternal life is more important.

2. Let's talk about diabetes:

When diabetes is serious, such as diabetic nephropathy, retinopathy, etc., once pregnant, it is more harmful to mother and baby. In addition, diabetes can affect egg quality, abortion, intrauterine growth retardation and so on. The incidence of hypertensive disorder complicating pregnancy has also increased. Diabetes often occurs simultaneously with obesity and overweight.

Therefore, it will be very meaningful to understand the body mass index and fasting blood glucose in a very simple way. Try to control the body mass index (weight/gain 2) at 18.5-23.9Kg/m2 before pregnancy, and control the weight and blood sugar before pregnancy, so that the risks of pregnant women and fetuses will be reduced.

3. Let's talk about hyperthyroidism:

Pregnancy complicated with hyperthyroidism is prone to hyperthyroidism crisis during pregnancy, which endangers the life of mother and fetus. It can be ruled out by examining thyroid function or TSH before pregnancy.

Just a month ago, a pregnant woman with a fourth child came to induce labor. Hyperthyroidism was found in physical examination before induced labor, so we took propylthiouracil orally for 2 weeks, and then induced labor after hyperthyroidism was controlled, which greatly increased the safety of patients. Well-controlled hyperthyroidism is not terrible, but neglected hyperthyroidism is prone to hyperthyroidism crisis, which will also affect the intelligence of the fetus.

4. Older pregnant women with chronic renal insufficiency can consider pregnancy if their blood pressure is controlled normally and their 24-hour urine protein is less than 1g, otherwise it is not suitable for pregnancy.

5. Older pregnant women with heart disease and cardiac insufficiency are cautious about pregnancy, especially pregnant women with heart function grade 3-4, which is not suitable for pregnancy.

6. Uterine and ovarian diseases:

Older pregnant women should have at least cervical cytology before pregnancy. If cytology is normal, pregnancy is normal. If cytology is abnormal, cervical HPV or colposcopy should be checked again for evaluation. Simple Hpv infection can prepare for pregnancy normally. First of all, human papillomavirus is not easy to turn negative in a short time, and high-risk human papillomavirus does not affect the fetus. CIN 1-2 is stable within one year and can be pregnant.

7. If the elderly are complicated with infertility, it is necessary to evaluate the AMH value of ovarian function to find out whether there are immune factors leading to infertility. Understand the situation of uterine artery.

What preparations do you make for pregnancy?

Tell the doctor about past medical history: past and present health conditions, such as hypertension and diabetes.

Nephritis, hyperthyroidism, etc. Previous birth history, such as spontaneous abortion, premature delivery, birth defects, etc. The previous mode of delivery was cesarean section or natural delivery.

Physical examination: heart rate, blood pressure, respiration and body mass index.

Routine gynecological examination: to understand the situation of cervix, uterus and accessories.

Auxiliary examination: blood routine, urine routine, blood biochemistry, TSH, electrocardiogram, TCT, transvaginal ultrasound, hepatobiliary ultrasound, antiphospholipid antibody, uterine artery ultrasound and AMH can be examined as appropriate.

How to reduce the risk of production for elderly pregnant women II. Pregnancy plan for the elderly 1: keep in good health.

1, once you plan to have children, you'd better get pregnant as soon as possible.

Don't delay after making the decision to have a baby, otherwise the body tissue will age and the vitality of the egg will be lower and lower, which will directly affect the quality of the embryo.

2. Actively treat some diseases existing in the body.

Be sure to actively treat before pregnancy, and then get pregnant after complete cure.

3. Have a health check-up before pregnancy.

Older pregnant women are more prone to physical abnormalities than younger women. So when preparing for pregnancy, go to the hospital for a comprehensive health check-up, including the husband. If there is any abnormality, you should actively treat it first and adjust your body to a healthy state.

4. Get enough sleep every day.

Adequate sleep can improve the body's immunity, enhance the function of organs and tissues, especially the reproductive system, and help to form high-quality fertilized eggs.

5. Make adequate nutritional preparations.

Pay attention to supplement fresh vegetables, fruits, eggs, milk, lean meat and other foods rich in high-quality protein every day, and make a good nutritional reserve. Adequate and excellent nutrition helps to improve the quality of eggs.

Pregnancy plan for the elderly 2: prenatal diagnosis after pregnancy

Pregnant women over the age of 35 need prenatal diagnosis, which is clearly stipulated in the Implementation Measures of the Law of the People's Republic of China on Maternal and Child Health Care. At present, the following prenatal diagnosis is mainly performed in clinic:

1, maternal blood screening test

Apart from genetic factors, the only factor related to congenital stupidity is the age of pregnancy. At present, maternal blood screening is the first choice for early detection of congenital stupidity. The eugenics Commissioner suggested that eligible pregnant women should be screened for maternal blood at 8-9 weeks of pregnancy, and pregnant women over 35 years old are one of the key screening targets. This kind of examination is non-invasive and the screening rate can reach 60%-80%. The suspected fetus can be diagnosed by amniotic fluid diagnosis, and the accuracy rate is 99%.

2. Examination of chorionic villi cells

40-70 days after pregnancy is the appropriate time to do this examination. Taking chorion can diagnose fetal genetic diseases with high accuracy. Moreover, this examination is earlier than amniotic fluid examination, which can advance the diagnosis of the fetus from the second trimester to the first trimester. Once the fetus is found abnormal, induced abortion can be carried out in time in the first trimester, which can not only avoid the birth of a defective fetus, but also avoid the pain of induced labor in the second trimester. This test has no adverse effects on the fetus and pregnant women.

3. Amniocentesis

This test is mainly used for women with high-risk pregnancy. At present, with the assistance of B-ultrasound, amniotic fluid is punctured at 16- 18 weeks of pregnancy, and fetal exfoliated cells are taken out for chromosome analysis, which can diagnose whether the fetus has hereditary or congenital metabolic diseases in utero. Older pregnant women over the age of 35 should have this examination at an appropriate time once they are pregnant. If the fetus is diagnosed as congenital stupidity, the pregnancy can be terminated in time.

4.b-ultrasound examination

B-ultrasound can detect a variety of congenital malformations, such as anencephaly, hydrocephalus, microcephaly, spina bifida, polycystic kidney and hydronephrosis. Generally, this kind of examination can be carried out in regular hospitals around 16 weeks of pregnancy and beyond, which is painless to pregnant women and harmless to the fetus.