Elderly mother

Older women are more likely to have intrauterine growth retardation and premature delivery, so they should improve their self-vigilance and regularly go to qualified obstetrics and gynecology departments for maternal and fetal monitoring and necessary preventive measures.

How old is this old woman?

What's the age of this old woman? Older women refer to women who are pregnant for the first time over 35 years old. Generally speaking, because women's body is in a downward trend after the age of 35, older women are more likely to have intrauterine growth retardation and premature delivery; Older women are at increased risk of complications.

The specific manifestations are: the weight of premature or full-term infants is lower than that of normal infants of the same gestational age, the number of unexplained stillbirths is also increasing, and the rate of congenital malformation is also relatively increasing. Therefore, special attention should be paid to prenatal monitoring and inspection.

Matters needing attention for elderly women

Older women should pay more attention during pregnancy because they are weak in age and body. Specific precautions are as follows:

1. Pregnancy check-up: Pregnancy check-up is very important for elderly pregnant women, and pregnant women should appropriately increase the frequency of prenatal check-ups. Pay special attention to blood sugar and blood pressure indicators. Down's screening should be carried out at 16-20 weeks of pregnancy, which is a must for elderly pregnant women. After 20 weeks of pregnancy, amniocentesis should be done to check whether the fetus is abnormal, which is unnecessary for normal young pregnant women. In addition, elderly pregnant women should learn to use fetal language instrument, carry out basic fetal heart monitoring at home, and draw a standard monitoring curve, so as to know the fetal development in time.

2. Oral folic acid should be taken before pregnancy 1 month. Taking folic acid can avoid nervous system development diseases. If folic acid is not taken in time before pregnancy, folic acid should continue to be supplemented after pregnancy until 12 weeks of pregnancy. Foods rich in folic acid include animal liver, beet, cauliflower, green leafy vegetables and orange juice. Eating more fruits and vegetables can supplement folic acid. There must be enough zinc in the initial stage of embryonic development. Beef, seafood and animal liver also contain more zinc.

3, adequate sleep: adequate sleep is an important guarantee for older pregnant women to improve their immunity and ensure the health of mother and child. In addition to ensuring 8-9 hours of sleep every night, we should also ensure noon 1 hour of nap time, and add walnuts, Ziziphus jujuba seeds and other foods to our diet.

4. In terms of diet, it is recommended to use high protein, low fat and mild food. Tea, wine, cigarettes, coffee and foods containing alcohol and caffeine are not suitable.

5, life should also stay away from bad environment, such as:

(1) Too noisy and crowded space is not suitable.

(2) Should not be exposed to radiation, such as X-rays, radioactive iodine or people who use radiotherapy.

(3) Don't use antibiotics or hormonal drugs at will, unless the doctor rationed them. Of course, sleeping pills, sedatives and spasmolytics should not be used at will.

(4) Stay away from patients with infectious diseases. Measles, cytomegalovirus and herpes simplex virus all affect the fetus, so stay away from them.

6. It is difficult for elderly women to give birth naturally, so they need to be prepared in advance. Elderly pregnant women have high indications for cesarean section, and usually 90% choose cesarean section. Older pregnant women have hard pelvis, weak elasticity of ligaments and soft birth canal tissues, and correspondingly weakened uterine contractility, which may easily lead to prolonged labor, even dystocia, fetal birth injury and asphyxia.

Older women should pay more attention to nursing during pregnancy than other pregnant women. Because the elasticity of the birth canal and perineal muscles decreases, the ligaments of pelvic joints become hard, which may lead to dystocia during childbirth and easily lead to complications such as hypertension and diabetes. The probability of infants of older pregnant women suffering from deformity and mental retardation may also be higher than that of school-age pregnant women. However, there is no need to be nervous about this. As long as we pay attention to actively cooperate with doctors, conduct prenatal check-ups on time, maintain a healthy body, and pay attention to nutrition and exercise during pregnancy, with the improvement of medical care level, most elderly pregnant women will successfully survive pregnancy and delivery.

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What do older women have when they are pregnant? Seven things to pay attention to: the harm of elderly women.

In the whole process of pregnancy and delivery, older women are more dangerous than other pregnant women. They are not only more prone to various complications, but also pose great challenges to the fetus, such as fetal distress caused by fetal detention in the uterus.

1, harm to pregnant women: easy to suffer from pregnancy-induced hypertension, preeclampsia and other diseases; Because of age, the elasticity of joint ligament tissue is poor, and the uterus is prone to uterine contraction and dystocia; It is prone to postpartum feeling and postpartum anemia; It is easy to cause physical weakness.

2. Harm to the fetus: When women reach middle age, the joints of ischium, pubic bone, ilium and cuboid bone have basically ossified, forming a fixed pelvic cavity. Therefore, when the fetus gives birth, it will easily lead to difficulties in delivery, which will greatly increase the risk of various complications for the parturient. At the same time, it is very easy to cause the fetus to stay in the uterus and cause fetal distress. This kind of distress is threatening to the fetus, from mild to severe, which affects the heart and brain of the fetus, making it ischemic and hypoxic, and even leading to irreversible brain damage. In severe cases, suffocation is fatal. Neonatal injury is easy to occur during childbirth; It is prone to neonatal asphyxia; The incidence of deformed children increased.

What tests should elderly women do?

Older women should pay special attention to pregnancy examination, increase the frequency of prenatal examination, and pay attention to their physical changes at any time.

1. Ultrasonography: Generally, it needs to be done twice, at 12 weeks and 20 weeks respectively. This examination can be used to further determine the date of pregnancy and any developmental abnormalities, such as cleft palate and organ abnormalities.

2. Down's screening: 16-20 weeks pregnant, Down's screening should be performed. This test is to take the blood of pregnant women, detect the quantity and concentration of various substances contained in the blood, and then determine some diseases that the fetus may have.

3. Amniocentesis: Amniocentesis should be performed after 20 weeks of pregnancy. For normal young pregnant women, this test is unnecessary. Studies have shown that the older a pregnant woman is, the higher the incidence of congenital stupidity and deformity of children. This is because with the increase of women's age, the ovaries gradually age and degenerate, the naturally produced eggs will also age, and the probability of chromosomal abnormalities will increase. This test can directly obtain the number of chromosomes, and according to the test results, we can know whether the fetus is abnormal. There is a 0.5% chance that this test will lead to miscarriage.

4. Alpha-fetoprotein test: This is a non-dangerous blood sample test at 16-20 weeks. By measuring the level of alpha-fetoprotein in blood, we can find nerve defects, Down syndrome, kidney and liver diseases.

5. Pay more attention to blood sugar, blood pressure and other indicators. Older women are prone to pregnancy complicated with heart disease, pregnancy-induced hypertension syndrome and gestational diabetes. Because the blood volume of pregnant women is significantly higher than that of non-pregnant women, the heart burden is aggravated. Pregnant women with heart disease may have to terminate their pregnancy early because they can't stand it.

Precautions for elderly women to have a checkup: Can elderly women give birth naturally?

Can elderly women give birth naturally? Like twin women, older women have a high risk of pregnancy, and caesarean section is usually recommended.

Older women need prenatal diagnosis and fetal chromosome examination. They can have an amniocentesis at 20-23 weeks to check the fetal chromosome. If a pregnant woman has a history of multiple intrauterine operations, there may be placenta adhesion or placenta implantation, which is more likely to lead to postpartum hemorrhage. In this case, natural delivery is not recommended.

However, everything is not absolute, and many elderly women can also give birth naturally. As long as the baby is not too big, the fetal position is positive, and the indicators of pregnant women are normal, you can consider giving birth naturally. The physiological age of modern people is generally younger than before. Although they are elderly women over 35 years old, natural delivery is recommended if conditions permit, but caesarean section is recommended if they are over 40 years old. The doctor will give advice according to the specific situation of each pregnant woman.

What can't elderly pregnant women eat?

Older expectant mothers are more likely to get fat and gain too much weight during pregnancy than those in their twenties, which will lead to diabetes, and too large a baby in the abdomen will bring difficulties to delivery. At this time, you need to control your weight. Generally, the weight gain of pregnant women at 40 weeks' gestation should not exceed 12.5 kg, of which the fetus accounts for about 3-3.5 kg.

Avoid eating the following foods, because these foods contain too much sugar, and sugar is the chief culprit of obesity:

Any sweetener: including white sugar, syrup, aspartame, candy and chocolate, artificially sweetened cola or juice drinks, canned fruit, margarine, ice cream, frozen juice, sugary peanut butter, salad dressing, etc.