What should elderly women pay attention to during pregnancy?

After letting go of the second child, there are many couples who want to have another baby. However, some women are already older, so they are at greater risk when pregnant, and the risk of fetal abnormalities will also increase, so such pregnant women must be more careful. So, what should advanced maternal pregnancy pay attention to?

When a woman reaches the age of 35, she is considered an advanced maternal age when she is pregnant. Before these women become pregnant, it is important to have a preconception check-up, which can be dealt with early if a problem is detected. Some women will suffer from diseases such as high blood pressure and diabetes, which can be controlled before pregnancy.

Folic acid supplementation is given to women before pregnancy and during the first trimester of pregnancy, and advanced maternal age is no exception, which can prevent fetal malformations. If a woman's body does not have enough folic acid, the fetus is prone to neural tube defects. Therefore, folic acid supplementation before and after pregnancy is very important, and we must not ignore it.

If the mother is over 35 years of age, prenatal diagnosis is necessary, and chorionic villus and amniotic fluid examination should be performed to determine whether there is any abnormality in fetal development. Elderly women should be monitored during pregnancy, because they are prone to gestational hypertension and gestational diabetes after pregnancy, and they should also pay attention to the supplementation of protein, vitamins, calcium and iron.

The most common problem for elderly mothers is that the probability of fetal malformations caused by chromosomal abnormalities is high, so elderly pregnant women need to have corresponding precautions before, during and after pregnancy

Pre-pregnancy: Detailed pre-pregnancy examinations are required, including cervical cancer screening, ultrasound, thyroid function, blood glucose, etc. Folic acid should be taken three months before pregnancy, and it is best for elderly pregnant women to take a multivitamin.

In the first trimester, it is also necessary to pay attention to whether the progesterone index is normal to prevent fetal termination and miscarriage.

Second trimester: Amniocentesis or non-invasive DNA is required, fetal echocardiography is checked, and diabetes and hypertension are screened.

In the third trimester: pay attention to weight control and increase exercise moderately to prevent insufficient labor due to advanced age.

Recommended to home Enderen Hospital, it is very good, more professional, more responsible, and more reassuring.

Generally, women who are more than 35 years old before they get pregnant and give birth belong to advanced maternal age, and elderly women are actually in the past It is a very dangerous thing to be filial piety, but because medicine is more developed now, even if it is an advanced maternal age, from pregnancy to childbirth, as long as the middle is properly handled, safe childbirth is completely fine, what problems need to be paid attention to when pregnant and giving birth at an advanced age?

Pregnancy at an advanced age will be more risky than the general population.

As women age, various organs of the body will change with age, so if a pregnant mother chooses to get pregnant and give birth after the age of 35, she will face the following problems:

1. The proportion of spontaneous abortions has increased.

Women who become pregnant after the age of 35 are much more likely to have a miscarriage than they are to get pregnant before 35.

2. The risk of complications during pregnancy increases.

Older women are more likely to have complications during pregnancy, such as gestational hypertension and gestational diabetes.

3. The possibility of having deformed children increases.

The older the pregnant woman, the more likely the fetus is to cause developmental defects during development, so pregnant mothers who are pregnant at an advanced age must do a good job of every prenatal examination in time.

4. It is more likely to cause premature birth or dystocia.

Because the body function of older women is much less than that of younger women, the chance of premature birth or dystocia during pregnancy is greatly increased.

It is recommended to choose a more professional doctor to serve you from pregnancy filing to pregnancy fetal protection and final delivery.

Yes, advanced maternal age (referring to pregnancy and childbirth over the age of 35) is included in the medical category of high-risk pregnancies, because there are many hidden concerns about pregnancy and childbirth in advanced pregnant women.

Know ahead what the risks are for older pregnant women.

Miscarriage rates increase. In pregnant women of advanced age, due to insufficient intragenetic secretion, poor endometrial environment, pregnancy complications and other reasons, the incidence of pathological pregnancy (such as molar pregnancy, difficult to deliver abortion, etc.) is much higher than that of young pregnant women.

There is an increase in the number of children born with defects. The age of pregnant women and the aging of ovaries make the structure and number of fetal chromosomes abnormal, and the incidence of gene mutations increases, especially the incidence of Down syndrome (trisomy 21) increases with the age of the mother.

The incidence of dystocia increases. Older pregnant women will prolong labor due to the reduced elasticity of pelvic ligaments and pelvic floor muscles, increase the chance of dystocia, and increase the risk of neonatal complications.

Perinatal complications increase. The probability of pathological pregnancy in elderly pregnant women increases, and the incidence of intrauterine fetal death will also increase. In addition, the preterm birth rate of older pregnant women is higher than that of younger mothers, and the occurrence of neonatal cerebral palsy is associated with preterm birth.

Do a good job of pre-pregnancy and pregnancy health care to minimize risks.

Preconception care. In order for elderly women to have a healthy and intelligent baby and safely survive pregnancy and childbirth, they should take health care measures before pregnancy.

1.Folic acid supplementation should be started when trying to conceive. In general, folic acid is the most likely to be deficient.

Because the human body cannot synthesize folic acid itself, it must be supplied externally, if folic acid is deficient, it is easy to have fetal neural tube malformations (including spina bifida, anencephaly, encephalocele), cleft lip and palate, heart malformations, premature infants, low birth weight and other defects. It is recommended to start supplementing 3 months before pregnancy and take 1 tablet (400 g) daily.

2.For the evaluation of chronic diseases, such as tuberculosis, hepatitis, hypertension, chronic nephritis, obesity, etc., necessary examinations and evaluations are required to determine whether the disease can withstand pregnancy and childbirth and the possible impact on the fetus.

3.If there has been a history of abnormal childbirth such as stillbirth, stillbirth, dystocia, surgical delivery, or birth defective baby in the past, it is necessary to analyze and evaluate the abnormal birth history and perform necessary examinations to determine how to avoid the recurrence of the same result.

4.For the inspection of adverse environmental factors, if there are adverse factors in the occupational environment and living environment, relevant inspections should be conducted. For example, if you have a habit of wearing makeup for a long time, you should have a urine lead test.

For example, when work requires long-term contact with lead and mercury, lead and mercury related tests should be done.

5.Risk assessment during pregnancy, through the collection of medical history and the above related examinations (including laboratory examinations, imaging examinations, genetic examinations, etc.), all materials are comprehensively analyzed to form evaluation results, so as to make an informed choice.

Pregnancy care. When an elderly pregnant mother is assessed by a medical staff and believes that the risks of pregnancy and childbirth are very high and unsafe, she should follow the advice of the medical staff and give up the birth plan. If you think you can have children or have a strong desire to have children, you should recognize that it is a high-risk pregnancy and take it seriously.

1. Elderly mothers must do a good job of examination before pregnancy, both husband and wife must be examined, especially women, they should be more careful, the liver and kidneys should be examined, and the reproductive system should be examined. Folic acid should be taken orally before pregnancy, folic acid can be taken for one month during pregnancy, which can avoid fetal nervous system diseases, if you do not consume folic acid before pregnancy, you should eat it after pregnancy, and it is good to supplement it to 12 weeks of pregnancy. During pregnancy, it is necessary to pay attention to the examination work, conduct regular examinations, and be able to detect abnormalities in time and deal with them.

2. During the period from 16 weeks to 20 weeks of pregnancy, elderly mothers should be screened for Down's syndrome, and the blood of pregnant women should be checked in advance, and the substances and concentrations in the blood should be checked to determine whether the fetus has diseases. After 20 weeks of pregnancy, you can do an amniocentesis examination, generally speaking, young pregnant women do not need to do it, for older pregnant women, the probability of fetal malformations is relatively large, and the amniocentesis examination can directly obtain the number of chromosomes, so as to determine whether the fetus is abnormal. However, this test is more dangerous, and if it is not done properly, it will lead to miscarriage in elderly mothers.

For women, if they want to conceive a healthy new life, they should choose to get pregnant when the egg is in good condition. In a woman's life, the period when the number of eggs is highest and the quality is best is between the ages of twenty-five and twenty-nine.

With the increase of age, women after the age of 19 will not only gradually deteriorate their physical fitness, but also the number of eggs will gradually decrease, and the quality will also gradually deteriorate.

At this time, when a baby is conceived, the infertility rate and miscarriage rate of women will also increase.

It can be found that the pregnancy rate is the highest at the age of 20-26, and then gradually declines, and the rate of decline is getting faster and faster, the decline begins to accelerate at the age of 30, and the decline is significantly accelerated after the age of 35, and the age of 37 is a more important inflection point, which will further accelerate the decline.

The miscarriage rate, which refers to the spontaneous abortion rate, is also increasing year by year, and has increased significantly after the age of 35, which is mainly due to the significant increase in the rate of chromosomal abnormalities in eggs and embryos, especially aneuploidy.

Therefore, the rate of decline of female fertility is like an accelerating one-way train, and everyone has to buy a ticket to get on the train, and there is no choice.

Therefore, if you have the determination to be a mother, you must not waste time and conceive a child at the most suitable age for childbearing.

So for those women who have missed the best childbearing age, from pregnancy to childbirth, it is important to pay attention to the following pregnancy matters:

1. Be sure to have a prenatal check-up on time.

With the deterioration of the ecological environment, more and more unhealthy children appear around us.

In order to prevent this tragedy from happening to us, once the pregnancy is confirmed, we must have a prenatal check-up on time. These tests can monitor the state of the mother and fetus, not only to avoid fetal malformations with a high probability, but also to ensure the health of the mother.

2. If you feel unwell, seek medical attention in time.

For women who are past the best childbearing age, the probability of miscarriage is much higher than for the average pregnant woman.

Therefore, in our daily life, in addition to recuperating and protecting the fetus, we should also pay attention to our physical condition at any time. Once the body has symptoms of discomfort, it is necessary to rush to the hospital as soon as possible.

If you ignore what has already arisen, there is a high risk that the life of the pregnant woman and the fetus will be endangered.

3. Strengthen nutrition and ensure sleep.

For advanced maternal age, their physical fitness will be relatively poor.

Adequate sleep can effectively relieve the tiredness of pregnant women and allow the fetus to rest.

The main risks that advanced maternal age may face are that the balance is prone to pregnancy complications and abnormal fetal development, which can lead to adverse pregnancy outcomes such as stillbirth and miscarriage.

1. Pregnancy complications: The risk of pregnancy complications such as gestational hypertension, preeclampsia, and gestational diabetes is significantly increased in elderly mothers.

2. Fetal development abnormalities: with the growth of women's age, the quality of eggs will generally decline, if the mother also suffers from chronic diseases, then the probability of chromosomal abnormalities in the fetus produced by elderly mothers is generally higher than that of normal mothers. For example, older mothers have a relatively increased risk of developing diseases such as trisomy 21.

If a pregnant woman has serious complications during pregnancy, or if the fetus has development problems, it can lead to stillbirth, miscarriage and other adverse pregnancy problems. It is recommended that elderly women have regular pregnancy tests during pregnancy to ensure the health of the mother and fetus. In addition, in daily life, pregnant women should eat a balanced diet, supplement enough protein, iron, folic acid, and pay attention to controlling blood sugar and blood pressure; Take rest and get enough sleep.

If you experience adverse symptoms during pregnancy, you should go to the hospital immediately.

1. Special attention should be paid to health care during pregnancy, and prenatal check-ups should be carried out regularly.

2. When you are 16 weeks to 20 weeks pregnant, you should be screened for Down's syndrome. This test is to take the blood of a pregnant woman and measure the amount and concentration of various substances contained in the blood to determine some possible conditions in the fetus.

3. Amniocentesis should be done after 20 weeks of pregnancy. This test is not needed for normal young pregnant women. Studies have shown that the older a pregnant woman is, the higher the incidence of congenital stupidity and malformations.

This is because as women age, their ovaries gradually age and degenerate, and the eggs produced naturally age, increasing the chance of chromosomal malformations. This test can directly obtain the number of chromosomes, and based on the results of the test, you can know if there is an abnormality in the fetus. There is a chance that this test will lead to miscarriage.

4. Pay more attention to blood sugar, blood pressure and other indicators. Elderly women are susceptible to pregnancy complicated by heart disease, gestational hypertension syndrome and gestational diabetes. Because the blood volume in the pregnant woman's body increases significantly compared to the non-pregnant period, the burden on the heart increases.

Pregnant women who already have heart disease are likely to have to terminate their pregnancies early because they cannot tolerate it.