What inspection does the 35 year old puerpera need for childbirth?

With the social progress and the change of living environment, more and more women choose to postpone childbearing, and 35 years old is regarded as an elderly woman. It is very important for these women who are going to have children to understand and carry out necessary examinations. The following is a detailed description of the inspection items needed by 35 year old women in childbirth from four aspects: age risk, reproductive health, genetic counseling and comprehensive inspection.

1. Age risk

With the growth of age, female fertility will gradually decline, and the risk of infertility and abortion will also increase. Age risk is an issue that needs special attention for 35 year old women. First of all, the number and quality of eggs in women will decrease after the age of 35, leading to increased difficulty in pregnancy. Secondly, the probability of miscarriage of women over 35 years old has also increased significantly, especially in the early pregnancy. Therefore, for the 35 year old puerpera, the following examinations are recommended:

1.1 Ovarian function test: The health status of ovarian function was assessed by the levels of follicle stimulating hormone (FSH) and estrogen (E2) in the blood. If these two indicators are abnormal, it may mean that there is something wrong with the ovarian function, which will adversely affect pregnancy.

1.2 Morphological examination of uterus: The endometrium will change with age, which may lead to infertility or abortion. Endometrial examination can assess the shape of the uterus and the health of the endometrium.

1.3 Risk assessment of fetal chromosome abnormalities: The risk of fetal chromosomal abnormalities increases with age. It is recommended that pregnant women over 35 years of age should undergo Class C non-invasive prenatal gene screening (NIPT) or comprehensive prenatal diagnosis (CVS/amniocentesis) to assess the risk of fetal chromosomal abnormalities.

2. Reproductive health

In addition to the age risk, 35 year old mothers also need to pay attention to their own reproductive health problems. The following are some inspection items that need attention:

2.1 Examination of benign endometrial lesions: Benign lesions such as endometrial polyps and endometrial thickening will have adverse effects on pregnancy. Endometrial ultrasound or magnetic resonance imaging (MRI) can assess the health of the endometrium.

2.2 Ovarian tumor screening: Ovarian tumors may affect ovarian function and pregnancy, so it is necessary to conduct ovarian ultrasound examination or screening for blood tumor markers.

2.3 Reproductive tract infection screening: Genital tract infection can lead to problems such as tubal obstruction or cervical relaxation, which will have adverse effects on pregnancy. The genital tract infection can be evaluated by performing genital tract secretion bacterial culture, cervical smear, pelvic inflammatory indicators and other examinations.

3. Genetic counseling

Genetic factors may have an important impact on the health of the fetus. Therefore, genetic counseling is one of the essential inspection items for 35 year old mothers.

3.1 Family history investigation: To know whether there are hereditary diseases in one's own family can provide guidance to doctors for further consultation and inspection.

3.2 Genetic testing: Genetic testing can be used to assess whether a pregnant woman and her partner are at risk of carrying genetic diseases. This is very important for selecting the appropriate birth mode and reducing the risk of fetal genetic diseases.

3.3 Dynamic embryo chromosome screening: Chromosome examination of embryonic cells can assess the risk of chromosomal abnormalities of fertilized eggs and improve the success rate of embryo transfer.

4. Comprehensive inspection

Comprehensive examination can provide a more comprehensive understanding of the physical condition of the pregnant women and provide more scientific guidance for the follow-up childbirth.

4.1 Blood routine and biochemical examination: Blood routine examination can assess maternal anemia, and biochemical examination can assess liver and kidney functions and thyroid functions.

4.2 Cardiopulmonary function examination: The health of the cardiovascular and respiratory system of the puerpera can be evaluated through ECG and pulmonary function examination.

4.3 Psychological consultation: The influence of psychological factors on pregnancy and fertility cannot be ignored. Psychological counseling can help pregnant women reduce anxiety and pressure and better cope with the birth process.

Summary

For a 35 year old woman, the prenatal examination is very important. This paper expounds in detail from four aspects of age risk, reproductive health, genetic counseling and comprehensive examination. Through these examinations, we can better understand the maternity's own fertility and health status, provide a scientific basis for reasonable family planning, and reduce the risk of infertility, abortion and fetal abnormalities.