Necessary inspection for elderly childbearing
With the social progress and the improvement of people's requirements for quality of life, more and more couples choose to postpone childbearing, resulting in an increasing proportion of elderly mothers. However, there are also a series of risks and problems associated with elderly childbearing. Therefore, before deciding to give birth at an advanced age, necessary examinations are essential to ensure the health and safety of mothers and babies.
1. Basic physical examination
The elderly childbirth has higher requirements on the physical condition of the lying in women, so it is essential to carry out basic physical examination. First, we need to check the blood routine test, urine routine test, liver function, kidney function and other basic indicators to assess the overall health of the pregnant women. At the same time, we can know whether the functions of important organs such as the heart and lungs are normal through ECG, chest X-ray and other examinations.
In addition, there is a high correlation between elderly childbearing and blood diseases, metabolic diseases, etc. Therefore, pregnant women also need to carry out glucose tolerance test, hepatitis B virus screening, HIV screening and other related tests to eliminate potential risks.
Finally, maternal body fat content also needs to be monitored. Too high or too low body weight will have adverse effects on pregnancy and pregnancy. Therefore, controlling the body fat content within the normal range will help to improve the fertility success rate.
2. Fertility assessment
One of the key issues of elderly childbearing is the fertility of the pregnant women, which can ensure a smooth pregnancy and delivery on the premise of ensuring safety. Therefore, for women, it is necessary to carry out follicular ultrasound, endometrial thickness measurement, and ovarian function evaluation.
Follicular ultrasound can determine the number and size of follicles and determine whether there is ovarian dysfunction. Endometrial thickness measurement can evaluate the nutrition of endometrium and whether it is suitable for embryo embedding and growth.
In addition to women's examination, men also need to conduct semen analysis to assess the quantity and quality of sperm. The fertility of men may also be affected because the fertility of elderly women is reduced.
3. Chromosome abnormality screening
Pregnancy of elderly women may be accompanied by an increased risk of chromosomal abnormalities. Common chromosome abnormalities include Down syndrome, Edwards syndrome and Pat syndrome. In order to exclude the risk of fetal chromosomal abnormalities, the elderly parturients need to carry out relevant screening.
Common screening methods for chromosomal abnormalities include non-invasive prenatal gene testing (NIPT) and amniocentesis. In NIPT detection, fetal chromosome can be analyzed by fetal free DNA in maternal blood. Amniocentesis is to directly observe the structure and number of fetal chromosomes by obtaining amniotic fluid samples.
Chromosome abnormality screening can help elderly mothers to understand the chromosome situation of the fetus in time and make corresponding decisions based on the results, including continuing pregnancy or making other choices.
4. Disease screening
The risk of some diseases of the elderly parturient is also relatively increased due to their older age. Therefore, disease screening is very necessary.
First of all, the elderly puerpera need to have gynecological diseases such as hysteromyoma and adenomyosis checked to ensure that the endometrium is normal and the pregnant environment is good.
Secondly, maternal blood sugar, blood pressure and other aspects of the examination to rule out diabetes, hypertension and other diseases. These diseases may lead to complications during pregnancy, which will have certain risks for both mothers and babies.
Finally, for some mothers with a family history of genetic diseases, corresponding genetic testing is also needed to assess the risk of fetal disease.
Summary:
The elderly childbearing is a common phenomenon in the current society, but it should be noted that the risks of elderly childbearing are also large. Therefore, it is very important to carry out necessary examinations before deciding to give birth at an advanced age. From basic physical examination, fertility assessment, chromosomal abnormality screening to disease screening, these examinations can comprehensively understand the maternal physical condition and fertility, eliminate potential risks, and lay a solid foundation for safe and smooth elderly childbirth.
