Medical guidance for elderly childbearing
With the development of society and the change of people's conception of childbearing, more and more women choose to postpone childbearing, which leads to the gradual increase of the proportion of elderly childbearing. The elderly childbirth faces more health risks and problems, so medical guidance is particularly important for elderly pregnant women. This article will elaborate on the preparation before pregnancy, management during pregnancy, choice of production mode and postpartum care.
1、 Preparation before pregnancy
1. Physical examination and vaccine: women who give birth at an advanced age should have a comprehensive physical examination before pregnancy, including blood routine, blood type, electrocardiogram and other items to ensure their health. In addition, relevant vaccines, such as rubella vaccine, need to be vaccinated before pregnancy to avoid congenital rubella syndrome.
2. Nutrition supplement: Older pregnant women need to take proper nutrition supplement before pregnancy, especially folic acid and vitamin D. Folic acid can reduce the risk of neural tube defects, and vitamin D can help promote the normal development of fetal bones.
3. Lifestyle adjustment: Older pregnant women should give up smoking and alcohol, and keep adequate sleep and exercise. In addition, it is necessary to avoid contact with harmful substances. If possible, do not contact with pesticides, heavy metals and other substances that have adverse effects on embryonic development.
2、 Pregnancy management
1. Routine prenatal examination: Older pregnant women need routine prenatal examination, including regular pregnancy examination, blood pressure monitoring, blood glucose monitoring, etc. These examinations are helpful for timely detection and treatment of possible pregnancy complications, such as pregnancy induced hypertension syndrome and gestational diabetes mellitus.
2. Fetal malformation screening: fetal malformation is a major risk faced by older pregnant women, so pregnant women need to accept fetal malformation screening. Common methods include Down's syndrome screening and amniocentesis, which can help pregnant women understand the health status of the fetus in time.
3. Fetal monitoring: The elderly pregnant women need to carry out regular fetal monitoring, including fetal heart monitoring and B-ultrasound examination. Fetal heart rate monitoring can understand the fetal heart rate and fetal movement, and B-ultrasound can observe the fetal growth and development, and screen for abnormal placental function.
3、 Production mode selection
1. Natural delivery: If the elderly pregnant women are in good health and have no complications, they can choose natural delivery. Natural delivery can promote the physical recovery of mother and baby and reduce the risk of surgical complications.
2. Cesarean section: Older pregnant women may have the risk of obstetric diseases such as placental abruption and intrauterine distress due to their age, so it may be safer to choose caesarean section. Cesarean section can reduce the risk factors during delivery and ensure the health of the fetus and mother.
3. Individualized choice: In fact, the choice of production mode should be based on the physical condition and pregnancy of elderly pregnant women. Women should fully communicate and discuss with doctors and make wise choices according to their own conditions.
4、 Postpartum care
1. Rest and recovery: The elderly pregnant women need to have a full rest after delivery to restore their physical strength. In addition, postpartum diet should pay attention to balanced nutrition, increase the intake of protein, vitamins and minerals.
2. Breast care: During puerperium, older pregnant women need to pay attention to breast care, keep breast clean, and give correct guidance on breastfeeding methods to prevent breast diseases such as mastitis.
3. Psychological counseling: Older pregnant women may face more psychological pressure and anxiety during pregnancy, childbirth and postpartum. Medical staff should provide psychological support and counseling to help pregnant women ease their emotions and establish a positive concept of childcare.
summary
In a word, medical guidance plays a vital role in the process of elderly childbearing. From the aspects of preparation before pregnancy, management during pregnancy, choice of production mode and postpartum care, older pregnant women need to receive guidance and care from professional medical personnel. Only in this way can we ensure the health of elderly pregnant women and fetuses, and achieve a safe and smooth birth process.
