Indications and contraindications
With the progress of modern medical technology and people's consciousness, the elderly childbearing has gradually become a trend. Elderly childbearing refers to women who become pregnant or give birth only when they are over 35 years old. Although the risk of giving birth at an advanced age is higher than that of young women, appropriate indications can enable the elderly women to successfully conceive and give birth. Indications and contraindications mainly include the following aspects:
1. Indications:
First of all, an important factor in the indications for elder childbearing is women's physical condition. If women are healthy and have no serious chronic disease or genetic disease history, they can usually consider giving birth at an advanced age. In addition, if women have successfully given birth once or several times without serious delivery complications, they may have a higher chance of success when they consider giving birth at an advanced age again.
Secondly, male fertility should also be considered in the elderly fertility indications. If the sperm quality and quantity of men are in the normal range, and there is no history of serious genetic diseases, then they can consider planning the elderly birth together with older women.
Finally, the related medical technology and conditions should be considered in the indication of elder childbearing. If the hospital has advanced assisted reproductive technology and good monitoring facilities, the success rate of elderly childbearing will greatly increase.
2. Contraindications:
Although it may be feasible to give birth at an advanced age in some cases, there are also some contraindications that need attention. First of all, if women have serious chronic diseases (such as cardiovascular disease, diabetes, etc.) or genetic diseases, they may not be suitable for elderly childbearing. Secondly, if a woman has one of the following conditions, it may not be suitable for the elderly to give birth: uterine malformation, pelvic inflammation, fallopian tube adhesion and other problems. Finally, if the quality or quantity of spermatozoa cannot meet the fertility requirements normally, or men have a history of genetic diseases, they are not suitable to plan the elderly birth together with older women.
How to assess suitability
It is a very important step to evaluate whether you are suitable for giving birth at an advanced age, which can be carried out in the following ways:
1. Health examination: women should have a comprehensive physical examination, including gynecological examination, endocrine examination, etc., to determine whether there are potential health problems, such as ovarian dysfunction, uterine fibroids, etc. Men also need semen analysis to assess semen quality and quantity.
2. Genetic counseling: If you have a family history of genetic diseases, it is recommended to consult a genetic expert to understand the risk of genetic diseases and the possible impact on offspring.
3. Psychological preparation: giving birth at an advanced age may bring greater psychological pressure and physical burden. For couples who are planning to give birth at an advanced age, they need to fully consider their psychological endurance and family support.
Medical support for indications and contraindications
Some modern hospitals have provided relevant medical support for elderly childbearing to improve the success rate and reduce risks.
1. Assisted reproductive technology: Some hospitals provide assisted reproductive technology such as in vitro fertilization (IVF), which increases the probability of pregnancy for women.
2. Individualized treatment plan: according to the specific situation of women, doctors can make personalized treatment plans, including adjusting ovulation and hormone treatment, to improve the chances of success in childbirth.
3. Multidisciplinary comprehensive services: The hospital can provide multidisciplinary comprehensive services, including the collaborative work of obstetricians and gynaecologists, genetic experts, psychological consultants, etc., to ensure the all-round support of elderly childbearing.
summary
Indications and contraindications of elder childbearing are important factors that need to be considered. Women and men should carry out comprehensive physical examination and genetic counseling before deciding to have elder childbearing. At the same time, the advanced medical technology and multidisciplinary comprehensive services provided by the hospital also play a key role in the success and safety of elderly childbearing. The evaluation of indications and contraindications and medical support will help to ensure the smooth progress of elderly childbearing.
