Studies have shown that compared with school-age pregnant women, the proportion of elderly pregnant women suffering from various diseases has increased by 2 to 4 times.
Rationally speaking, after the age of 35, what tests should elderly pregnant women do:
Medically, primiparas over the age of 35 are called elderly women. Because women are in a downward trend after the age of 35, the incidence of fetal malformation will increase, and the risk of complications of older women will also increase.
Pay attention to physical examination during pregnancy, and both husband and wife should check it. Taking folic acid tablets in the first three months of pregnancy can avoid nervous system diseases. Not before pregnancy, continue to make up after pregnancy.
16 to 20 weeks of pregnancy, Down's screening is needed. This examination is to draw the blood of pregnant women, detect the quality and concentration of various substances in the blood, and judge some congenital diseases that may occur in the fetus. Amniocentesis is needed after 20 weeks of pregnancy, because the older the mother, the higher the incidence of congenital stupidity and deformity, and more attention should be paid to blood sugar and blood pressure.
The risk of pregnancy-induced hypertension syndrome (PIH) and gestational diabetes mellitus (GDM) in elderly pregnant women is significantly increased.
It is more difficult for older pregnant women to give birth naturally, so they need to be prepared in advance. The indications for cesarean section in elderly pregnant women can be appropriately relaxed. Because the pelvis of elderly pregnant women is hard, the elasticity of ligaments and soft birth canal tissues is small, and the uterine contractility will be relatively weakened, which will easily lead to prolonged labor and even dystocia. Ability will decline rapidly. Older pregnant women should pay attention to during pregnancy:
First, the rate of spontaneous abortion increases, and older women are prone to chromosome abnormalities, so the incidence of spontaneous abortion in the first trimester is greatly increased.
Second, the rate of premature delivery has increased. The intrauterine environment of elderly pregnant women is relatively poor, which is not conducive to the growth and development of the fetus. It is easy to be abnormal in the third trimester, which makes the fetus premature.
Third, the rate of dystocia is high. Women are too old, the cervical marriage and pelvic joints become hard, it is not suitable for expansion during childbirth, and the contractility of uterus and the tension of vagina are also poor, which leads to slow delivery, prolonged delivery time and easy dystocia.
Fourth, the incidence of congenital dementia in children has increased. After the age of 35, the maturation process of eggs is prolonged, and chromosomes are prone to aging, decline or onset, which leads to an increase in the incidence of congenital dementia in children.
Fifth, hypertension and diabetes occurred during pregnancy.
With the increase of age, the probability of suffering from hypertension and diabetes increases.
Therefore, after pregnancy, with the changes of body metabolism, the proportion of these diseases during pregnancy will also increase.