Do a good job in pre-pregnancy examinations.
3-6 months before pregnancy, it is necessary for both husband and wife to have a detailed and thorough physical examination, which can rule out some hereditary diseases and avoid fetal malformation. At the same time, with the increase of age, the probability of women suffering from gynecological diseases is higher, so it is necessary to investigate possible gynecological diseases, and it is best to prepare for pregnancy in the best state of husband and wife.
With the increase of age, the physical condition will also change, so the pre-pregnancy examination of older women should be very comprehensive and meticulous, in addition to heart, lung, liver and kidney function, but also to detect metabolic indicators such as blood sugar and blood lipid. This is because the blood will be in a hypercoagulable state during pregnancy, thus preparing for delivery. Women with dyslipidemia should pay attention to adjusting their diet to reduce the chance of thrombosis after pregnancy. In addition, thyroid function should be checked to rule out Toxoplasma infection.
Because the biggest risk that older women will face is that genetic diseases will be passed on to the next generation, and with the increase of age, the quality of eggs will also drop significantly. Therefore, you must go to the hospital for a physical examination before pregnancy to avoid passing it on to the next generation!
Adjust your body to the best condition and keep a good mood.
Older women have low pregnancy rate and are prone to miscarriage. This is because when they are old, they will inevitably suffer from renal failure and lack of qi and blood. In diet, they must eat more nutritious substances, such as eggs, dairy products and bean products.
It is also important to develop good living habits and regular work and rest. Do not smoke, drink, stay up late, avoid harmful pollutants, keep in the best mood, get enough sleep, completely relax, and happily welcome the arrival of healthy babies.
Pregnant diet should be arranged reasonably.
During pregnancy, women's eating habits should be reasonably improved, based on the principle of light, less greasy and easy to digest, cooking should be diversified as much as possible, eating more fresh vegetables and fruits, supplementing water to the body and meeting the needs of various vitamins and trace elements. Don't be picky about food, which is not conducive to the body's nutrient absorption. Before pregnancy, women can properly supplement folic acid, and men can supplement the source tablets, which is helpful for prenatal and postnatal care.
Don't exercise, don't over-nourish.
Some expectant mothers worry about insufficient nutrition and take supplements all day. At this age, I'm finally ready to have a baby. During pregnancy, it will definitely become the key protection object, making everyone nervous, the whole family concerned, and the pressure of pregnancy preparation will naturally reduce the pregnancy rate.
Older expectant mothers should not make themselves too nervous during pregnancy, which is even more unfavorable for childbirth. When pregnant, family members are regarded as stars holding the moon, so they cannot exercise, eat this or do that, which makes expectant mothers highly nervous. And this is more likely to lead to premature delivery.
Pre-pregnancy examination items for the second child
Gestational diabetes, early pregnancy can lead to abnormal abortion.
According to gynecologists, mothers who have given birth once are familiar with gestational diabetes, and doctors will ask expectant mothers to monitor blood sugar during pregnancy, so as to find gestational diabetes as soon as possible and control it. This is because gestational diabetes is harmful to maternal and infant health. For example, poor blood sugar control of pregnant women is prone to infection, which will also aggravate the metabolic disorder of diabetes and even induce acute complications such as ketoacidosis; The incidence of polyhydramnios is 10 times higher than that of non-diabetic pregnant women, which may be related to the increase of fetal urine volume caused by fetal hyperglycemia and hyperosmotic diuresis. Because the incidence of macrosomia increases obviously, the probability of dystocia, birth canal injury and surgical delivery increases; Even if these "sugar babies" are born smoothly, they are easy to gain weight in adolescence and have a greater chance of developing diabetes in the future.
Most mothers who have a re-birth plan are older, and expectant mothers over 35 are at high risk of gestational diabetes. At present, the diagnostic criteria of gestational diabetes in China are: fasting > 5. 1 mmol/L, postprandial 1 hour > 10.0 mmol/L, postprandial 2 hours > 8.5 MMO1/L.
Mothers who suffer from gestational diabetes at the time of their first pregnancy have a very high risk of developing gestational diabetes at the time of their second pregnancy. In particular, some people may have abnormal glucose tolerance before pregnancy, so their gestational diabetes is likely to occur in the first trimester. Studies have shown that in the early pregnancy, the probability of fetal malformation and abortion is three to four times that of non-diabetic pregnant women.
Early diabetes can be found by examining abnormal glucose tolerance.
Experts suggest that mothers with re-birth plans should not think that everything will be fine if their fasting blood sugar is normal. Only checking fasting blood glucose will miss 80% of abnormal glucose tolerance (or "pre-diabetes"), so it is best to go to the hospital for a "glucose tolerance test" before pregnancy.
Specific examination method: After fasting 12 hours, blood was drawn to check fasting blood sugar, and then oral glucose 75g, 1 hour, and blood sugar was monitored respectively after two hours.
The normal standard is: fasting blood glucose < 5.6 mmol/L, 2 hours after meal < 7.8 MMO1/L.
Fasting blood glucose > 5.66 mmol/L was diagnosed as impaired fasting blood glucose;
The postprandial blood glucose was between 7.8- 1 1mmol/L, and it was diagnosed as abnormal glucose tolerance.
If fasting is greater than 7.06 mmol/L and postprandial is greater than11.16 mmol/L, it is diabetes.
What does impaired glucose tolerance mean? Experts explained that this situation can be said to be a pre-diabetic state. Although these people do not have diabetes now, the risk of developing type 2 diabetes in the future is very high. They can be said to be the reserve army of diabetes. If a woman with impaired glucose tolerance is pregnant, the probability of gestational diabetes will be very high, and maternal hyperglycemia will easily lead to miscarriage and fetal malformation under the action of hormones in early pregnancy.
Experts suggest that women over the age of 35 usually have endocrine problems such as polycystic ovary syndrome, family history of diabetes, obesity, recurrent candidal vaginitis and recurrent abortion. If they are going to be pregnant or pregnant again, it is best to have a glucose tolerance test during pregnancy instead of just checking fasting blood sugar.
These people advised against having a second child.
The following people are not suitable for giving birth to a second child: men or women suffer from serious genetic diseases that are medically considered unsuitable for giving birth, such as various birth defects (congenital malformation, hereditary diseases, congenital metabolic diseases and unexplained functional abnormalities); Suffering from serious mental illness (depression, schizophrenia); Either party has serious bad habits such as drug abuse; The woman's uterus does not have pregnancy function or is infertile due to serious physical diseases, such as serious heart disease, active tuberculosis, epilepsy, malignant tumor, hepatitis, nephritis, connective tissue disease, etc.
People with the following basic diseases should be pregnant after their condition is stable and well controlled: gynecological diseases such as hypertension, diabetes, hepatitis, nephritis, connective tissue diseases, thyroid diseases, thrombocytopenia, gallbladder diseases, sexually transmitted diseases, uterine fibroids, ovarian cysts, etc.