Can elderly women give birth to healthy children? In today's society, many women are forced by the pressure of life and work, which leads to the delay of childbearing age. On the other hand, with the liberalization of the second and third child policies, the phenomenon of older births has become more and more frequent. So can elderly women give birth to healthy children?
Can elderly women give birth to healthy children? 1 Does the delivery of elderly women affect the baby's health?
According to statistics, when a woman is over 35 years old, the difficulty of childbirth will increase. In addition to being difficult to conceive, the chances of pregnancy complications and dystocia will also increase. Not only that, I often feel exhausted when I take care of my baby in the future. What are the problems encountered in the third trimester? How to cross these thresholds carefully? Older pregnant mothers should pay attention.
When it comes to prenatal and postnatal care, women's age is often discussed, especially after the age of 35, they are included in the ranks of elderly women, and they need to face all kinds of unfavorable factors brought by advanced age.
However, nowadays, it seems to be an inevitable trend to marry late and have children late. Many young couples are afraid to have children easily because of the pressure of study, work and economy. In addition, modern young couples are enjoying the comfort and freedom of their own world more and more, fearing that the arrival of children will add a lot of hardships and responsibilities, and are unwilling to have children.
However, the unfavorable factors of pregnancy at an advanced age are also obvious. With the increase of age, the quality of women's eggs will decline, and many gynecological diseases will also find the upper body. It may also be because of physical decline that it is extremely difficult to take care of your baby during pregnancy and postpartum. Therefore, it is better to try to be born at the right age.
Of course, with the development of medical technology, many pregnancy troubles caused by old age in the past can be basically overcome through systematic examination and sophisticated screening techniques, such as early screening and timely intervention of various pregnancy complications.
In addition, some scholars have pointed out that many parents who wait until they are old actually have many advantages. After all, their social and economic status is stable, their physical and mental maturity is generally high, and many things are more considerate than young parents. Therefore, as long as they are careful, they can still enjoy the happiness of being parents.
Chen Zhenyu, an attending physician in obstetrics and gynecology, said that unlike men who repeatedly produce sperm, women's eggs are consumed from birth. When a woman is born, there are about 2 million primary oocytes in her ovary. In childhood, most primary oocytes are atresia, and only about 400 thousand remain in adolescence.
Since then, some primordial follicles have grown and developed in every ovarian cycle until menopause. Therefore, some primary oocytes in female ovaries have been in a static state for more than 40 years, which increases their vulnerability, and most of them go to atresia at different stages.
Therefore, the older the egg is, the more serious the aging of the egg is, and the probability of fetal chromosome abnormality will increase. On the other hand, with the increase of age, the probability of women suffering from gynecological diseases will also increase, especially endometriosis, pelvic inflammatory disease or inflammation, which will easily lead to infertility.
The influence of older pregnancy on the baby Dr. Chen Zhenyu reminded that older pregnancy may not only cause pregnancy complications caused by infertility and chronic diseases, but also have different degrees of influence on the baby.
[premature delivery]
Older women have a high probability of pregnancy complications and a heavy physical burden, which easily leads to premature delivery.
[growth retardation]
If the mother has a chronic disease, it will affect the blood flow of the placenta, thus causing the problem of fetal growth retardation. In particular, many elderly pregnant women are pregnant through artificial reproduction technology because of infertility. In this case, the probability of multiple births increases, which is more likely to cause the problem of low birth weight.
[Fetal chromosome abnormality]
Based on the influence of chronic diseases and egg aging, pregnant women over 35 years old are likely to give birth to Down's baby, and the fetal mortality rate during delivery is higher than that of ordinary pregnant women.
Can elderly women give birth to healthy children? What dangers are elderly women prone to?
Increased premature delivery rate
The intrauterine environment of elderly pregnant women is relatively poor, which is not conducive to the growth and development of the fetus, and it is easy to have abnormalities in the third trimester, which makes the fetus premature. According to the data, the premature delivery rate of elderly pregnancy is four times that of women of childbearing age.
The rate of spontaneous abortion has increased.
Older women are prone to chromosomal abnormalities, so the incidence of spontaneous abortion in early pregnancy is greatly increased. According to the data, when the elderly are pregnant for the first time, the abortion rate in early pregnancy can be as high as 20%, which is 2-4 times that of school-age pregnant women.
Increased incidence of breast cancer
According to the latest data, the incidence of breast cancer in women who give birth for the first time over 35 years old is much higher than that in women who give birth for the first time before 30 years old, and the older they are, the higher the incidence rate is.
The incidence of infertility has increased.
A report from France shows that women's ability to conceive will decrease obviously with age. After the age of 35, the incidence of infertility will increase significantly. This is mainly the result of physiological and endocrine changes in the body.
Increased dystocia rate
Women are too old, the joints of cervix, perineum and pelvis become hard, and it is difficult to expand during childbirth. The contractility of uterus and the tension of vagina are also poor, which leads to slow delivery, prolonged delivery time and easy dystocia.
Be in a bad mental state
For women over 35 years old, the psychological burden of pregnant women is greater than that of school-age pregnant women. In addition, various pressures from society and family are easy to make them nervous, which is not conducive to their own health and the growth and development of the fetus.
Susceptible to hypertension and diabetes.
With the increase of age, the probability of human suffering from diseases such as hypertension and diabetes increases. Therefore, after pregnancy, with the change of body metabolism, the probability of suffering from these diseases during pregnancy will also increase.
The data show that the incidence of pregnancy-induced hypertension in elderly pregnant women is 2-4 times higher than that in school-age pregnant women; The incidence of diabetes and gestational diabetes is more than three times higher than that of pregnant women aged 25-29.
Postpartum physical recovery is slow
After the age of 35, the functions of organs and tissues of the whole body began to decline. Postpartum is not only prone to various postpartum diseases, but also the regulation of endocrine on the body and the recovery ability of reproductive organs will be weakened. The data show that the older you are, the slower your body will recover.
Give birth to a weak child.
After the age of 35, women's physical function began to decline, and the fertility of the uterus and the ability to provide nutrition for the fetus were worse than those of pregnant women of school age. Data show that children born to elderly pregnant women, especially the first child, have relatively weak immunity, and the incidence of various diseases, such as leukemia, increases.
The incidence of congenital dementia in children is increasing.
After the age of 35, the maturation process of eggs is prolonged, and chromosomes are prone to aging, decline or distortion, which leads to an increase in the incidence of children with congenital dementia. The data show that the incidence of congenital dementia in pregnant women aged 25-34 is only11350, while that in pregnant women aged 35-39 is as high as 1/260.
How do elderly women give birth to healthy babies?
First, ensure the quality of eggs.
Female primordial germ cells are formed in the fetal period. The older you get, the greater the influence of environment and pollution on your eggs. Moreover, with the increase of age, the ovarian function gradually degenerates, which easily leads to abnormal egg chromosomes. This is the normal metabolism of women and there is no way to avoid it.
According to relevant statistics, the rate of fetal malformation or mental retardation caused by chromosomal abnormalities increases exponentially with the age of expectant mothers.
1, good living habits delay egg aging.
No smoking, no drinking. The results show that the ovarian function of 35-year-old female smokers is almost the same as that of 42-year-old female nonsmokers, and smoking leads to the decline of female fertility. Long-term alcoholism can also lead to ovarian aging. In order to protect the seeds, remember to stay away from alcohol and tobacco.
Do not stay up late, work and rest regularly. Often staying up late, the law of life is disrupted, which directly affects the balance of endocrine environment. However, the disorder of hormone secretion will cause the disorder of ovarian function and affect the development and ovulation of eggs. Once the endocrine environment is broken, readjustment is a very long process. Instead of wasting time in this respect, it is better to form a regular life of going to bed early and getting up early.
Always stand up and walk. For many people, regular exercise has become an extravagant hope, and there are various reasons to support physical laziness. Especially women who often sit in the office or even in front of the computer. Sedentary is the most unfavorable for pelvic blood circulation. If you can't exercise regularly, seize every opportunity to stand up and walk.
2, avoid the injury of multiple abortions
The uterus is like the soil that breeds life. Whether it is medical abortion or surgical abortion, it is tantamount to destroying this land artificially.
If repeated, it may lead to poor soil and infertility. Moreover, surgical abortion may also cause tubal adhesion, endometriosis and other infertility problems. Therefore, if you don't want to get pregnant right away, you must do a good job of contraception and protect your fertility.
3. Precautions for contraceptives and various contraceptive measures
If you are using a contraceptive shield, such as a contraceptive device, condom or vaginal septum, you can stop using it immediately and get pregnant. However, if you are taking birth control pills or using intrauterine devices, you should stop using them for a period of time in advance, leaving enough time for your body to return to normal menstrual cycle before getting pregnant.
Generally speaking, you can prepare for pregnancy in the second menstrual cycle after stopping using contraceptives. It is best to wait for one or two months to take out the IUD, and then consider pregnancy in the third or fourth normal menstrual cycle.
Second, do a good job in pre-pregnancy nutrition supplement.
1, folic acid supplement
If you intend to devote yourself to pregnancy preparation, it is important to supplement related nutrients, such as folic acid. Folic acid is supplemented from the third month before pregnancy, and 400 micrograms are added every day.
2. Get rid of bad eating habits
Some usual eating habits may have adverse effects on pregnancy, and adjustments should be made during pregnancy preparation. For example, it is easy to lack iron and calcium during pregnancy, so if you usually have the habit of drinking coffee, give it up slowly.
Eat less spicy food, eat more fruits and vegetables and drink more water.
Constipation is one of the most common discomfort symptoms of many expectant mothers during pregnancy. Constipation is directly related to lack of activity and diet. Therefore, we should pay attention to prevention from the beginning of pregnancy.
Third, control weight.
1, overweight will increase the incidence of pregnancy complications.
Older age itself is the reason for the increased incidence of pregnancy complications such as pregnancy-induced hypertension syndrome and gestational diabetes. If you are overweight at the same time, it will increase the risk of illness. Therefore, in order to have a healthy pregnancy, we should pay attention to controlling and maintaining normal weight.
2. Maintain a normal weight to ensure a smooth delivery.
The elasticity of the birth canal of older expectant mothers is reduced, which is easy to cause problems such as delayed delivery and surgical midwifery. If overweight, it will increase the probability of the above problems, increase the risk of childbirth and the difficulty of postpartum recovery.
Can elderly women give birth to healthy children? 3. What risks do older women face?
They say having a baby is like going through the gate of hell. This is especially true for older women. Let's look at the risks faced by older women.
The probability of fetal abortion and malformation is high. With the increase of age, women's physical function declines year by year. Due to the decline of ovarian function, the quality of eggs will also decline. Although it is still possible to get pregnant, the probability of pregnancy is low, and it is easy to miscarry or give birth to unhealthy children.
It is easy to cause complications. Another risk of older women is that they are prone to complications, such as pregnancy-induced hypertension and pregnancy-induced diabetes, which will affect the health of pregnant women and children.
The probability of dystocia is high. Due to the decrease of uterine contraction ability and vaginal extension ability, the pelvic joints of elderly women become hard and difficult to expand, which may lead to dystocia or massive bleeding during childbirth.
Older women will face so many risks. Don't older women have a chance to have children? Of course not.
Ma Liang Kun, an obstetrician at Union Medical College Hospital, was pregnant with her second child at the age of 43. She still made house calls and had surgery during pregnancy, and also participated in three scientific research projects of her own. He also published many professional articles and attended speeches at various conferences. She told us with actions that as long as she did her homework well, elderly women could spend their pregnancy safely and give birth to healthy babies.
Second, how should older women prepare for pregnancy?
Only when you are in good health can you have good seeds and have a chance to give birth to healthy children. Therefore, pregnancy preparation is very important for couples who are ready to give birth, especially for couples who give birth at an advanced age. Can be carried out from the following aspects.
sports
Exercise can not only strengthen the body, but also enhance human immunity. It can also increase the probability of pregnancy. Three months before pregnancy, preferably six months to one year, pregnant couples can start exercising. You can choose swimming, jogging, yoga and other sports that do not require high physical strength.
prescribe a diet
In terms of food, eat more foods rich in high-quality protein, such as fish and shrimp, soybeans, eggs, milk and so on. Folic acid supplementation began 3-6 months before pregnancy. Besides taking folic acid tablets directly, we can also get them from food. Foods with more folic acid content are spinach, lettuce, rape, bananas, oranges, nuts and so on.
This man doesn't smoke or drink. Smoking and drinking will lead to low sperm survival rate and poor quality, and it is easy to appear weak sperm and dead sperm, leading to female infertility or abortion.
Pre-pregnancy medical examination/physical examination
Some people think that it is not necessary to have a pre-pregnancy examination after a medical examination during pregnancy. In fact, pre-pregnancy examination is different from routine physical examination. Pre-pregnancy examination programs will be more targeted at reproductive system and genetic factors. This examination is a must for both husband and wife, and it is the basic guarantee for children's health all their lives.
It is generally advisable to do it 3-6 months before pregnancy. If you have diabetes, hypertension, cardiovascular and cerebrovascular diseases or family genetic history, you should also go to a specialist to check whether it is suitable for pregnancy.
I would like to remind you that women must have an oral examination when they are pregnant. Because after pregnancy, because of the rapid increase of estrogen and gingival vascular hyperplasia, periodontal tissue becomes more sensitive and prone to gingival bleeding. Periodontal disease during pregnancy also easily leads to premature delivery and low birth weight.