Excuse me, giving birth at the age of 45.

With the increase of social competition and life pressure, people put a lot of energy and time into their work, which leads to the gradual increase of the average age of marriage and childbearing. In the past, 23 and 25 years old were used as the criteria for late marriage and late childbirth, but now most people are late marriage and late childbirth. At present, most pregnant women are between 25 and 30 years old, and many pregnant women are over 30 years old, even reaching 35 to 40 years old. Medically, pregnant women over the age of 35 are called elderly pregnant women. Among them, China's elderly primiparas account for about 2.45%, and there is an upward trend. Compared with young pregnant women, older pregnant women have a lot of troubles, mainly paying attention to the following problems.

Are there many pregnancy complications?

Older women have more pregnancy complications than younger women. The most common complications are pregnancy complicated with heart disease, pregnancy-induced hypertension syndrome and pregnancy-induced diabetes.

The blood volume of pregnant women is significantly higher than that of non-pregnant women, and the heart burden is heavier. Many pregnant women with heart disease can't stand it and have to terminate their pregnancy early. Pregnancy-induced hypertension syndrome (PIH) is a unique disease during pregnancy, which is characterized by hypertension, proteinuria and edema. In severe cases, convulsions, coma, heart and kidney failure and even maternal and infant death may occur. In addition, the metabolism of pregnant women can not be used to judge whether pregnant women have diabetes. Gestational diabetes mellitus is very harmful, which not only makes mothers susceptible to infection, but also causes premature delivery, macrosomia, fetal abnormality and stillbirth, and is one of the main causes of neonatal death.

Is the risk of childbirth high?

There are many opportunities for abnormal fetal position in the delivery process of elderly pregnant women, and the most common one is breech delivery. Due to the deterioration of pelvic and ligament functions and the weakening of the elasticity of soft birth canal tissue, the uterine contractility is also weakened accordingly. If the fetal position is not correct, it will easily lead to prolonged labor and dystocia, resulting in fetal birth injury and suffocation.

In order to avoid dystocia, many elderly pregnant women choose cesarean section. Although cesarean section is the best means for elderly pregnant women, it also brings heavy trauma and takes longer to recover than normal delivery.

Are there many congenital malformations?

Congenital malformation is related to the age of pregnancy. The older the child, the higher the incidence of congenital dementia and some congenital malformations. We often encounter Down syndrome, also known as congenital stupidity. According to statistics, the incidence of pregnant women under 35 years old is about1100, while the incidence of pregnant women over 45 years old can be as high as 1/50. The reason why this happens is that the ovaries and testicles will gradually age and deteriorate with age, and the eggs and sperm they produce will naturally age and deteriorate, and the probability of chromosome aberration will increase. The incidence of malformations and some hereditary diseases will increase in the fetus developed from fertilized eggs (or sperm), and the incidence of abortion, premature delivery, stillbirth, malformation and dementia will also be high. Therefore, it is recommended that women try not to become elderly pregnant women.

What should I do if I have become an elderly pregnant woman?

However, if you are about to become an elderly pregnant woman, or you are already an elderly pregnant woman, you don't need to worry too much. At this time, the most important thing is to do a good job of pre-pregnancy and prenatal examination.

Older women can find problems and deal with them as soon as possible through pre-pregnancy examination. If hypertension and diabetes can be detected early, the primary disease can be controlled before pregnancy.

Pregnant women should have obstetric examination in the early pregnancy, and drugs to prevent fetal malformation should also be taken in the early pregnancy. Then, regular prenatal check-ups are conducted to find problems in time. For pregnant women with complications, it is recommended to be admitted to hospital for treatment and terminate pregnancy if necessary to avoid serious consequences.

Although there are many potential dangers for older women to get pregnant, as long as they do this, they can get smart and healthy babies.