How old is maternal age? Wish someone could tell me this sooner…

With the liberalization of the three-child policy and the fast-paced life and work in today\’s society, there are more and more elderly mothers around us… During the tenth month of pregnancy, you have to sleep on your left side, walk with your back supported, and have to carry your huge belly all the time… It feels very hard just thinking about it. Since pregnancy is so difficult, how can we ensure that our baby will \”land safely\”? Timely and effective prenatal check-up is an essential link. No.1 What is advanced maternal age? We all know that calling a woman old is a very disrespectful statement. But when you go to the obstetrics department of the hospital, this phenomenon is very common. You often see the terms \”elderly maternal age\” and \”high-risk pregnancy\”. In fact, the \”old age\” here does not mean that the pregnant woman is old, but that we have all heard the term advanced maternal age, but what is the specific age that counts as an advanced maternal age? In medicine, mothers over 35 years old are generally called \”elderly mothers.\” Pregnancy after the age of 35 not only increases the risk of chromosomal abnormalities but also increases the mother\’s risk of various pregnancy complications and complications. For example, gestational diabetes and hypertension increase the risk of miscarriage, premature birth, and stillbirth, as well as the probability of cesarean section. [Latest Fourth Edition] Read the full text of the Pregnancy Bible with ultra-clear scanned PDF download 108M. However, this increase is gradual, and there is no obvious turning point after the age of 35. Therefore, timely and comprehensive prenatal examination is conducive to the screening and diagnosis of Down syndrome, and can also better predict and prevent the occurrence of maternal comorbidities and complications. No.2 Prenatal check-up tips for elderly mothers We know the importance of prenatal check-ups for elderly mothers, but do they have any special requirements during pre-natal check-ups? For example, special additions? Below we will give some health reminders to elderly pregnant women. 1. Carry out prenatal check-ups on time. Some elderly pregnant mothers who are pregnant with their second or third child will feel that they are \”pregnant\”. The whole process of the last pregnancy went smoothly, and this time it should be fine as well. I will voluntarily omit some prenatal check-up items, thinking that this will save money and trouble. Can those omitted prenatal check-up items really be omitted? of course not! A large amount of literature confirms that age is associated with poor prognosis in childbearing. Elderly pregnant women have more pregnancy complications and complications, so not only cannot they omit prenatal check-up items, but if there are new prenatal check-up items, it is also best to follow the doctor\’s arrangements and have them checked on time and on time! You can do a B-ultrasound in the early stages of pregnancy to rule out ectopic pregnancy; do a cervical translucency examination at 10 to 13 weeks of pregnancy; prenatal screening at 15 to 20 weeks of pregnancy; and a systematic B-ultrasound examination at about 24 weeks of pregnancy. Check the development of various organs of the fetus in detail. 2. Pre-pregnancy examination is essential. As age increases, women’s reproductive capacity decreases year by year, and their immunity also weakens. The miscarriage rate of older pregnant women increases significantly. In addition, the increase in gynecological diseases has caused inflammation of the uterus itself, and genetic material is more likely to be distorted or abnormal. Elderly pregnant women should pay more attention to corresponding prenatal examinations. 3. Tell the truth about your medical history. When we go to the hospital to see a doctor, the doctor will first ask us about our medical history, \”Have you had any medical history before?\”\”Have you ever experienced such a situation?\”… Don\’t underestimate these issues. The information you tell the doctor is very important. The original disease before pregnancy and past pregnancy and childbirth conditions need to be provided to the obstetrician when creating the card. For example, inform the history of premature birth , the doctor can comprehensively assess the risk of premature birth based on the information, so as to facilitate early medication intervention or preventive surgical treatment. 4. Pay more attention to pregnancy examinations. For \”older mothers\”, the older they are, the greater the risk of childbirth. big. Therefore, more attention should be paid to prenatal check-ups. ① Diabetes screening. If you are overweight before pregnancy, have polycystic ovary syndrome, or have gestational diabetes in one child, you should undergo sugar screening. A blood glucose screening test should be performed around 24 weeks of pregnancy even if there are no high-risk factors. ② Monitor blood pressure. Elderly pregnant women are prone to gestational hypertension. It is best to keep a blood pressure monitor at home and monitor it at the same time every day. If you have headaches, swollen legs, elevated blood pressure, etc., go to the hospital as soon as possible. ③ Ultrasound examination. Pregnant women should have at least 2 to 3 B-ultrasound examinations during pregnancy. Not only can they understand the development of the fetus and determine whether they can give birth naturally, but they can also effectively rule out serious malformations, such as heart and brain structural malformations. Studies have shown that older mothers are more susceptible to Children born with deformities. ④ Down syndrome screening. Many pregnant women tend to confuse \”Tang screening\” and \”sugar screening\”. The two tests are different. Tang screening is an abnormality examination, which mainly detects malformations that cannot be ruled out by color ultrasound, and calculates the risk coefficient of fetal congenital malformations through serum. ⑤ Amniocentesis. Maternal mothers over 35 years old are prone to fetal chromosomal abnormalities. Amniotic fluid samples contain cells from fetal skin and other organs. Amniotic fluid can be used to diagnose fetal chromosomal abnormalities. Pregnant women with high risk of Down syndrome screening; those who have given birth to children with congenital defects; and pregnant women whose spouses are carriers of chromosomal abnormalities or balanced ectopias should also undergo amniocentesis. 16 to 24 weeks of pregnancy is the best time for prenatal amniocentesis. 5. No ambiguity about free and convenient inspections! Fetal movement: refers to the movement of the fetus in the uterine cavity that impacts the uterine wall. The fetus reaches out, kicks, and hits the uterine wall in the uterus. This is fetal movement. Under normal circumstances, pregnant women can feel fetal movement consciously between 18 and 20 weeks of pregnancy. Premature fetal movements are irregular, but after 28 weeks of pregnancy, fetal movements have a certain rhythm. Therefore, pregnant mothers\’ self-calculation of fetal movements in the third trimester is an important means of early sensing the safety of the fetus in the womb. It is recommended to count fetal movements regularly in the morning, noon and evening every day when the fetus is active, for one hour at a time. Each fetal movement is counted as one. If the fetus moves continuously, we count the continuous movement within 5 minutes as one fetal movement, and if it exceeds 5 minutes, it is counted as two fetal movements. Pregnant mothers can use a pen or mobile phone to record and count the total number of fetal activities within an hour. Elderly pregnant women should pay close attention to their baby\’s fetal movements in the month close to the expected date of delivery, and perform fetal heart rate testing every week. No.2 Healthy life, healthy pregnancy. Some elderly pregnant women find it difficult to get pregnant. They stay at home as soon as they become pregnant, and their activity level is significantly reduced. Sitting for long periods of time or having little activity is not only detrimental to weight control during pregnancy, but also increases the risk of constipation and venous thrombosis. It is also very harmful to the fetus.profit. In short, maintaining good living habits is especially important for elderly pregnant women. It is also necessary to have prenatal check-ups on time and as required. Please be sure to tell the pregnant mothers around you how to count fetal movements. This is the simplest and most effective way to spend the second trimester of pregnancy with peace of mind!

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