What kind of examination should be done for super old childbearing?
Super old childbearing refers to women who become pregnant again when they are over 35 years old. With the development of social economy and the progress of medical technology, more and more women choose to have late childbearing. However, due to physical conditions and physiological restrictions, a series of examinations are required for ultra old childbearing to ensure the health of mother and child. The following is a detailed introduction from four aspects: pre pregnancy inspection, pregnancy inspection, prenatal inspection and post natal inspection.
1、 Pre pregnancy examination
Very old women must have a detailed pre pregnancy examination before pregnancy. The first is physical examination, including blood pressure, heart rate, blood routine, liver function, kidney function, hepatitis B, AIDS and other items. These examination items can understand the overall physical condition of women and whether there is potential disease risk.
Secondly, ultra old women also need to have reproductive system examination, including gynecological examination and cervical smear. Gynecological examination can understand the condition of uterus, fallopian tube and ovary, eliminate abnormalities, and ensure the normal function of the reproductive system. Cervical smear can detect abnormal cervical cells and prevent cervical cancer.
In addition, ultra old women also need genetic counseling and genetic testing. Genetic counseling can understand the family genetic history and judge the risk of genetic diseases. Gene testing can check whether DNA is abnormal and prevent fetal defects caused by chromosome abnormalities.
2、 Pregnancy examination
Ultra old women need regular pregnancy examination after pregnancy. These examinations can not only understand the health of the fetus, but also monitor the health of pregnant women.
The early pregnancy examination is mainly to determine the pregnant woman's gestational week and the number of fetuses, and to understand the physical condition of the pregnant woman. The examination in the second trimester is mainly to understand the development of the fetus through ultrasonic examination to ensure the health of the fetus. The examination in the third trimester is to monitor the blood pressure, blood sugar and fetal movement of the pregnant woman, as well as to prepare for natural delivery or cesarean section.
In addition to routine pregnancy examinations, ultra elderly women also need more detailed fetal malformation screening and fetal gene testing. These examinations can detect and diagnose fetal problems earlier and provide better guarantee for the safety of women and babies.
3、 Antenatal examination
Prenatal examination refers to the careful examination of pregnant women and fetuses before delivery. For ultra old women, prenatal examination is particularly important, which can reduce the risk of delivery and ensure the safety of mother and child.
Prenatal examination mainly includes fetal position, fetal size, amniotic fluid volume and fetal heart rate. B ultrasound can be used to check whether the fetal position is normal and whether the fetus is well developed. Amniotic fluid examination can understand the quantity and quality of amniotic fluid and exclude fetal development abnormalities. The monitoring of fetal heart rate can judge the health status of the fetus.
In addition to routine prenatal examination, ultra old women also need to have blood sugar, blood pressure, blood coagulation and other aspects of the examination, as well as screening potential delivery risks. These examinations can help doctors understand the physical condition of pregnant women and take timely measures to ensure the smooth delivery.
4、 Postpartum examination
Postnatal examination refers to the examination of 6-8 weeks after delivery, aiming to understand the physical recovery of postpartum women. For very old women, postpartum examination is very important for timely treatment of postpartum complications and care for newborns.
Postnatal examination mainly includes palace cleaning, breast examination, lochia discharge, etc. Purging the uterus is to exclude puerperal infection, and breast examination is to check the breast feeding situation. In addition, the post natal examination should also be combined with women's own physical conditions and living habits to develop a suitable post natal recovery plan to protect breastfeeding and post natal mental health.
Summary
A series of examinations, including pre pregnancy examination, pregnancy examination, prenatal examination and post natal examination, are required for ultra old age childbirth. These inspection items can help doctors understand the health status of pregnant women and fetuses, find and deal with problems in time, and ensure the health and safety of mothers and children. Before deciding to become pregnant, ultra old women should evaluate their physical conditions in advance, follow the doctor's advice, and comprehensively check and prepare for the conditions of pregnancy.
