What kind of examinations should be carried out for elderly childbearing?
With the growth of age, women's ability to conceive will gradually decline, while older pregnancy will also bring a series of risks. Therefore, it is very important for women who plan to give birth at an advanced age to have a comprehensive health examination. So, what kind of tests should be carried out for the elderly childbearing? It is detailed from the following aspects.
1、 Physical examination and basic index examination
Physical examination, including height, weight, abdominal examination, breast examination, etc., is required before the birth examination for the elderly. In addition, some basic indicators need to be checked, such as blood pressure, electrocardiogram, blood routine test, urine routine test, etc., to assess the basic health status.
In addition, cervical smear examination is also needed to exclude the existence of cervical diseases. Breast ultrasound is also essential to help eliminate the existence of breast diseases.
Based on the above examination results, doctors can preliminarily understand the physical condition of elderly women and provide basis for subsequent examinations.
2、 Reproductive system examination
It is necessary to pay special attention to the inspection of the reproductive system for elderly childbearing. First, the ovulation function needs to be evaluated by means of basic temperature curve, basic prolactin, cervical mucus observation, etc. In addition, you can also check if the fallopian tube is unblocked, such as salpingography.
At the same time, hysteroscopy and hysterosalpingography (HSG) are also required to assess whether the structure of the uterus and fallopian tube is normal and whether there are any diseases that may affect pregnancy.
3、 Examination of pregnancy related indicators
Women who have given birth at an advanced age also need to have a series of pregnancy related indicators checked. The first is the detection of follicle stimulating hormone (FSH), luteinizing hormone (LH), estradiol and other hormones to understand the ovarian function. In addition, thyroid function and glucose metabolism function should also be checked.
In addition, chromosome abnormality screening and abdominal ultrasound examination are also needed to assess the health of the fetus.
4、 Psychological and emotional assessment
Older women who give birth often suffer from greater psychological pressure and emotional fluctuations, so it is also very important to carry out psychological and emotional assessment. For women with psychological problems such as anxiety and depression, timely psychological intervention is necessary. Doctors can assess patients through consultation, psychological testing, etc., and provide corresponding psychological support and guidance.
To sum up, a series of examinations should be carried out for elderly childbearing, including physical examination and basic index examination, reproductive system examination, pregnancy related index examination, and psychological and emotional assessment. Through these examinations, the physical condition of elderly women can be comprehensively evaluated, problems can be found in time, and corresponding measures can be taken to intervene, so as to improve the success rate of fertility and reduce the risk of pregnancy.
Summary
For the reproductive health care of elderly women, we need to conduct a comprehensive inspection. The physical and psychological conditions of women were comprehensively evaluated from the aspects of physical examination, basic index examination, reproductive system examination, pregnancy related index examination, and psychological and emotional assessment. These examinations help to find potential problems as early as possible, make targeted interventions, improve the success rate of fertility, reduce the risk of pregnancy, and ensure the health of mothers and infants.
