Do we need to strengthen relevant examinations for older babies?
With the development of society and the improvement of living standards, more and more women choose to give birth at an advanced age. However, there are certain risks and challenges in elderly childbearing, so it is necessary to strengthen relevant inspection and nursing. This article will elaborate on the related inspection of the elderly babies from four aspects.
Risk of chromosomal abnormalities in embryos
With the growth of women's age, the quality of eggs will gradually decline, thus increasing the risk of chromosomal abnormalities in embryos. Chromosome abnormalities are mainly manifested as Down's syndrome (trisomy 21), which is characterized by mental retardation, congenital heart disease and low muscular tension. Therefore, chromosome related examination is particularly important for elderly pregnant women.
First of all, pregnant women can choose to do amniocentesis or chorionic biopsy and other prenatal diagnostic methods. These methods can determine whether there is chromosomal abnormality by analyzing fetal chromosomes. In addition, non-invasive prenatal genetic testing (NIPT) can also be used to detect the risk of trisomy 21 in fetuses. These examinations are very important for the elderly pregnant women to conduct early screening, which will help to find chromosome abnormalities as soon as possible and provide basis for reasonable decision-making.
At the same time, pregnant women also need to carry out regular prenatal examination during pregnancy, including blood examination, B-ultrasound examination, and routine pregnancy care. These examinations and nursing care can help pregnant women find problems as soon as possible and intervene to ensure the health of the fetus.
Screening and treatment of gestational diabetes mellitus
The risk of gestational diabetes in elderly pregnant women is significantly increased. Gestational diabetes refers to various types of hyperglycemia that occur during pregnancy or are found for the first time. Pregnant women with gestational diabetes will increase the risk of poor quality fetuses, macrosomia, premature delivery, fetal malformations, etc.
Older pregnant women need to be screened for gestational diabetes during pregnancy. Generally, oral glucose tolerance test (OGTT) can be used. This test can evaluate the insulin secretion and glucose metabolism of pregnant women. If the screening results are abnormal, further diagnosis and treatment are needed.
The treatment of gestational diabetes includes diet control, exercise and insulin therapy. Older pregnant women need to closely cooperate with the guidance of doctors and strictly control the blood sugar level to reduce the risk to the fetus and themselves.
Screening and prevention of pregnancy complications
Older pregnant women are more likely to suffer from various pregnancy complications than younger pregnant women, such as pregnancy hypertension, polyhydramnios, placental dysfunction, etc. Therefore, older pregnant women need to strengthen the screening and prevention of these complications.
During the regular prenatal examination during pregnancy, the doctor will check the blood pressure of pregnant women, screen for proteinuria, etc., in order to find the signs of pregnancy hypertension early. In addition, it is also possible to assess whether the placental function is normal through B-ultrasound examination. If pregnant women encounter problems such as polyhydramnios or placental dysfunction, they need close observation and intervention to ensure the safety of mother and child.
Psychological counseling and social support
Older pregnant women face greater pressure and anxiety, and need psychological counseling and social support. Pregnant women can choose to attend relevant psychological counseling courses to learn how to deal with anxiety and stress. In addition, the support of family and friends is also very important. They can encourage and help pregnant women to reduce their burden.
In a word, it is necessary to strengthen the relevant inspection and care for the elderly babies. Comprehensive examination and care from chromosome abnormalities of embryos, screening and treatment of gestational diabetes, screening and prevention of complications during pregnancy, as well as psychological counseling and social support, can help elderly pregnant women successfully pass through pregnancy and ensure the health of their babies and mothers.
