Basic contents required for the evaluation of elderly childbearing
With the progress of society and the improvement of medical conditions, more and more women choose to postpone childbearing, which brings some risks of elderly childbearing. In order to ensure the health of mothers and infants, it is particularly important to carry out the elderly birth assessment. So, what inspection items are the basic contents of the elderly birth assessment?
1. Basic physical examination
The first part is basic physical examination. This includes a series of routine physical and physiological examinations. The doctor will measure women's height, weight, blood pressure, heart rate, etc. to check whether there are any physical abnormalities or abnormalities. In addition, doctors will also check whether women's endocrine system, reproductive organs and breasts are normal to determine women's fertility potential.
At this stage, doctors may also require women to carry out some routine laboratory tests, such as routine blood tests, routine urine tests, liver function tests, etc., to assess the overall health of the body.
Finally, your doctor may recommend that you have an ECG and chest X-ray to understand the cardiovascular and respiratory conditions of women. These tests will help to assess whether women are suitable for giving birth at an advanced age.
2. Reproductive system assessment
The second part is reproductive system assessment. This part mainly focuses on whether the female reproductive organs are normal. The doctor will perform gynecological examination to check the status of the cervix, uterus and ovary. In addition, the doctor may also recommend a vaginal ultrasound examination to learn more about the condition of the endometrium.
When evaluating the reproductive system, the doctor will also require women to have hormone levels checked, such as estrogen, progesterone, follicle stimulating hormone, etc. These tests can evaluate the ovarian function and ovulation of women, and provide reference for subsequent fertility planning.
In addition, doctors can also perform hysterosalpingography as needed. This test can determine whether the fallopian tube is unobstructed and suitable for natural pregnancy.
3. Genetic counseling and screening
The third part is genetic counseling and screening. With the growth of age, women may face higher genetic risk after pregnancy. Therefore, genetic counseling and screening are very necessary.
Genetic counseling includes understanding and evaluation of the family genetic history of both spouses, as well as gene testing of some specific genetic diseases. This helps to predict the possible risk of genetic diseases and make reasonable choices for the future children of both spouses.
In addition, doctors may recommend screening for Down syndrome and other genetic abnormalities. These screenings usually include blood tests and ultrasound tests to help couples understand whether the fetus has some serious genetic disease.
4. Pregnancy risk assessment
The fourth part is pregnancy risk assessment. Older pregnant women face higher risk of complications during pregnancy, such as abortion, premature delivery, gestational diabetes, etc. Therefore, it is very important to understand and assess the physical condition and potential risks of pregnant women.
The doctor will assess the possible risks during pregnancy according to the woman's age, physical condition and examination results. In addition, the doctor will also recommend that pregnant women undergo ultrasonic examination and screening to further assess the health of the fetus.
Summary
The elderly fertility assessment involves basic physical examination, reproductive system assessment, genetic counseling and screening, and pregnancy risk assessment. Through these inspection items, doctors can comprehensively assess women's fertility potential and risks, and provide them with corresponding suggestions and guidance.
