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What special examinations need to be carried out before giving birth at an advanced age?

Special examination before giving birth to the elderly

With the improvement of social and economic level and the progress of medical technology, more and more women choose to meet the role of mother in their old age. However, older pregnancy also brings some risks. In order to ensure the health of pregnant women and fetuses, doctors will carry out a series of special examinations on elderly pregnant women. So, what special examinations are necessary before giving birth at an advanced age?

 What special examinations need to be carried out before giving birth at an advanced age?

Chromosome abnormality screening

With the growth of age, the quality of female eggs will gradually decline, thus increasing the risk of chromosomal abnormalities. Therefore, screening for chromosomal abnormalities is an essential examination before the birth of the elderly. At present, the commonly used method is amniocentesis or chorionic villus biopsy, which can detect whether the fetus has chromosome abnormalities in advance, such as Down syndrome. Once abnormalities are found, pregnant women can decide whether to continue pregnancy according to the situation.

In addition, it is also possible to preliminarily assess whether the fetus has chromosome abnormalities through serological screening and B-ultrasound examination. These screening methods are non-invasive and have a low risk for pregnant women and fetuses. They are one of the common screening methods for elderly pregnant women.

Cardiac and pulmonary function examination

The heart and lung functions of elderly pregnant women are relatively weak, and it will be more difficult to bear the additional burden during pregnancy. Therefore, it is essential to carry out heart and lung function tests before the elderly give birth. These tests can assess the overall health of pregnant women and ensure that they can withstand the pressure of pregnancy and childbirth.

Some common cardiac and pulmonary function tests include ECG, cardiac ultrasound and pulmonary function tests. These tests can help doctors understand whether pregnant women have heart disease, respiratory disease or other potential health problems. After the medical condition of the pregnant woman is confirmed, the doctor can make a suitable birth plan according to the situation.

Screening of diabetes and other chronic diseases

Older pregnant women are more likely to suffer from chronic diseases such as diabetes, which will not only affect their own health, but also increase the risk of fetal development. Therefore, it is necessary to screen diabetes and other chronic diseases before giving birth to the elderly.

Common screening methods include blood glucose test, insulin tolerance test and glycosylated hemoglobin test. These examinations can help doctors find out whether pregnant women have diabetes or other chronic diseases in time, and take corresponding measures for management and treatment.

Gynecological examination and pelvic floor function evaluation

Gynecological examination and pelvic floor function assessment are very important before the elderly give birth. These tests can evaluate whether the reproductive organs of pregnant women are healthy and whether there are problems such as pelvic floor muscle relaxation. If there are problems, doctors can take measures to treat them in advance to reduce the risk of delivery complications.

Gynecological examination includes artificial vaginal examination, cervical smear, uterine ultrasound, etc. Through these examinations, the doctor can know the condition of the uterus and ovary of the pregnant woman, whether there are cysts, tumors or other abnormalities. Pelvic floor function can be assessed by palpation and muscle strength measurement to assess the tension and function of pelvic floor muscles.

Summary

Before giving birth at an advanced age, special examinations are essential to ensure the health of pregnant women and fetuses. Chromosome abnormalities can be found as early as possible through chromosome abnormality screening. Cardiac and pulmonary function tests can assess the overall health of pregnant women and ensure that they can withstand the pressure of pregnancy and childbirth. Screening for diabetes and other chronic diseases helps to identify and manage these diseases in a timely manner. Gynecological examination and pelvic floor function assessment can assess the reproductive organ health and pelvic floor function of pregnant women, so as to take treatment measures in advance. Through these special examinations, more accurate medical services can be provided for elderly pregnant women to ensure their smooth pregnancy and childbirth.

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