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What should be paid attention to in the pregnancy of elderly women? What's the age of an old woman?

Recently, the news of a 67 year old pregnant woman giving birth to a second child is shocking! For the elderly, pregnancy is facing many risks, so what should be paid attention to during pregnancy? The possibility of intrauterine growth retardation and premature delivery of the fetus of the elderly pregnant woman is greater, we should improve our vigilance, regularly go to the qualified obstetrics and gynecology department for maternal and fetal monitoring and necessary prevention and control measures.

What is the age of the old woman?

The aged parturient refers to the parturient who is over 35 years old for the first time. Generally speaking, due to the decline of women's body after 35 years old, the possibility of intrauterine growth retardation and premature delivery of the fetus of the elderly maternal is greater; the risk of complications of the elderly maternal is increased.

The specific manifestations are: the weight of premature or full-term newborns is lower than that of normal infants of the same gestational age, the number of unexplained stillbirths is also increased, and the rate of congenital malformations is also relatively increased. Therefore, special attention should be paid to prenatal monitoring and examination.

Precautions for elderly women

Due to the age and physical disadvantage of the elderly women, more attention should be paid during pregnancy. Please refer to the following for specific precautions:

1. Pregnancy examination: pregnancy examination is very important for the elderly pregnant women. Pregnant women should appropriately increase the frequency of birth examination. We should pay more attention to blood glucose and blood pressure. At 16-20 weeks of pregnancy, Down's screening is a must for older pregnant women. Amniocentesis should be done after 20 weeks of pregnancy to check whether the fetus is abnormal. This test is not necessary for normal young pregnant women. In addition, the elderly pregnant women should learn to use fetal language instrument, carry out basic fetal heart rate monitoring at home, draw standard monitoring curve, so as to understand the fetal development at any time.

2. Take folic acid one month in advance before pregnancy. Folic acid can prevent the development of nervous system. If you do not eat folic acid in time before pregnancy, continue to supplement it after pregnancy until the 12th week of pregnancy. Foods rich in folate include animal liver, beet, cauliflower, green leafy vegetables and orange juice. Eating more fruits and vegetables can supplement folate. There must be enough zinc in the early stages of embryo development. It also contains more zinc in beef, seafood and animal liver.

3. Adequate sleep: adequate sleep is an important guarantee for the elderly pregnant women to improve their immunity and ensure their health. In addition to 8-9 hours of sleep at night, one hour of nap should be guaranteed at noon. Walnut, jujube kernel and other foods should be added to the diet.

4. In terms of diet, it is suggested that high protein, low fat and mild food should be used. Such as tea, wine, tobacco, coffee, as well as alcoholic and caffeinated food are not suitable.

5. Life should also be far away from bad environment, such as:

(1) Too noisy, too crowded space is not suitable.

(2) Radiation such as X-rays, radioiodine, or people using radiation therapy should not be contacted.

(3) Do not use antibiotics or hormonal agents at will, unless they are given by a doctor. Of course, sleeping pills, tranquilizers and antispasmodics should not be used at will.

(4) Keep away from patients with infectious diseases. Measles, cytomegalovirus, herpes simplex virus will affect the fetus, so should be away from.

6. It is more difficult for the elderly women to give birth naturally, so they need to be prepared in advance. The indication of cesarean section is higher in the elderly pregnant women, usually 90% of them choose cesarean section. The pelvis of the elderly pregnant women is hard, the ligaments and soft birth canal tissues are less elastic, and the contractile force of the uterus is correspondingly weakened, which may easily lead to prolonged labor, even dystocia, fetal birth injury and asphyxia.

More attention should be paid to the nursing during pregnancy than other pregnant women. As the elasticity of the birth canal and perineum muscles is reduced, the ligaments of the pelvic joints become hard, and dystocia may occur during delivery, which may also cause complications such as hypertension and diabetes. The incidence of deformity and low-energy infants in the elderly pregnant women may also be higher than that in the age appropriate pregnant women. However, it is not necessary to be nervous about this. As long as we pay attention to actively cooperate with doctors, timely prenatal examination, keep healthy body, pay attention to nutrition and exercise during pregnancy, with the improvement of medical care level, the vast majority of elderly pregnant women will successfully pass the pregnancy and childbirth.