During pregnancy, some ophthalmologists will recommend cesarean section as the main delivery method for high myopia patients, because the patients need to hold their breath for a long time during vaginal delivery, which will increase the risk of retinal detachment. So can high myopia have a good delivery?
However, the actual situation is: the patients with high myopia will have a series of corresponding changes in the eyes during pregnancy, such as the increase of the thickness of the central cornea, the rise of intraocular pressure and so on, and their vision will decline, but these conditions will recover after six weeks of delivery.
At present, a number of clinical studies have shown that the ocular complications caused by high myopia pregnant women, such as retinal detachment, are not significantly increased compared with non high myopia pregnant women.
Therefore, no matter myopia or high myopia, or even the mother to be after laser surgery for high myopia, if there is no taboo of vaginal delivery in obstetrics and other complications, vaginal delivery can be done without worry.
If the expectant mother of high myopia is not at ease, she can have an ophthalmic examination before delivery to see if there is fundus disease. If she is only high myopia, there is no need to worry about the eye problems during the delivery.
High myopia has the risk of retinal detachment, so the myopic pregnant women will easily worry about the rise of intraocular pressure in the process of labor, resulting in retinal detachment.
So, myopic degree exceeds the person of high myopia of 600 degrees, is there a risk of having a smooth birth?
From the medical point of view, there is no saying that high myopia can't have a smooth birth. Whether it can or not depends on the specific situation of the myopic patients. The high myopia people with the following situations can't have a smooth birth:
1. People with high myopia (above 600 degrees) and elevated intraocular pressure; people who wear contact lenses for a long time.
2. A population with a history of retinal detachment and a family genetic history of retinal detachment.
3. People who have undergone cataract surgery or lens transplantation.
4. High myopia patients with glaucoma, split retina, uveitis and lattice degeneration.
5. People with eye injury and eyeground hemorrhage.
So, how to judge whether the parturient with high myopia can give birth smoothly?
It is best to go to a regular eye hospital to check the retina and fundus before delivery, and observe whether there is a hole in the retina and whether the vitreous body is liquefied. Especially in the late pregnancy, fundus examination should be carried out. In case of fundus lesion or fundus hemorrhage, it is necessary to cooperate with the doctor for timely treatment. Pregnant women with these risk factors need to choose whether to give birth naturally or by caesarean section according to the actual situation.
It should also be noted that it is better not to wear contact lenses during pregnancy, because this will cause retinal edema damage, and also affect the smooth delivery. In addition, it is necessary to control blood glucose and blood pressure during pregnancy to prevent diabetic fundus diseases and other complications.