What problems should elderly pregnant women pay attention to?

On the issue of pregnancy for elderly women, this paper introduces several issues of concern.

Is it suitable for elderly pregnant women to be IVF?

Older pregnant women generally refer to pregnant women over 35 years old. As for milk tea, 45 years old, they are indeed super-elderly pregnant women.

With the increase of age, the quality and quantity of eggs in the ovary have decreased, and the resulting infertility problem will definitely increase. Pregnant women over 45 years old have very little chance of natural pregnancy.

Many women were busy with their careers or for other reasons when they were young and did not have children. When they reached a certain age, they wanted to conceive but could not, so they had to seek assisted reproductive technology to realize it.

In fact, the woman’s age also has a great influence on the success rate of IVF. In ovulation induction, the reaction is often not good, the quality of eggs is relatively poor, the pregnancy rate is low, and it is not easy to succeed. Data show that for women aged 25 to 35, the success rate of IVF is higher than the average level of 30%-40%, and some can reach 50% or even higher. However, after the age of 35, the success rate gradually decreases, and by the age of 40, it is only about 20%.

Therefore, it is not so easy for 45-year-old women to become pregnant, regardless of what methods.

What needs to be reminded is that IVF is an assisted reproductive technology for infertile women. Although this advanced technology can bring good news to infertile women, it is not a pregnancy method for elderly pregnant women.

Jennita Reefhuis, an epidemiologist at the U.S. Centers for Disease Control and Prevention, reported that IVF is 2-4 times more likely to have congenital defects than normal infants.

Therefore, even elderly women are preparing for pregnancy, if they have the chance, it is best to try natural pregnancy first.

What are the risks of pregnancy for elderly pregnant women?

1. Fetal malformation

First of all, the birth defect rate of elderly pregnant women has increased significantly. For example, the birth rate of children with the well-known Down’s syndrome has increased rapidly with the increase of the age of pregnant women. At the age of 20, it is 1/1477, at the age of 30, it is 1/939, and at the age of 35, it rises to 1/353. After 40, it can reach 1/85, and the risk at the age of 44 is as high as 1/39.

2. Spontaneous abortion

Secondly, the increase of age has brought about an increase in the incidence of spontaneous abortion. About half of the chances of spontaneous abortion occur when you are pregnant at the age of 45.

3. Complications during pregnancy

In addition, various pregnancy complications, such as gestational hypertension, gestational diabetes mellitus, etc., increase with the increase of pregnancy age, the risk also increases significantly.

Therefore, it is not easy for [super-old] pregnant women to get pregnant, have a high risk of abortion, and have a high risk of mother’s pregnancy. If they can finally get what they want, it is really not easy!

Why does the doctor order that elderly pregnant women should exercise more?

In fact, not only elderly pregnant women, doctors advocate that all pregnant women exercise moderately during pregnancy.

For elderly women, due to poor metabolic ability, once pregnant, weight control is more difficult than that of young pregnant women. However, excessive weight gain during pregnancy is more likely to lead to hypertension and diabetes.

In addition, the older you get, the higher the risk of thrombotic diseases. Thrombosis is in the body’s deeper veins. If blood stasis occurs, emboli form. If these emboli fall off, they will have serious consequences as blood clogs to important organs.

Therefore, although we have heard a lot about the so-called “old pregnant women must keep their babies in bed when they are pregnant”, in fact, moderate exercise is good for controlling weight, reducing complications and preventing thrombosis.

In addition, exercise can also help to maintain more pleasure during pregnancy. Therefore, although it is not easy for some elderly mothers to get pregnant, the doctor did not let her stay in bed, but should exercise more appropriately.

In order to get pregnant as soon as possible, can elderly pregnant women have ovulation needles?

Older women, because they are eager to get pregnant, take the initiative to have an ovulation needle, which is very undesirable.

Apart from the side effects of ovulation drugs themselves, there will be a serious problem after ovulation drugs are used: the proportion of multiple births will increase.

Twin pregnancy is a mixed blessing, although the birth of two babies at a time, joy is double; However, twins, as a kind of [high-risk pregnancy], have double risks.

For mothers, twin pregnant women are prone to premature delivery, heart failure, diabetes, hypertension and other problems. For the fetus, the probability of problems is 3-7 times that of single pregnancy, and the mortality rate is 4-6 times that of single pregnancy. At the same time, the proportion of neurological dysplasia and cerebral palsy caused by premature infants is also increasing.

Therefore, ovulation drugs cannot be used on their own initiative. They must be guided by doctors and have certain indications.

In order to prepare for pregnancy, elderly women must do a good job of pre-pregnancy consultation and pregnancy health care.

Before getting pregnant, elderly pregnant women should know whether they are suitable for pregnancy through examination and consultation.

For example, a few days ago, a 36-year-old pregnant woman came to have a physical examination and found that there were already hysteromyoma with a diameter of more than 10 centimeters. In this case, pregnancy is more risky.

For example, some women have high blood pressure before pregnancy, so it is better to consider pregnancy after the blood pressure is well controlled, otherwise it will be more dangerous once pregnant.

Therefore, it is best to find out these problems before pregnancy.

During pregnancy, elderly pregnant women should pay attention to weight control, strengthen monitoring and reduce the occurrence of some complications as much as possible.

After pregnancy, due to the reasons mentioned above, there may be more items to be examined, such as fetal malformation.

Responsible Editor: Ding Ruoshui