Expectant mommys pay attention

Are you ready for "three children"? Wang Xiulan, director of the obstetrics department of Daoli District People's Hospital, reminds older women that before they want a baby, they should improve pre-pregnancy consultation and assessment, do a good job of prenatal physical examination, and pay attention to risks such as pregnancy complications.

Pregnant women of advanced age are at risk

Wang Xiulan said that with the increase of gestational age, the risk of pregnancy complications and complications increases during pregnancy and childbirth, resulting in abnormalities such as premature birth, stillbirth, and deformed children. How to do a good job in the pregnancy care of elderly pregnant women before and during pregnancy is the key to preventing maternal and infant complications and avoiding adverse pregnancy outcomes. Improving preconception consultation and evaluation, strengthening the screening and diagnosis of birth defects, strengthening the management of dangerous placenta previa, and strengthening the management of vaginal delivery after caesarean section are the keys to ensuring the health of elderly pregnant women, reducing the incidence of birth defects, and improving obstetric quality.

Therefore, it is recommended that elderly women need to check blood glucose and blood pressure before pregnancy, actively control blood sugar and blood pressure levels, reasonably adjust diet and medication, and actively increase the amount of exercise to reduce body mass index, and actively prevent the aggravation of chronic diseases and the occurrence of pregnancy-related complications through pre-pregnancy and pregnancy-related health care.

These pregnancy management should be done well

Wang Xiulan said that for women with high risk factors who have the intention of reproducing, preconception consultation should be carried out, the risk of re-pregnancy should be fully assessed, and pregnancy comorbidities should be intervened in a timely manner.

She reminded pregnant mothers not to ignore the screening and diagnosis of birth defects. It is necessary to do a good job in pre-pregnancy consultation and evaluation, and to achieve a first-level preventive diagnosis of birth defects as much as possible. It is even more necessary to do a good job of pregnancy screening, for all advanced-age pregnant women, ultrasound measurement of fetal neck zona pellucida thickness, nasal bone, nerve tube and other defects at the "11 to 13 + 6" weeks of pregnancy. Noninvasive genetic testing is recommended for advanced pregnant women, whether single or twin, at 12 to 14 weeks' gestation. If noninvasive genetic testing finds abnormalities, it is necessary to review and confirm the diagnosis by villus biopsy or routine chromosomal analysis of amniotic fluid cytology to determine whether to terminate the pregnancy.

Must-do preparation to know

For pregnant women, especially elderly women, Wang Xiulan suggested: First of all, we must adjust our mentality and carefully cooperate with the examination. Although over 35 years old is high-risk, most of them can still give birth to healthy and smart babies, so mothers don't have to worry too much and are ready to have a safe pregnancy. Secondly, pay attention to supplementing with 0.4-0.8 mg of folic acid every day for at least one month before pregnancy until the end of 3 months to prevent neural tube baby defects. In addition, every prenatal examination must be done enough, especially the middle pregnancy Down screening and the third trimester diabetes screening is necessary, and there can be no luck.

Source: New Evening News