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"Elderly pregnant women" need to be cautious, and traditional Chinese medicine is a good escort

author:Journal of Family Chinese Medicine
"Elderly pregnant women" need to be cautious, and traditional Chinese medicine is a good escort

"Elderly pregnant women" need to be cautious Traditional Chinese medicine is a good escort

Beijing/Lianzhuang

Deputy Chief Physician Zhao Surui explained to us the matters that "elderly pregnant women" need to prepare and pay attention to:

Ms. Lin, 37, has been married for several years and has regular menstruation, but she has not been able to conceive a baby. Dr. Zhao immediately stabilized her mood and told her to adjust her mood well and not to have too much psychological pressure, and then began to check her basal body temperature and carry out various necessary examinations before treatment. The monitoring results showed that her body temperature for the whole month was about 35.9 °C ~ 36.1 °C, which was not only low all the time, but also had no ovulation characteristics in the body temperature data. Imagine, if the body temperature has been low, regardless of whether or not you can ovulate and conceive normally, even if you conceive, there is no good environment for embryonic development, and it will still be a harm to the health of the mother.

After three months of traditional Chinese medicine conditioning, Ms. Lam's basal body temperature rose to 36.5°C. At this time, I saw the opportunity to give ovulation induction drugs once, and in the second month, the basal body temperature was measured, and there were already ovulation characteristics, and then I had intercourse according to the doctor's instructions, and I successfully conceived and gave birth to a healthy boy.

Ms. Lin's example is just a representative, now there are many female friends like Ms. Lin, who are older and want to have children, in view of the current trend of more and more women marrying late and having children, or older women who want to conceive a second child, Dr. Zhao Surui explained to us the matters that "elderly pregnant women" need to prepare and pay attention to.

In modern society, the number of people who marry later and have children later is getting bigger and bigger, and the more energy women spend on their studies and careers, the more likely they are to become "elderly pregnant women".

In medicine, primiparous women over the age of 35 are defined as advanced maternal age. However, since the overall state of the female body is in a downward trend after the age of 35, the incidence of fetal malformations increases, the risk of maternal complications increases, and the risk of childbirth increases. Therefore, doctors generally advise women not to become elderly pregnant women as much as possible.

Therefore, if you are about to become an "advanced maternal age", you should be more careful about pre-pregnancy preparation and pregnancy check-up than other relatively young mothers. Especially women who have a history of abortion and miscarriage should pay attention to the state of their body at any time, and pay more attention to blood sugar, blood pressure and other indicators. Elderly women are susceptible to pregnancy complicated by heart disease, gestational hypertension syndrome and gestational diabetes. Because the blood volume in the pregnant woman's body increases significantly compared to the non-pregnant period, the burden on the heart increases. Pregnant women who already have heart disease are likely to have to terminate their pregnancies early because they cannot tolerate it. In terms of diet, it is necessary to ensure nutrition, avoid spicy, smoking, alcohol, do not eat cold foods such as crabs, and do not eat raw hawthorn and other blood-invigorating foods. Be clear about your physical condition, adjust your mood, daily routine, and prepare for the birth of a new member of the family from all aspects.

At present, most people's first childbirth time is relatively late, and mothers who want to have a second child under the relaxation of the second-child policy are likely to enter the ranks of elderly mothers.

So what should mothers with late childbearing do?

First of all, you must consider your family conditions and personal energy. It takes a lot of effort to raise a child, and it takes the whole family to be ready for a new life.

The second is to consider the mother's own physical condition, if the body is cold and weak, it may be difficult to conceive, and you need to seek help from a doctor for conditioning. Or take a comprehensive medical check-up to assess whether your physical condition is still enough to have another child. Women who marry and have children too late, especially if they become pregnant after the age of 35, will have an increased chance of dystocia and cesarean section, and the chance of suffocation, injury and death of the newborn will also increase. Moreover, due to the older age of pregnant women, the quality of eggs is reduced, and the possibility of fetal malformation and dementia is greater than that of younger pregnant women.

In terms of the specific direction of TCM conditioning, the menstrual belt should be conditioned before pregnancy and the fetus should be safe during pregnancy. Menstrual regulation refers to the adjustment of menstruation, the menstrual cycle should be regular, the length of menstruation should be normal, and the amount of menstrual flow should be moderate. Low menstrual bleeding is usually a sign that the endometrium is thin, and too thin the lining can make implantation difficult. In addition, the color of the blood and the condition of dysmenorrhea all indicate the overall condition of the human body, and they are also within the scope of menstrual regulation; the belt refers to the regulation of vaginal discharge, too much leucorrhea indicates that the body is damp, which will cause infertility, and too little amount of vagina indicates that the kidney essence is insufficient, and the qi and blood are weak, which not only causes vaginal dryness, difficulty in intercourse, but also difficulty in conception. In short, if you bring two things, more will hurt your body, and less will hurt your body. If the overall kidney qi of the body is weak and the qi and blood are insufficient, it can be appropriately adjusted, and if there is evidence of infertility caused by dampness and heat, blood stasis, etc., a doctor should be sought for medication and treatment.

In short, when you want to conceive again, your body is in a stable and good state. During pregnancy, you can follow the doctor's instructions to use some fetal drugs or medicinal diets according to the specific situation, and at the same time, strictly and regularly check during the pregnancy stage, and deal with it in time once the fetus is found to have problems.

Finally, expectant mothers should also improve their working environment, avoid all potentially harmful pollutants, ease emotional reactions and adjust to work pressure, maintain a normal mind, develop good living habits, have a regular daily life, quit smoking and drinking, and do not stay up late. Create a good mental environment for yourself.

"Unplanned pregnancy" at an advanced age needs to be taken seriously

In addition to female friends who want to conceive a "second child", a common problem involving advanced maternal age and childbirth is "unintended pregnancy". Modern women may begin to enter perimenopause after the age of 40, due to irregular menstruation at this stage, many women do not pay attention to contraception during this period, thinking that fertility begins to decline, the chance of pregnancy is reduced, and even no longer ovulate, and there is no need for contraception. In fact, this idea is very wrong, women still need to pay attention to proper contraception in the perimenopausal stage, because ovulation may still occur during this period, even if it seems that menstruation is irregular and ovarian function is gradually declining, but there is still the possibility of pregnancy. And if you get pregnant unexpectedly in the perimenopausal stage, you should pay enough attention to it, because the hormone level of the human body at this time is much worse than that in the younger period, and the impact of miscarriage will be greater, and the recovery period required will naturally be longer. Menopause can be diagnosed after more than one year of perimenopausal menopause, and contraception can be stopped.

"Elderly pregnant women" need to be cautious, and traditional Chinese medicine is a good escort
"Elderly pregnant women" need to be cautious, and traditional Chinese medicine is a good escort

Director of the State Administration of Traditional Chinese Medicine

Hosted by the Institute of Traditional Chinese Medicine, China Academy of Chinese Medical Sciences

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"Elderly pregnant women" need to be cautious, and traditional Chinese medicine is a good escort

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The author of this article is Lian Zhuang

Editor of this article: Hidetaki

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