Difficulty conceiving after caesarean section
A survey of nearly 10,000 people organized by Renmin University of China showed that about 50%-60% of couples who meet the separate two-child policy are willing to have a second child. This conclusion is similar to the findings of several portals. A survey conducted by a certain website with more than 30,000 participants showed that 64.5% of netizens are willing to have a second child.
If you want to have a second child, if the first child can be delivered naturally, it is best to choose a natural birth. If the first child was delivered by caesarean section, it would be difficult to consider the second child. Even if you are pregnant, the second child usually cannot be delivered naturally and has to be delivered by caesarean section. Zhang Yingchun, deputy chief physician of the Reproductive Medicine Department of the Department of Obstetrics and Gynecology of Jinan Central Hospital, reminded everyone that more and more people are having caesarean sections, and caesarean sections can account for 60% of women. %. Some people are afraid that natural childbirth will be too painful, and some even think that natural childbirth is good for the baby.
In addition, some people have to have caesarean section due to special circumstances to ensure the safety of mother and baby. Ji Xianglan, chief physician of the obstetrics department of Qianfoshan Hospital in Shandong Province, said that the fetuses are now relatively large. In the past, most newborns weighed only about 6 pounds, which was more suitable for the pelvic size of Asian women. However, many fetuses can now grow to eight or nine pounds, making natural delivery more difficult.
According to experts, with the continuous innovation of medical technology, caesarean section can be completed within 10-15 minutes, but it also leaves certain hidden dangers. Zhang Yingchun said that some doctors have insufficient technical training and perform caesarean sections at will, which can easily lead to pelvic adhesions in women. Pelvic adhesions can easily lead to fallopian tube obstruction and the uterus slipping from the pelvic cavity, making it difficult to conceive again.
Ji Xianglan said that the uterus after caesarean section is also called a scarred uterus, which means that there are scars left by the operation on the uterus. The scars on the uterus are not particularly strong, especially during the second pregnancy. When the uterus contracts, the scars can easily break. Therefore, if you choose a caesarean section for your first baby, we generally recommend a caesarean section for your second baby.
However, Ji Xianglan said that the first caesarean section does not necessarily mean that the second child will have a caesarean section. It depends on the specific reason for the first caesarean section. There were no problems with the fetal position and pelvis of the second child, and the baby could be delivered naturally. There are many such cases in our hospital. However, if the first caesarean section was due to a narrow pelvis, thin uterine wall, etc., then the second child may still not be suitable for natural delivery.
When giving birth at an advanced age, both the fetus and the mother are uneasy
Zhang Yingchun said that judging from the current situation, there are still many pregnant women before the age of 30, but the number of pregnant women over the age of 30 is gradually increasing. According to data released at the 2012 National Annual Conference of Obstetrics and Gynecology, currently, pregnant women over 30 years old account for about 15% of pregnant women in my country, an increase of about 50% from the past.
It is best for women to have children between the ages of 25 and 30, but now many people cannot graduate at a young age due to academic reasons, and there is nothing they can do. However, we recommend that the child should be born at least before the age of 35. Ji Xianglan said that she is in the best state of fertilityWomen of this age are more mature physically and mentally and have more energy, which is helpful for pregnancy and raising babies.
According to reports, women\’s childbearing age can be divided into different levels. 0 The best childbearing age is before the age of 35. The fertility rate of women will drop to 70% when they are 35-37 years old, and to 50% when they are 37-43 years old. %. After the age of 43, it will be far below the 50% level and is no longer suitable for childbearing. Older women are at greater risk of childbirth, which is manifested in the following aspects:
First of all, as women age, their eggs tend to age, and the chance of conception is greatly reduced. At the same time, as egg quality declines, chromosomal abnormalities may also occur. At this time, the fetus is prone to developmental abnormalities, fetal malformations or Down syndrome. For Down syndrome, pregnant women over 35 years old cannot undergo general examinations and need to undergo DNA testing screening.
Secondly, during pregnancy, insufficient progesterone in the body may cause risks such as threatened miscarriage, so it is necessary to continue to protect the fetus during pregnancy;
Third, during the delivery process, as women age, the contractility of the uterus and the flexibility of the pelvis decrease, and the risk of dystocia and bleeding greatly increases. At the same time, it also reduces the chance of natural delivery and increases the possibility of needing a caesarean section;
Finally, pregnancy complications have also increased significantly. Older mothers are more likely to develop complications such as anemia, gestational hypertension, gestational diabetes, and thyroid insufficiency, which can lead to insufficient nutritional supply to the fetus and leave long-term root causes for the mother. For example, in gestational diabetes, the amniotic fluid has high sugar content, and the fetus is likely to grow into a macrosomia; the baby is also prone to hypoglycemia after birth, which affects brain development.
Sperm quality begins to decline after the age of 35
Many people believe that the best childbearing age is specifically for women, but there is no such restriction for men. Zhang Yingchun said that the same goes for men. 45 years old is the red line of male childbearing age, and it is best not to exceed it. According to reports, especially now that the environment is seriously polluted, men\’s awareness of self-care is relatively weak. Smoking and drinking all year round, and even surfing the Internet all night will affect fertility.
After the age of 35, sperm quality will begin to decline, which is not good from the perspective of eugenics and breeding. Ji Xianglan said that men should also complete childbearing before the age of 35. At the same time, from a psychological perspective, men around the age of 30 are not only mentally mature, but also have rich life experience. They already know how to take care of pregnant women and children, which is relatively beneficial to both mothers and children.
Some fetuses will stop developing during development. The fetal heartbeat can be measured at first, but then gradually disappears. In other words, some fetuses do not develop well and remain relatively small. At this time, it is usually a problem of male sperm quality. Experts say that although men can still have children after the age of 45, the quality of their sperm begins to decline, which is likely to affect the development of the fetus.
Zhang Yingchun reminds: Especially for couples planning to have a second child,Because they have had previous childbirth experiences, men often think it is a female problem once they have difficulty conceiving for their second child. In fact, this idea is wrong. Therefore, experts suggest that couples planning to have a second child should go to the hospital for a pre-pregnancy check-up at the same time to ensure that their physical conditions permit.