Modern urban women and white-collar workers with higher education account for a considerable proportion. Heavy work and life pressure force many women to choose to marry later or even give birth later. Many women are already on the verge of early pregnancy when they are pregnant with their first child. After giving birth to their first child, many women often worry that the child will be lonely, and always hope to have another child so that the child can have company and grow up together. Nowadays, the news that they have decided to let go of having a second child alone makes many mothers very happy. However, when they plan to choose to have another child, they have to face the problem of \”pregnancy again for older mothers\”.
Four reasons to have a second child
Reason 1: An only child is too lonely, so let the baby have a companion;
Reason 2: Prevent childcare risks and reduce the burden of children’s old-age care;
Reason 3: The traditional concept is that more children will lead to good fortune and a prosperous population;
Reason 4: Sons and daughters, they make a good name.
Does the Elderly Mothers Program enjoy priority approval?
Recently, the National Health and Family Planning Commission made it clear that there is no unified timetable for the implementation of the \”two-child policy\” nationwide, and each locality will determine the specific time based on actual conditions. At the same time, it is recommended that areas with a large population that meet the conditions for \”single births and two births\” can take measures such as promoting reasonable birth spacing, giving priority to older \”single birth\” couples, and carrying out \”two births.\” Do a good job in reincarnation approval and other tasks to prevent birth accumulation.
Guiding expert Shi Zheng, deputy chief physician, Master of Medicine
[White-collar pregnancy]
Ms. Zhou, 36, recently gave birth to a daughter. She is the most representative highly educated woman among elderly mothers. She only became a bride at the age of 18. Since then, due to many reasons such as going abroad and job competition, her family planning has been postponed repeatedly, and she has inadvertently entered the ranks of elderly mothers. After giving birth to her first child, she immediately threw herself into high-intensity work, and the child was taken care of by the elderly. However, the young child grew up day by day and needed more and more companionship. Both she and her husband were too busy and could not be satisfied. child. Require. Ms. Zhou was very moved when the news of the release of \”only two children\” came out. She decided to have another child and grow up with her daughter. Considering that I was getting older, I discussed with my husband that I could apply for another childbirth quota as soon as possible and seize the time to have another child.
The doctor said: The second child should be of appropriate age!
After the age of 30, as the mother\’s fertility gradually declines, the risk of childbirth also gradually increases. Pregnant women over the age of 35 have a 1/250 chance of conceiving a child with a chromosomal abnormality, and the miscarriage rate is 23 times that of women of the same age. As age increases, women are more likely to develop complications during pregnancy, such as gestational diabetes, gestational hypertension, etc.
Women who plan to have a second child should in principle avoid pregnancy for at least two years after giving birth to their first child. However, at this time, most women who plan to have a second child are elderly. As women age, ovarian reserve declinesDecline, fertility gradually declines. Therefore, for every woman, age is a very important factor, which directly affects whether she can get pregnant and give birth to a healthy baby.
Tell her: your ovaries are not as young as you look
A woman\’s ovaries are like a warehouse that stores a large number of eggs. However, only 400-500 mature eggs are released in a woman\’s lifetime from menarche to menopause. When a woman reaches the age of 40, the eggs in her ovaries are also 40 years old, so age is a very important factor in a woman\’s preparation for pregnancy. Therefore, women who want to have children must make early plans.
Tell him: The sperm quantity and quality of older men are worrying
For men, sperm is produced every day and renewed about once a week. But as age increases, both the quantity and quality of men\’s sperm decline sharply. Experts point out that unhealthy lifestyles and increasingly serious environmental pollution may lead to low sperm count, low density, low sperm motility, and even infertility. Therefore, physical health is not directly proportional to fertility. In other words, a seemingly healthy and strong body may not necessarily have high fertility. Therefore, don’t think that pre-pregnancy check-ups are only for women. Pre-pregnancy check-ups are as important to men as they are to women. If you want a healthy baby, your male friends need to pay enough attention to detect the condition in time and take timely measures to treat it.
Problems faced during the childbearing years
1. Difficulty in conception. Increasing age can cause some difficulties in conceiving.
2. High mood swings. Mature women have adapted to the normal state of their bodies, so it takes longer to accept the physical changes brought about by pregnancy, so there will be certain emotional fluctuations.
3. Fetal problems are more likely to occur than in young pregnant women.
4. Complications (such as high blood pressure, diabetes, etc.) will increase, which will have a certain impact on mother and child. Cesarean section rates will also increase.
Pay Attention to Fertility Assessment to Avoid Birth Defects
Glossary
Birth defects refer to malformations caused by morphological and structural abnormalities, abnormal physiological functions or metabolic defects that have occurred in the mother\’s womb before the fetus is born. Morphological and structural abnormalities manifest as: congenital malformations, such as anencephaly, spina bifida, cleft lip, abnormal limbs, etc.; while physiological function and metabolic defects often lead to: congenital mental retardation, deafness, muteness, etc.
Experts from the Reproductive Medicine and Infertility Center of Beijing Wuzhou Maternal and Child Hospital pointed out that the causes of birth defects can be roughly divided into two categories: genetics and environment. Therefore, couples planning to have a second child should go to a regular hospital for a fertility assessment 3 months before planning to have a child to understand their reproductive health status.
As a trend, fertility evaluation is also an attitude towards life, self-care and responsibility to the next generation. Mothers who give birth at an advanced age, in order to avoid congenital defects,To give birth to a healthy and smart baby, you should evaluate your physical condition again before preparing to give birth. A comprehensive fertility evaluation with your husband is recommended. According to the fertility assessment results of both couples, doctors will provide timely treatment to couples who are found to have gynecological or andrological diseases that affect fertility; if the various examinations meet the fertility conditions, they will be given scientific guidance on how to scientifically prepare for pregnancy, grasp the timing of conception, maintain health care during pregnancy, and avoid birth. defect.
Scientific pregnancy: tips for older mothers to have a second child
Guidance expert Wang Keqin, chief physician, master\’s tutor
Q: The first baby was delivered by caesarean section. How long will it take to give birth to the second baby? Can I have a second child naturally?
A: After the first cesarean section, the next pregnancy and delivery should be at least two years later. In the case of uterine scarring, vaginal delivery is possible if the scarring is not severe. A comprehensive evaluation should be made during specific labor, and selection should be made based on the conditions of the mother and fetus.
Q: I want to have a second child, but I am already too young. What should I pay attention to?
A: 1. Both husband and wife should undergo a physical examination before pregnancy;
2. Take folic acid 3 months in advance before pregnancy;
3. Pregnancy health care Pay special attention to regular prenatal check-ups;
4. Elderly pregnant women should undergo non-invasive prenatal genetic testing between 14 and 24 weeks of pregnancy.
Q: What is the importance of non-invasive prenatal genetic testing?
A: Clinical research data shows that the older a pregnant woman is, the higher the chance of giving birth to a child with congenital dementia and deformities. Non-invasive prenatal genetic testing only needs to collect 5ml of venous blood from pregnant women, which can effectively confirm whether the fetus has Down syndrome. It has the characteristics of non-invasive sampling, no risk of miscarriage, high sensitivity, and an accuracy of up to 99.7%, especially for the elderly. For pregnant women, it is a preferred prenatal check-up item.
Q: Can non-invasive prenatal genetic testing replace amniocentesis?
A: Although invasive testing has some disadvantages, the detection rate of invasive diagnosis is much higher than that of non-invasive diagnosis. Therefore, in medicine, the results of amniocentesis are still used as the gold standard, but it is necessary to do non-invasive prenatal genetic testing first. Because this examination is convenient, accurate, non-invasive and safe, it will not bring a great degree of mental burden to pregnant women and their families. If there is no problem with the test result, then the pregnant woman does not need to be harmed by the invasive examination; if there is a problem with the test, then amniocentesis is performed, and the probability of diagnosis can be over 99%, which serves as a basis for an accurate diagnosis.