Hunan Province’s “one-child, two-child” policy is about to take effect, and eligible single couples can start preparing for pregnancy. What should I pay attention to before having another child? What problem needs to be solved? Recently, Yang Weitao, chief physician of the Obstetrics Department of Changsha Maternal and Child Health Hospital, reminded some of the special circumstances of rebirth.
Advanced age We defined childbearing age as age greater than or equal to 35 years. After the second-child policy is relaxed, the number of pregnant women over 35 years old should increase. The chance of chromosome non-disjunction during meiosis of fertilized egg cells in late pregnant women increases, and the rate of fetal chromosomal aberrations increases. Therefore, it is recommended that elderly pregnant women directly culture amniotic fluid or fetal blood cells for chromosome testing. Secondly, older pregnant women are more likely to suffer from pregnancy complications such as diabetes, hypertension, and metabolic diseases, so relatively speaking, the incidence of dystocia is also increasing.
Scarred uterus my country is a country with a large number of cesarean sections, and cesarean section is one of the important factors causing scarred uterus. In addition, various uterine surgeries such as myomectomy, uterine interstitial and intramural pregnancy surgeries, and frequent miscarriages can also cause uterine scarring. A scarred uterus has an increased chance of placenta previa, placental adhesion, and placenta accreta, as well as fetal growth restriction and premature birth. The most dangerous thing is that during the second pregnancy, the embryo implants at the incision site of the previous surgery, which is what we often call an incisional pregnancy, which is equivalent to an ectopic pregnancy and is very dangerous. If it is not diagnosed early, if the pregnancy continues, it will develop into dangerous placenta previa, which may be life-threatening for both mother and baby during delivery. Therefore, when women who have had a cesarean section are preparing to have a second child and find that they are postmenopausal, it is very necessary and necessary to go to the hospital for diagnosis as early as possible in the first trimester. B-ultrasound is required to rule out incisional pregnancy.
Those with a history of adverse pregnancy including spontaneous abortion, miscarriage, stillbirth, habitual premature delivery, and teratological birth should undergo standardized pre-pregnancy consultation before giving birth again. Examination, including gynecological examination, hemorrheology, etiology, immune examination, etc. Discover problems and solve them accordingly.
Medical diseases such as heart, liver, lung, kidney and other organ diseases, diabetes, hypertension, hyperthyroidism or hypothyroidism, blood diseases, etc. When considering having a child, a systematic internal medical examination should be carried out to determine the child\’s condition. Physical function, make a correct assessment before pregnancy to see if you can tolerate pregnancy.
In addition to the above preparations, the couple should maintain a good physical and mental state before getting pregnant again, get rid of bad living habits, ensure a comprehensive and balanced nutritional diet, and start taking folic acid to prevent neural tube defects 3 months before pregnancy. After pregnancy, if there are any abnormalities, you should go to the hospital regularly for consultation and corresponding examinations to ensure the smooth progress of the pregnancy and achieve a good outcome for mother and child. Correspondent Sun Tao