■ Chinese Women’s Daily · Chinese Women’s Network Reporter Wang Kai
According to data, as pregnant women have risen, the abortion rate is also rapidly rising. The average female abortion rate is about 17%, the abortion rate at the age of 35 is 25%, the abortion rate of pregnant women at the age of 40 rises to 35%, and the abortion at the age of 45 is 45 years old.The rate is as high as 50%to 60%.Since the implementation of a comprehensive second child fertility policy, a large number of elderly fertility women have a strong willingness to fertility, but the results are often unsatisfactory.
"Women are 40 years old, and most ovarian functions have gone downhill. Over 35 years old, the power of pregnancy for women’s pregnancy has decreased significantly, while the probability of embryonicization increases significantly.Those who are 2 to 3 times; women are higher after the age of 40. This is why doctors always emphasize that women should take delivery before the age of 35. "Emphasize.
Older pregnant women’s fetal fetuses have increased significantly, and chromosomal abnormalities, endocrine disorders, etc. are all incentives
Tiger stopping is a type of miscarriage, which means that the embryo develops to a certain stage to stop continuing to grow and develop and die.Some patients are manifested as the fetal heart beating under ultrasound, the post -fetal heart disappears, the pregnancy sac is reduced, and the morphological irregular changes are changed. It is accompanied by vaginal bleeding or no clinical symptoms.No fetal heart beating, and some even have no germ, which is commonly known as "empty pregnancy sac".
"I have hardly discovered the phenomenon of fetal stopping more than ten years ago, but now it is very common." Hong Fanzhen, deputy director of the obstetrics department of the Second Affiliated Hospital of Shandong University, said that their hospital can receive an average of 3 tires per day of childbirth.Over 35 years old.In recent years, with the increase in the number of women with older pregnancy, fetal stopping has increased significantly.Some reporters investigated that the proportion of natural abortion rates in some hospitals in the past two years was even higher than 10 %.
Experts point out that a considerable part of the fetus is a white -collar, especially the older white -collar workers, and the potential risks of the elderly pregnant women are relatively large.In addition, it is irregular in schedule, unhealthy lifestyle such as drinking, smoking, and environmental pollution, food pollution, etc., which is also the cause of fetal stopping.From the perspective of consultation, chromosomal abnormalities lead to high proportion of fetal treatment, followed by hypertension, diabetes, heart disease, and severe anemia.Specifically, the fetal stopping is mostly the following factors:
1. Chromatology abnormalities.Fetal chromosomal abnormalities cause common causes of fetal stopping. A chromosomal balancing position in the husband and wife may easily lead to chromosomal abnormalities in the embryo, which causes embryo to stop.
2. Poor embryo quality.Sperm abnormalities, or poor egg quality, will affect the quality of fertilized eggs, affect embryo development, and cause tires to occur.
3. Endocrine disorders.The bed and development of the embryo depend on the coordination of women’s endocrine systems. If abnormalities occur, they will cause abortion.As far as the mother’s body is concerned, the endogenous hormone is insufficient and cannot meet the needs of the embryo.
4. Uterine abnormalities.Such as uterine malformations, uterine cavity, uterine fibroids, uterine polyps, uterine adenocular disease, and cervical incomplete uterine reproductive organs, which will affect the planting and development of the embryo and cause abortion.
5. Environmental factors.Many drugs and environmental factors are important factors that cause early embryonic death or fetal malformations. In the early stage of development, the impact of embryos on the treatment of drugs and environmental factors is extremely sensitive. At this time, various harmful factors can cause damage or even loss of embryo.
Women should try to complete fertility before the age of 35. Men’s participation and support for pregnancy are also very important
"Women’s reproductive youth is short -lived, and the eggs have a shelf life. At the moment of the birth of a woman, the date of the egg is the factory. Since then, the oxidation response and the toxic and harmful substances in the environment have begun to accumulate a negative impact on egg mother cells." Li Li. "Li Li." LiYan said that from a physiological perspective, women entered the age of childbirth after 20 years of age, but at this time, most women were still receiving education and not mature thoughts, which is not conducive to future generations.EssenceIf the conditions are not allowed, you should also try to complete the fertility before the age of 35, and let yourself leave yourself regrets.
"During the pregnancy process, the participation and support of men are also very important. Don’t think that pregnancy and childbirth are women. In the eyes of reproductive doctors, this is the matter of two people." Li Yan said that her husband provides sperm, his wife provides eggs, and the secondThere is no indispensable person. When a man is consulting with his wife, he should check the semen routine and sperm DNA fragments to determine the sperm condition, which is conducive to doctors to formulate a more complete treatment plan.In the process of preparing for pregnancy, women’s delicate and sensitivity makes them easier to anxious. If the husband can act as a spiritual pillar of his wife at this time, it is even more perfect for couples with special circumstances.
Elderly women need to be prepared for psychological preparations, and first pregnancy inspections and fertility assessment must be performed first
Different from young women, elderly women may face heavy danger during pregnancy and pregnancy. Elderly women who have intended to be nurtured need to prepare psychological preparations in advance.Liu Xiaowei, chief physician of the Beijing Obstetrics and Gynecology Hospital of the Capital Medical University, said that in addition to the lack of ovarian reserve function, there are also some gynecological diseases, such as pelvic inflammatory disease, appendic fibroids, endometrial polyps.The elderly women who have been preparing for pregnancy may also increase the probability of fetal malformations, abortion or premature birth during pregnancy due to embryonic quality problems.Therefore, old women should actively do a good job of pre -pregnancy examination and fertility assessment when preparing for pregnancy.
1. Conventional physical examination.Mainly check whether there are various internal medicine diseases, such as hypertension, diabetes, abnormal thyroid dysfunction and heart disease.
2. Specialist inspection.It is mainly through ultrasound examination that there are pelvic mass and related history, such as the history of the flow of people, the endometriosis, etc., to reduce the incidence of diseases such as ectopic pregnancy, front placenta, and placenta implantation.
3. Reproductive system imaging examination.Mainly understand the state of women’s uterus and bilateral accessories, such as endometrial thickness, whether there are uterine fibroids, fallopian tube effusion, ovarian cysts, endometrial polyps and other diseases, and can also view the ovarian size, follicle base and other predictive ovarian nests.Reserve function.
4. Measurement of basic hormones.Basic hormones include 6 items, such as follicle stimuli (FSH), estradiol (E2), luteinin (LH), prolactin (PRL), testosterone (T), progesterone (P), and its value is on the value.Women are very different at different ages. The measured data results can understand women’s ovarian function and luteal function.
Women should not be pregnant within half a year after miscarriage, and various diseases should be done before pregnancy
Experts remind that women who have tires have a certain time interval if they want to have childbirth again. On the one hand, the body is naturally recovered. On the other hand, it is necessary to solve the cause of tires.Healthy development.
"Whether it is natural or passive abortion, it must be prohibited from living for at least one month after surgery, and it is not possible to get pregnant within half a year, otherwise it may lead to infertility." Hong Fan really reminded.
Hong Fanzhen’s suggestion: 1. Women should go to professional institutions to do pre -pregnancy and eugenic consultation guidance before pregnancy, including some related examinations such as thyroid function, immune function, etc.; Many mothers’ chronic diseases such as hypertension, diabetes or thyroid abnormalities, etc.The risk of "in the abdomen.2. Avoid contact with harmful environments such as rays, chemicals, viruses, nicotine, etc. before and after pregnancy, adjust the daily routine and psychological state.3. Women start taking folic acid 3 months before pregnancy (the man has to take a month).4. After pregnancy, receive prenatal screening on time, and do prenatal diagnosis if necessary.
Source: Chinese Women’s Daily