Gong With the liberalization of the national policy on separate, there are certainly many slightly older women who want to consider the issue of having another child. Compared to younger women, older young women may face different problems. In response to your concerns, dedicate this popular article.
How old is too old to have a baby?
There is no absolute age when you can’t have children, but of course the younger you are, the better your chances of having children. From a physiological point of view, the best age for women to have children is between the ages of 20 and 25. During this period, women’s reproductive functions are at their best and their bodies have fully developed and reached their peak. Before the age of 20, the psychological impact of pregnancy is more obvious than the physiological, and from the age of 30 women’s fertility begins to decline, from the initial downward trend is relatively gentle to the trend after the age of 35 is obvious, after the age of 40, women’s fertility has been significantly reduced, but at this time is not equal to zero, think about the old family to have several children, the mother’s age of 40 or more when the birth of the old end is It is very common to have mothers who are over 40 years old. So age is not an absolute issue, it is possible if you want it. One study showed that the rate of pregnancy within one year for women older than 30 who wanted to have children was 75%; by the age of 35, the figure dropped to 66%; by 40, the rate was only 44%; and by 45, pregnancy had become very difficult. What are the different tests that need to be done in advance?
If you are usually in good health, there is no need to do any special checkups before pregnancy. A normal medical checkup to know the general state of your body is enough. Of course, because the function of the ovaries is declining when you are older than when you were younger, regular menstruation does not necessarily mean that you will ovulate. If you want to know the reserve function of your ovaries before you get pregnant, you can also go to the hospital and have your hormone levels tested. Several tests that can measure female fertility are Inhibin B, Anti-Mullerian Factor (AMH) and Follicle Stimulating Hormone (FSH), the first two of which are not commonly carried out in hospitals. For more information on the preparation for pregnancy, I have previously posted a popular article on Dr. Gong Xiaoming’s WeChat public platform (public account drgongxiaoming) by replying “080”.
What kind of tests does the male partner need to do?
If there are not more than 3 early miscarriages (also known as habitual miscarriages), there is generally no need for special testing for men. If there are more than 3 miscarriages, the man should consider a chromosome test to find out if there are any chromosomal abnormalities.
What if I have other medical conditions?
Some diseases, such as thyroid disease, diabetes, heart disease, etc., need to be adjusted accordingly before pregnancy, and if pregnancy is rushed before the disease is controlled, the chances of various pregnancy complications and malformations will increase. Therefore, it is necessary to consult if you have some co-morbidities before pregnancy.
What if there are deformities or abnormalities in the first child?
It is also necessary to seek professional help from a doctor to find the cause of the abnormality. Some problems can be avoided during the second pregnancy, but if there is a genetic abnormality, prenatal diagnosis is needed to screen and eliminate the problematic embryos.
How soon can I get pregnant after the birth control has been removed?
This depends on the type of contraception. In the case of oral contraceptives, it used to be emphasized that you should wait 3 months before conceiving, but the evidence from studies over the years has confirmed that this is not necessary and that you can get pregnant the next month after you stop taking oral contraceptives. In the case of IUDs, you can also try to conceive after the next menstrual period after removal.
What if I can’t get pregnant after trying for a while?
As mentioned earlier, the older you are, the less fertile you are. If you are still infertile after a period of time, you will need the help of a doctor if necessary, generally speaking, the doctor will perform some necessary tests after a year of unsuccessful attempts to conceive, and of course, non-invasive tests such as ultrasound, ovulation monitoring, and male sperm testing are available in advance. If a woman is too old and has lost her ovulation function, another medical option is to use someone else’s eggs as donor eggs, which are fertilized in vitro and then transplanted back into the body, but at this time, biologically speaking, the genes of the child are not inherited from you.
What are the different risks faced during pregnancy in advanced age?
The older a woman is, the poorer the quality of her egg cells and the greater the likelihood that she will carry abnormal chromosomes after fertilization. Once a woman reaches the mid-30s, her risk of having a child with a congenital malformation increases. A congenital abnormality is a disorder or disorder of function that is present at birth. In most cases, this is due to an excessive number or deletion of a specific chromosome. A trisomy occurs when there are 3 of the same chromosome instead of the normal 2. The most common form is Down syndrome, or trisomy 21, in which such a patient has three chromosome 21s. The table below shows the relationship between age and the occurrence of Down syndrome.
Risk of fetal birth defects at the mother’s age of childbirth 301:9521:384351:3851:204381:1751:103421:641:40441:381:25 For pregnant women of advanced age, to rule out the chances of carrying a child with Down syndrome, a blood test can now be performed during early pregnancy for screening, and at 11 weeks of early pregnancy The latest technology of fetal non-invasive DNA has been developed in recent years, and although it cannot replace amniocentesis, it can help doctors to determine the presence of fetal chromosomal abnormalities to a large extent.
At the same time, studies have shown that if both men and women are older than 35 years, the age of the man also has an impact on these risks and increases the chance of the fetus having certain congenital defects, which are the most common cause of miscarriage and are more likely to occur in women older than 35 years. Therefore, the chance of miscarriage increases when the couple is older than when they are younger. According to statistics, there is a 15% chance of miscarriage during early pregnancy.
What are the precautions to take during pregnancy?
Some pregnancy comorbidities such as gestational diabetes and gestational hypertension are increased compared to younger pregnancies, which means that more rigorous prenatal checkups are needed during pregnancy. If there were comorbidities in the previous pregnancy, there is also a risk that they will reoccur in the current pregnancy, all of which require professional medical advice. But it is still important to be alert to a phenomenon that is common among Chinese people who attach excessive importance to pregnancy, because when they are pregnant, they are afraid to exercise and eat and drink more, as I pointed out in another scientific article, what we should be alert to now during pregnancy is over-nutrition and a child that is too big for a good delivery.
Do you have to have a baby by cesarean section when you are older?
Age is not an absolute indication for a cesarean, as long as the conditions are there you can try to have a natural birth, but weight management during pregnancy is important, avoiding over nutrition and moderate exercise is key.
I had a cesarean section last time, can I still give birth on my own this time?
Do I have to have a cesarean section if my previous pregnancy was a cesarean section? If the previous cesarean was some factor that cannot be removed in this pregnancy, such as pelvic abnormality, then another cesarean is needed, otherwise VBAC, vaginal birth after cesarean, is also attempted), but the suitability needs to be professionally evaluated by a doctor.