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column expert introduction
Gao Qin
Shandong University Reproductive Hospital
Reproductive Medicine Center Chief Physician
is good at infertility (infertility caused by endometriosis and tubal blockage), artificial insemination, test tube baby. Menstrual diseases, reproductive endocrine diseases, habitual abortion (embryo stop) menopausal syndrome, psychological counseling for patients with infertility.
Due to the special circumstances of our country, reproductive and advanced age are almost the same population. What is advanced age? What is the danger of reproducing? What is the difficulty of giving birth at an advanced age?
What is advanced age?
currently has no authoritative standards for advanced age. In the past, women who gave birth over 35 years old were called advanced-age women, 40 years old was the age warning line in the field of reproductive medicine, and 45 years old was the recognized super-age standard.
picture comes from the internet
What is the risk of giving birth again?
The risk of re-birth women is significantly increased because of their ordinary advanced age. It can be said that giving birth at 20 is different from giving birth at 40.
Women after the age of 25, with the increase of age, the fertility gradually declines, the spontaneous abortion rate, pregnancy and childbirth complications, perinatal morbidity and mortality, etc. increase simultaneously, these changes are more obvious after the age of 35. In terms of spontaneous abortion rate, 25% is 25%; 35% is 35%, 45% is 50%-60%. In terms of obstetric complications, with the decline of the body's resistance, the incidence of diabetes, hypertension, and cardiovascular disease during pregnancy has increased; premature delivery during pregnancy, abruption of the placenta, and postpartum hemorrhage are more common.
Although the probability of emergence of a critical situation is still very small for the overall elderly fertility population, it has attracted the attention of reproductive doctors and obstetricians. Assessing reproductive risks and adopting preventive measures to avoid risks is undoubtedly an important part of the advancement of food and grass for those women who reproduce and are of advanced age.
What is the difficulty of giving birth at an advanced age? The childbearing age of
people is limited. Old age childbirth has always been a problem in the field of reproductive medicine. The number of oocytes in women at birth is close to 1 to 2 million. After that, it fell all the way, reaching the average menopausal age (about 49 years old in Chinese women), dropping to 1,000, until the oocytes were exhausted and menopause occurred.
Decreased fertility not only refers to the difficulty of pregnancy, but also includes an increase in miscarriage rate, an increase in the average interval between births, an increase in the probability of chromosomal abnormalities in the offspring born, and a decrease in the live birth rate. These conditions are irreversible. It takes more time, money and energy for older women to become pregnant and have children. Even with advanced IVF technology, the thorny problem of low ovarian function makes it difficult for doctors to cook without rice.
Where is the way out for childbearing at an advanced age? Dr.
emphasized the risks and tried his best to keep high-risk groups out of the gate of birth. Women who want to give birth are like crazy, desperate and frustrated. The two opposing parties have turned into a rehearsal of a medical dispute.
The ancients said, knowing oneself and one another, a hundred battles will never end. It means that if the situation of both the enemy and us can be understood thoroughly, there will be no danger in a hundred battles. It is also very appropriate to use here. It is not easy to be rational and not blind to the elderly who reproduce.
picture from the Internet
As a reproductive doctor, remind the elderly reproductive population to pay attention to the following points:
1, ovarian function assessment
2, fertility assessment
3, fertility risk assessment
4, rational analysis The difference between children) and ability
5, especially for those who have a higher starting point (have one child), whether they are fully informed about the emotional, physical, and financial contributions when "there is a glimmer of hope, but also to fight for" The gap between gains and gains
learn to persevere, know how to give up-give it to the elderly female friends who reproduce.
This article is reproduced from a good doctor, and the copyright belongs to Dr. Gao Qin. If there is any infringement, please contact the editor to delete
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