高龄夫妇孕前保健咨询

Pre-pregnancy health consultation for elderly couples

全面二孩政策开放以来,高龄夫妇备孕的孕前保健咨询的常见问题表现为生育力下降、产科合并症增加、新生儿出生缺陷升高等。具体为年龄是独立影响生育的因素,高龄夫妇生育力下降表现为受孕率下降、流产率增加,高龄女性产科合并症和并发症上升,并且更容易受环境因素致畸、新生儿出生缺陷明显升高,子代精神心理异常等。对于南宁市而言,特别应该注意防控高发的地方性遗传性疾病地中海贫血。对于高龄夫妇生育,临床应加强孕前优生检查、孕前均衡营养摄入及保持心理健康,孕期重视产前筛查及产前诊断,预防重症地中海贫血儿等先天性缺陷的发生,优生优育,以提高出生人口素质。

Since the opening of the comprehensive two-child policy in China,the common problems of the pre-pregnancy health counseling for elderly couples have been the decline of fertility,the increase of obstetrical complications,the increase of the birth defects of newborns and others.Specifically,age is an independent factor affecting fertility.The decline in fertility of the elderly couples is characterized by a decrease in pregnancy rates,an increase in abortion rates,an increase in obstetric complications and other complications among elderly women,and a greater vulnerability to environmental factors.The birth defect of the newborn significantly increases,and there is a significant mental and psychological abnormality of the offspring.Special attention should be paid to the prevention and control of the high incidence of the endemic genetic disease thalassemia for Nanning City.For the elderly couples,we should strengthen the prenatal eugenic examination,balance the nutrition intake before pregnancy and maintain mental health,pay attention to the prenatal screening and the prenatal diagnosis during pregnancy,prevent the occurrence of the congenital defects such as severe thalassemia in infants,and give a good birth and good care to improve the quality of the birth population.