BIOSKY CLUB
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27

2022

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07

What parents-to-be should know before getting pregnant


Moderator Yu Wen: Dear Sina netizens, hello everyone! Welcome to the "Health Forum" program of Sina Health Channel, I am the host Yu Wen. Tomorrow is International Nurses' Day, and the day after tomorrow is Mother's Day. On such a special day, we specially planned a topic for female friends today, which is about pregnancy preparation. I think that wanting to have a child is something that every family looks forward to in particular, and if you do a good job of preparing for pregnancy, it will lay a good foundation for you to give birth to a healthy baby in the future. Today, we specially invited the Deputy Director of the Reproductive Center of the Third Hospital of Peking University, Director Ma, hello!

Ma Rainbow: Hello! host!

Host Yu Wen: Say hello to our netizens, okay?

Ma Caihong: Dear Sina netizens, hello everyone! I am very happy to meet you. First of all, please allow me to express my deepest respect and blessings to all mothers and future mothers. Tomorrow is our International Nurses Day. In fact, we all hope that medicine can treat all patients. I hope that all of us can live forever, but unfortunately, medicine is sometimes the icing on the cake, sometimes it is a help in the snow, but many times it is hopeless, powerless, and sometimes even worse. But we cannot deny that, through the efforts of angels in white and related people, the lives of many of us have been extended, and the joy of many of our families has been added. So here, I would like to express my deepest gratitude and blessing to my comrades in arms and all the friends who are fighting on the front line of clinical practice, thank you all!

Moderator Yu Wen: Tomorrow is International Nurses' Day, and the day after tomorrow is Mother's Day, so we just talked about the topic of pregnancy preparation. Pregnancy preparation may now be a top priority for many families, so the first question is May I ask you, what is the best age to have a child in general?

Ma Rainbow: Actually, what do I think is the best? In fact, the best is nature. The clouds are in the sky, the water is level, and the way is natural. Therefore, the state of nature is the best. Adam and Eve were the best at that time. So from the perspective of age, it means that your pregnancy is the best time when your body is in the best state to be able to get pregnant. From a male point of view, it means that when you are a young adult, your body should be at your best, so pregnancy is the best time The same is true for women. When your menstrual cycle is regular, the reproductive system is well developed, and the secondary sexual characteristics of the breast are well developed, pregnancy is the best time. But because being a mother or a father is not so simple, we need to be responsible, we need to be mentally mature, and we need to train our children to be people who are beneficial to society, so we must have a reserve of knowledge, we have a responsibility Take up this obligation, so we say that for female friends, it is best to complete childbirth at the age of 25-30. Male friends may have relatively long periods of time.

Moderator Yu Wen: Why?

Ma Caihong: Actually, from a female perspective, when a female is born, our reproductive cells are actually declining bit by bit and locked up.

Moderator Yu Wen: Some people say there is a certain number?

Ma Caihong: When should we have the largest number?

Moderator Yu Wen: I think when the youngest is twenty-five or six years old.

Ma Caihong: It should have been when we were in our mother's womb. At that time, there were about 4 million or 5 million follicles, but after we were born, we had about 2 million, and 300,000 or 400,000 during puberty, and then there may be a relatively stable time. But every month, a batch of follicles are atresia, and the rate of atresia accelerates rapidly after the age of 35, so we must at least complete the mission of fertility before the age of 35.

Moderator Yu Wen: Some people give birth to children at the age of 35, so they are given a name called "Old Age Childbirth".

Ma Caihong: At that time, the number of eggs decreased, the quality of eggs also declined, and the possibility of deformities and abnormalities in the baby you gave birth also increased, so I hope everyone can complete their reproductive mission as soon as possible. In addition, with the development of society now, many environmental pollution, many female friends have inadvertently discovered that my ovarian function is gone, many people have ovarian failure at the age of 30, or the ovarian function has declined before the age of 35. So at that time, his chances of getting pregnant were less, so everyone should pay attention, one, of course, to minimize stress and try to live in a natural state, but to be able to complete the mission of giving birth as soon as possible.

Moderator Yu Wen: I understand. You mean that the earlier you give birth, the better. Of course, it doesn’t mean that you can give birth at the age of 21 or 2. You can only give birth when you are mentally mature, but the earlier this stage, the better. Yes, it is also good for the healthy development of the next generation. We also talked about preparing for pregnancy, what do you need to prepare for pregnancy? Is it necessary to do some related examinations at the beginning, and go to the hospital?

Ma Caihong: Yes, because of course most of the pregnancy is undertaken by girls, let's talk about the man first, what check does Dad need to do. Dad comes to provide sperm, he must have a certain amount of energy and quantity, and finally encounter the egg to successfully fertilize and form life, so the sperm he provides must be healthy, vigorous and strong enough. What factors will affect him? For example, he has some diseases, for example, he has some diseases in the reproductive system before, or he has varicose veins, or he has mumps before.

Moderator Yu Wen: Can mumps also affect it?

Ma Caihong: Yes, for example, he has eaten poisonous seed oil, which may affect his reproductive function. If you have such worries, you should avoid it as soon as possible. If you want to become pregnant, go to the andrology department for examination or some hospitals in time. Check in urology.

Moderator Yu Wen: This is what Dad needs to pay attention to.

Ma Caihong: In addition, dad needs to be careful not to have reproductive tract infection. There is an acute infectious disease, which can be transmitted to the father or the child, so you must be healthy, and there is no acute infectious disease. For example, we will do some inspections for him. No hepatitis B, hepatitis C or AIDS or syphilis infection and so on.

Moderator Yu Wen: So giving birth to a child is not a woman's business, and male friends also play a very important role in it. What inspections do girls need to do?

Ma Caihong: Of course, the requirements for female friends are higher, because my body has to bear the supply of two lives at the same time, the substances excreted by the two lives, or must be effectively metabolized and excreted, so the instantaneous burden increases, At the same time, the immediate burden after childbirth is reduced, which puts a lot of pressure on the human body, so we must be healthy enough. All organs of the body may be affected, so if we want to check, we must check from all aspects of the body, such as heart function.

Rainbow Horse: Electrocardiogram.

Ma Caihong: Yes, the heart function is burdened. Some people say that I can't stand it when I climb the stairs and climb three floors. You have to be careful whether your heart function cannot bear the existence of another life, so you must have an inspection. In addition, is your blood pressure high? If it is high, it is possible that his blood vessels are hardened. If you have chronic high blood pressure, it is more likely to lead to gestational hypertension after pregnancy, causing vasospasm of the placenta, causing the blood supply of the fetus to have There is a problem, there may be problems with his lack of nutritional supply, and sometimes there may be placental abruption, or the mother may have eclampsia with vasospasm, so these diseases, kidney diseases, etc., liver diseases, etc., must be excluded before pregnancy. If the kidneys and liver function well, the reproductive system must be maintained. After all, our children are in our wombs. For example, we must do a gynecological general examination. We can find a general practitioner, internal medicine, or surgery for examination. Find an obstetrician for a full-time examination, such as a B-ultrasound or a gynecological examination. For example, if you have any problems with your cervix, if you have a precancerous lesion, you can deal with it as soon as possible, so that you can pass this period safely. In addition, early detection and early treatment will also ensure the safety of the mother. In addition, whether there are fibroids in the uterus, whether it should be treated or pregnant, you need to listen to the doctor's advice, these may affect your pregnancy, so you should find problems as soon as possible before pregnancy, to decide whether you need to deal with these problems before pregnancy.

Moderator Yu Wen: It sounds like there is a lot to be checked. Just now you mentioned the heart check, as well as the kidney and liver check. If there is something wrong with the check, will she definitely not be able to get pregnant?

Ma Caihong: Not necessarily, it depends on how well you function, so doctors are often doing various balances to weigh the pros and cons, so patients may often sit in front of you and say, doctor, please help me choose , you help me decide. In fact, this choice is very difficult, because first of all, this state during pregnancy does not represent the real state of your pregnancy. In addition, people are changing, and it is very difficult to make a choice when there are advantages and disadvantages, but finding a problem is better than No problem is found, and sometimes it can be prevented, which will make your pregnancy safer.

Moderator Yu Wen: Let a female friend have a number in her heart and know what problems her body has. If she is pregnant, she can avoid these problems as soon as possible. About how long I will go Are these tests done in the hospital?

Ma Caihong: Generally, we do a physical examination every one to two years, which is a routine physical examination. If you want to do a pre-pregnancy examination, you should do it according to your physical condition, your age, and whether you have some symptoms. If you are very careful or if you have a history of genetic diseases in your family, or there are some diseases in your family, targeted inspections are also possible.

Moderator Yu Wen: Some people say that I have passed the examination in the hospital. Can I go directly to the next step to prepare for pregnancy? Is there anything else that needs to be prepared?

Ma Caihong: Of course, the most important thing is to adjust the psychological state. Raising a child is not as simple as buying one thing. From now on, I have to take on this responsibility and obligation. I have always been very grateful. I often say to my children very gratefully, Let us be your parents, because children can really bring you not only that kind of happiness, but also a lot of meaning in life. They are like angels, and they will light up your life from then on. Many times You need him, so sometimes I often say, you must be responsible for this child, because you brought this child to the world, some people often say how much I paid for you, look at me for you What did he do, in fact, what he did for you, he brought you a lot, so we must be fully mentally prepared, from now on we really have to take responsibility for this child wholeheartedly, such ability and mentality Go get this child again.

Moderator Yu Wen: I understand what you mean. It cannot be said that we have reached the age to have children, so we go to have children. In fact, sometimes this is irresponsible to children.

Ma Caihong: Yes, but most people want this child with a sweet heart, and grow up with the child in the process of raising the child slowly.

Moderator Yu Wen: So you said that mentality is also very important. But now we find that some people really want to get pregnant. She has done a lot of preparations in the process of getting pregnant, but she finds out that she is not pregnant, but some people feel that they are not ready to have a child before the time, but they are pregnant, you say What the hell is going on here?

Ma Caihong: If she is generally pregnant, how long will it take for me to get pregnant, so it generally depends on the female couple under the age of 30, generally speaking, the probability of getting pregnant within six months is about 60% to 70%, if you are under the age of 35, the possibility of getting pregnant in the second half of the year will drop by about 50%. If you are over 30 or under 35, if you can’t get pregnant in half a year, you can ask your doctor if I have any problems, or you can get it earlier. Check and prevent some factors that may not be pregnant.

Moderator Yu Wen: I believe that there is actually a strong psychological factor in it. Some people especially want to have a child. She may be nervous, so the more such a person is, the less likely it is to get pregnant, but some people may I think it doesn't matter if I don't want a child now, the child will come naturally as soon as I relax.

Ma Caihong: Yes, the psychological impact of pregnancy.

Moderator Yu Wen: We all know that doctors recommend that you take folic acid before pregnancy. What kind of substance is this folic acid?

Ma Caihong: Folic acid is a B vitamin. Its function is mainly to promote the maturation of young cells in bone marrow cells. If this folic acid deficiency may lead to polycythemia or reduction of white blood cells, for pregnant women, if she lacks In the early stage, it may cause neural tube defects, such as anencephaly, spina bifida, etc., and it may also cause heart defects in the later stage, and may also cause cleft lip and palate, etc., so folic acid is still very important.

Moderator Yu Wen: So everyone needs to eat.

Ma Rainbow: It needs to be supplemented, not lacking.

Moderator Yu Wen: But I heard that folic acid also exists in some vegetables.

Ma Caihong: Yes, in fact, the importance of folic acid was discovered because the incidence of neural tube defects was found to be very high in mountainous areas. Why? Because they don't eat vegetables in that area, they don't eat vegetables, so they lack this folic acid, so the incidence of neural tube defects increases. In fact, in big cities or some rural areas, if your diet is very balanced and you eat a lot of leafy vegetables, you will not be deficient in folic acid under normal circumstances. But if you are worried about the problem, you can eat it a month earlier, or start supplementing folic acid when you want to become pregnant.

Moderator Yu Wen: In other words, eat more leafy vegetables. Do you need to pay special attention to diet when preparing for pregnancy?

Ma Caihong: Yes, except that we usually have some multivitamins, trace elements, etc., it is also very important. One of the multivitamins already contains folic acid, so if you look at the description, if it already contains folic acid, you may not A separate folic acid supplement is required.

Moderator Yu Wen: What else do we need to pay attention to in other diets, for example, should we add more protein, or should we add more other substances?

Ma Caihong: In fact, it is to follow nature, eat a balanced diet, eat more whole grains, eat a little more of each thing, don’t eat polished rice and noodles all the time, eat more whole grains, return to nature, return to the original.

Moderator Yu Wen: I think you emphasize that you must follow nature, especially when you are about to become pregnant. I heard many friends around me say that I am about to become pregnant and I need to supplement it. I eat more, I eat A little bird's nest, shark's fin, and sea cucumber to supplement it. Do you also recommend them in this case?

Ma Caihong: Of course I don't recommend it, and I firmly oppose it. Another point of view is that from the perspective of protecting animals, this is very bad. We should protect animals. In addition, in fact, the nutrients that we humans need are enough from our ordinary diet, unless you have other diseases or affect your absorption or the doctor diagnoses that you may be lacking, what kind of nutrients need to be supplemented, in ordinary In the case of ingestion from the diet.

Moderator Yu Wen: A balanced diet is enough, and there is no need to over-supplement what kind of nutrients. Is it important to quit smoking and drinking before pregnancy?

Ma Caihong: Of course, because the child is very fragile, which step in the child's development process is affected, it may be affected during the development of the heart, and this heart development may be deformed, so each step of the development process is affected.

All are very critical. Those toxic locations or influencing factors, such as environmental pollution and radiation, some chemical factors, such as decoration, may have an impact on children. Smoking and alcoholism are one of the reasons.

Moderator Yu Wen: I have a friend who said that quitting drinking is actually very easy, but quitting smoking is really difficult for a boy. He would like to ask how long the shortest period of quitting smoking can be maintained? He can try it.

Ma Caihong: First of all, I really want to thank you all for quitting smoking, because smoking is not only bad for your health, but also bad for your colleagues and your family around you, so if you have such an opportunity, it is of course the best thing for you to quit smoking. OK You have to ask me how long it takes me to quit smoking before I can get pregnant, I think these toxic things are mainly considering its effect on reproductive cells, because we have a good sperm, a good egg, and the development cycle of sperm and egg in pregnancy, such as Speaking of how long it will take for this wave to grow, it will be drained or locked in. It will take about 2.5 to 3 months, and this wave will be gone, so try to make it after 3 months. If these poisonous things or harmful substances come into contact with them, it may be better to try to get pregnant after 3 months.

Moderator Yu Wen: Can I understand it this way, that is, you should not smoke in the first 3 months of pregnancy or when you are just about to become pregnant, and it is best not to drink alcohol. In fact, this can ensure the healthy development of the fetus.

Ma Rainbow: Yes.

Moderator Yu Wen: How should I pay attention to friends who have had an abortion before? For example, if I just had an abortion, how long will I be able to get pregnant again?

Ma Caihong: In fact, I really want to tell my female friends that abortion is very damaging to your physical and mental health. In addition to physical harm, your mind will also be harmed. When you have no plans to have this child, you must take protective measures. After this abortion, it is possible that you will be infertile or have fertility problems in your life. Especially now, many people may have a painless abortion. How good, I will finish it without pain. Now I have found that many people have appeared in The rupture of the uterus or the adhesion of the uterus occurred during the painless abortion. Since then, she will not be able to conceive again, and this treatment is very difficult, so carefully choose the painless abortion, or even choose the abortion.

Moderator Yu Wen: Many friends think that it is as simple as having a period to have a painless abortion. In fact, I don't think it is as easy as they imagined.

Ma Rainbow: Exactly.

Moderator Yu Wen: Is there a time period after the abortion that can tell them that they can grasp, after this stage we can get pregnant?

Ma Caihong: Because after the abortion, the pregnancy hormone HCG in your body should return to normal, and the endometrium should return to normal. After the endometrium has undergone curettage, it must go through three menstrual holidays, the menstrual cycle will also be normal, and my physical condition is also Very good, this time can be pregnant.

Moderator Yu Wen: It will be enough after three or four months, but I think it is better to recommend these friends to go to the hospital for a related examination.

Ma Rainbow: Yes, if conditions permit.

Moderator Yu Wen: Many friends will mention the problem of early pregnancy test strips. In fact, sometimes we feel that this early pregnancy test strip is not very useful. We just don’t know when you can check it out and I can use the early pregnancy test strip to check me out. I'm pregnant, I want to ask you about this.

Ma Caihong: Generally, the embryo will develop for a few days after fertilization before implantation. It is about seven or eight days or even seven or eight days after implantation. It can be detected at the earliest seven days. This morning urine test may be early. Sensitivity is relevant.

Moderator Yu Wen: If the period is more regular.

Ma Caihong: If you have regular periods, you can take the test if you don't have a period. Generally, if you are planning to get pregnant, I can try it again in the morning before my period.

Moderator Yu Wen: That is to say, the early pregnancy test paper can be tested in 28 days to more than 30 days. For women whose periods are not very normal and regular, how should they prepare for pregnancy better?

Ma Caihong: If she really wants to be monitored, she can also ask a doctor for guidance. For example, you can monitor your follicles. If the follicles develop to a certain extent, you can go home and have sex. In addition, you can buy Urine LH test finger, if this LH peaks, it means that you may be about to ovulate.

Moderator Yu Wen: Is this called ovulation test strip?

Ma Rainbow: Yes.

Moderator Yu Wen: Director Ma, you came to our live broadcast room today, and many netizens seized this opportunity to ask questions on this platform.

Netizen: I'm planning to get pregnant, but raising a dog at home, will it affect me?

Moderator Yu Wen: The issue of raising pets is also of particular concern to many people.

Ma Caihong: In fact, I am also worried about these dogs. Of course, when you raise pets, you must give them various immunizations, and take precautionary measures. If some cats are afraid of Toxoplasma gondii, they can do antibody tests. This may also happen.

Host Yu Wen: Some people say that you must keep your distance from pets when you are pregnant, but it doesn't seem natural, as long as you don't get infected.

Ma Caihong: Yes, I'm afraid of some diseases, so it's better to keep a distance, but if it hurts your heart, it may have other bad effects.

Moderator Yu Wen: Let's look at this netizen again.

Netizen: Director Ma, hello! I wanted to have a baby at the beginning of the year, and I went to the Maternal and Child Health Hospital for a prenatal and postnatal examination with my husband. After that, it was confirmed that it was all right. The embryo stopped developing and miscarried at 5 weeks of pregnancy, causing shadows. What can I do before pregnancy to avoid the above things from happening?

Moderator Yu Wen: I have also heard about this issue, and many friends have paid special attention to it. You said that she had been checked so well before, and there was no problem, but why did the embryos stop developing?

Ma Caihong: Now embryo cessation is indeed a problem that damages the physical and mental health of female friends, because I want this child very much, and I also pay great attention to it. In the end, the child's fetal heart stopped. This problem is related to many factors, such as environmental pollution, such as virus infection, some influenza virus infection, and may not feel it, these virus infections may affect the child, and some infections from the reproductive tract, that is, some Inflammation of the infection can also cause embryos to stop. So if you talk about some major aspects, such as inspections and no problems are found, if you want to have children, try to stay away, don't go to places with many people, try to avoid these harmful locations, the environment you live in, and some people may be family members Just renovated, these will also affect.

Moderator Yu Wen: The formaldehyde problem is also very serious.

Ma Rainbow: Yes.

Moderator Yu Wen: Formaldehyde may also lead to incomplete fetal development.

Ma Rainbow: Yes.

Moderator Yu Wen: So in fact, we also recommend that many friends who want to get pregnant should not decorate their home before or when they are pregnant.

Ma Caihong: Yes, try to stay away from the newly renovated, as close as possible to nature, I always advocate nature, in which we can return to the healthiest state.

Host Yu Wen: Like this friend, who has already had an abortion, how long will she be able to get pregnant again.

Ma Caihong: Of course, in addition to these reasons, she may have other problems. Because of miscarriage, for example, she can be related to chromosomes, and the embryos are chromosomally abnormal. Most of the reasons are because of the abnormal chromosomes of the embryos. It may be Passed down from both parents, my parents have chromosomal problems, and they may have mutated during the development process, and they have chromosomal problems themselves. For example, if you are particularly concerned, I am very afraid, especially worried that I will have such a problem again. You can also do a chromosome test, for example, of course, this is very positive, and sometimes you don't need to test, most of them are normal. It is also possible that the reproductive tract of female friends, for example, the uterus has mediastinum, fibroids, or polyps will affect the abortion of the embryo, so B-ultrasound can be done to see if there is any problem. There may also be luteal insufficiency. This can be done during this pregnancy, if I want to get pregnant, I can ask a doctor to guide me and give me timely corpus luteum support. These factors can also try to avoid the next embryo stoppage.

Moderator Yu Wen: So be sure to check to find out where the problem lies.

Ma Caihong: Half of them may not be found. If one embryo is stopped, most of them may not find the reason. If it occurs twice or three times, you must go to the hospital to find a specialist for examination.

Moderator Yu Wen: Keep your advice in mind.

Netizen: I am planning to conceive a baby. There is no problem with the examination, but I have never been pregnant. I am very anxious. What is the reason?

Ma Caihong: One, it may be like what you said just now, it may be psychological, too anxious, the more anxious, the more anxious you can't eat hot tofu, it may be good to relax your mind. In addition, it is not ruled out that there is a reason for their infertility. If it has been more than half a year or a year, we can diagnose infertility in one year.

Moderator Yu Wen: Infertility can be diagnosed if you do not get pregnant for more than one year.

Ma Caihong: If you have regular sex life without pregnancy, if you are over 35 years old and have not been pregnant for more than half a year, you can consult a specialist.

Moderator Yu Wen: If you have a problem, you must go to a professional hospital to find a professional doctor to get a pulse on what's going on. Thank you for coming to Sina's live broadcast room. Is there anything else you need to tell netizens?

Ma Caihong: I am very happy to meet female friends and couples who want to be parents before the show. I sincerely hope that everyone's dreams will come true.

Moderator Yu Wen: Thank you Director Ma, and thanks to the netizens for watching this episode, thank you everyone, goodbye!

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