Hangzhou mother, aged 61, old age gave birth to baby boy, doctor: Hoon-maternal age, child-IT information

61 years old, a female, is usually done Grandma, Grandma's age, but said she was a mother, I am afraid many people will be surprised. This "miracle" happened in obstetrics and Gynecology hospital affiliated to Zhejiang University School of medicine, child birth weight 5 kg 92, his mother, 61, father is 66 years old, this family of three finally came home from the hospital yesterday.

The obstetrician, He Jing, Director of the maternal surgeon said with a smile: "this is our biggest maternity hospitals built since age and I do a cesarean operation, first encountered maternal older than my age. ”

Despite this medical miracle worthy of every one of us happy, but women Hospital of Zhejiang University's medical experts said, they still wouldn't recommend all women, especially women over 40 years old, prone to various pathological changes during pregnancy, delivery risk, and should be treated with caution.

A crazy decision: 30 year old daughter died aged 60, she decided to have another

Zhang (not his real name) is 61 years old, she and her husband had a daughter, however, and beautiful family in the first two years is broken: at that time, was just 30 years old daughter in child accident, tragic death. White hair who sent hair blow for ladies and couples have, but they refused to give up, hope someday I can be conceived, and enjoy the happiness.

However, because they are too old, natural conception is almost an impossible task, seeking to force was the only way. With the help of assisted reproductive technology, conceived in November 2015, through in vitro fertilization success.

"When I first met her at the clinic, I thought it was accompanied by MOM and daughter or daughter-in-law to check, did not think the Grandma-level Lady turned out to be a pregnant woman. "The recall and a woman meet for the first time more than half a year ago, obstetrician obstetrics and Gynecology hospital affiliated to Zhejiang University Director of He Jing with all due respect, he is surprised and admired, but more of a concern," first met women older than I, if she begins in our hospital intend to do IVF, we are sure to have a good advised her. ”

"A lot of people thought I was nuts. "Zhang said gloomily," will you help me? "From a medical point of view, He Jing know ladies in endless risks during pregnancy and childbirth, may face this persistent, she promised this crazy request," well, we work together! ”

Dangerous road of pregnant mother: vaginal bleeding 5 weeks apart twice mercifully child saved

Under the guidance of He Jing, Zhang began her difficult pregnancy MOM's path.

In order to avoid the stare around, each time, and in addition to professional medical support, guaranteed one-on-one environment He Jing carefully and patiently given psychological counseling and health management, medical section, specialized organizations and their official medical communication. February 2016, the hospital to exclude high risk of chromosome.

Most difficult stage in ladies and 28 weeks of pregnancy, when because of vaginal bleeding, she had to be hospitalized baotai, He Jing also notified the Department of Neonatology, everyone got this weeks ' gestation born ready already. For older mothers, premature birth, very high rates of abortion in the Middle, is fortunate, He Jing and her team member efforts, stopped bleeding, fetus also stabilized.

33 weeks pregnant when Lady vaginal bleeding again, this time lived in hospital until 36 weeks, 37 weeks the term standard deviation for one week, in her tummy, the child can be said to have developed very well.

Because the relationship between age, Zhang's heart, lung and kidney functions are in decline, especially cardiac function, heart ultrasound showed that her left ventricular diastolic function decrease, and as the pregnancy, the heart-lung burden growing heavier. Pregnancy-induced hypertension syndrome in hand, test every now and then medical personnel and monitor indicators of her, became a priority for doctors. In order to facilitate communication, He Jing himself and phone number of the relevant medical staff left her family.

Smoothly through the final round the child born

Next, this final hurdle is having a baby. On June 23, the provincial women's Hospital specially-convened a consultation of Heads of relevant departments to discuss, including the medical section, all directors of obstetrics, Anesthesiology, ICU, neonatal Department personnel, for any problem they might encounter in detail whenever possible perfection, all ready to proceed with the plan, develop a rescue plan, the implementation of all aspects of cooperation.

He Jing, for example: "such as transverse position, how to avoid injuries in neonates, Central type of placenta previa uterine atony, senior citizens, intraoperative and postoperative bleeding-prone, ready to also contact the blood center of autologous blood transfusion ready first aid with blood and so on, these problems are likely to occur. ”

On June 27, Zhang had 36 weeks of pregnancy, the time has finally come to birth. As a result of too old, ladies and a maternal age of common "Central type of placenta previa", and her weak contraction of uterus, is super difficult cesarean section. Finally, the surgical team of experts helped her successfully gave birth to a son, and in order to save her life, cut away uterine, stopped the bleeding that may occur. Operation near misses, newborns of the indicators are within normal range, birth weight 5 kg 92, very healthy.

Of course, intraoperative and postoperative emerging dangers, are within the plan, all one by one by the health care team to resolve. Hospital for the maintenance of older mothers is also in place, under the close monitoring of He Jing team, Lady "MOM and Grandma-level" successfully through the anesthesia, unstable blood pressure, bleeding, high road pass gradually recovered.

Fertility specialists say this: do older mothers births does not recommend low probability, high risk

In obstetrics and Gynecology hospital affiliated to Zhejiang University, nearly 50 to 60 children born every day, it has long been taken for granted, but ladies and the birth of their baby boy, but affects the hospital's multi-disciplinary expert attention. He Jing, Director, said Zhang to term successfully gave birth to the child, from a medical point of view is a "miracle".

States "fully two-child" policy was adopted, aged birth women is increasing. Chief Physician Xu Jian of Fu, Vice President of Zhejiang University reproductive experts pointed out that currently have a second child between the concentration of maternal age in 35-40, few in 45 years or over the age of 50, "old age pregnancy face declining fertility, embryo implantation failure and miscarriage risk. ”

He Jing also said pregnant women over 35 years of age, especially women over 40 years old, prone to various pathological changes during pregnancy, such as gestational diabetes, hypertension and heart disease, stillbirths and neonatal mortality, higher rates of fetal malformations.

So, despite exists like Zhang ladies such of "miracle", can from reality security angle consider, Xu Jian still recommends everyone as don't do senior maternal, "If non-to attempts to, that I hope senior couple can in implementation auxiliary reproductive technology Qian assessment itself conditions, do full prepared, while strengthening pregnancy Qian, and pregnancy management, strengthening prenatal screen check and genetics diagnosis, do early found, early intervention, reduced descendant was born defects and genetic disease. ”

For those has had has best birth age, is still desire do mother of people, He Jing stressed said: "senior, especially super senior women to carefully treats again birth, pregnancy Qian must to professional technology powerful of obstetrics and Gynecology hospital Advisory whether can pregnancy, if not for pregnancy, also is to respect science, select gave up, once allows pregnancy, to do precision of individual of pregnancy period and points Fu period management. ”

杭州61岁母亲高龄诞男婴，医生：简直玩命 - 高龄产妇,二胎 - IT资讯

61岁，对一位女性来说，通常都是做奶奶、做外婆的年纪了，可要是说她刚刚做了母亲，恐怕很多人都会感到惊讶。这个“奇迹”，就发生在浙江大学医学院附属妇产科医院，孩子出生体重5斤9两，他的妈妈61岁，爸爸66岁，这一家三口昨天终于一起出院回家了。

为这个产妇主刀的产科医生贺晶主任笑称：“这是我们医院建院以来年龄最大的产妇，也是我做剖宫产手术，第一次遇到产妇比我年龄还大。”

尽管这个医学奇迹值得我们每一个人高兴，但浙大妇院的医学专家说，他们依然不推荐大家做高龄产妇，尤其是超过40岁的女性，在妊娠期容易发生各种病理改变，分娩风险极大，还是应该慎重对待。

一个疯狂的决定：30岁的女儿去世60岁的她决定再生一个

张女士（化名）今年61岁，她和丈夫原本有一个女儿，然而和美的家庭在前两年时破碎了：当时，才刚刚30岁的女儿在生孩子的时候发生意外，不幸猝死。白发人送黑发人的巨大打击让张女士夫妇痛不欲生，但他们一直不肯放弃，希望有朝一日能够怀孕生育，重享天伦之乐。

可是，因为自己年纪实在太大，自然受孕几乎是一件不可能完成的任务，寻求外力成了唯一的方法。在辅助生殖技术的帮助下，张女士于2015年11月借助试管婴儿技术顺利受孕。

“第一次在门诊见到她时，我以为是陪同女儿或者儿媳前来产检的妈妈，没想到这位奶奶级的女士竟然是一个孕妇。”回想起半年多前和张女士初次见面的情形，浙江大学医学院附属妇产科医院的产科医生贺晶主任直言，自己是又惊讶又敬佩，但更多的是担忧，“头一次见到年纪比我还大的产妇，要是她一开始就在我们医院打算做辅助生殖，我们肯定要好好劝住她的。”

“很多人都认为我是个疯子。”张女士沮丧地说，“你会帮我的吧？”尽管从医学的角度出发，贺晶深知张女士在妊娠期和分娩期有无尽的风险，可面对这份执着，她还是答应这个疯狂的请求，“好，我们一起努力！”

艰险的孕妈之路：相隔5周接连两次阴道出血万幸孩子保住了

在贺晶的指导下，张女士开始了她的艰险孕妈之路。

为了回避周围的异样眼光，每次产检，除了专业的医疗支持，贺晶都细心地保证一对一的就诊环境，并耐心地给予心理辅导及健康管理，医务科还为此专门组织了和他们夫妻的正式医疗沟通。2016年2月，医院排除了染色体方面的高风险。

最艰难的阶段出现在张女士孕28周的时候，因为阴道出血，她不得不住院保胎，贺晶还通知了新生儿科，大家都已经做好了孩子这个孕周出生的准备。对于高龄产妇，早产、中途流产的比例非常高，幸运的是，在贺晶和她的团队成员努力下，出血止住了，胎儿也稳定了。

怀孕33周的时候，张女士又一次阴道出血，这一次住院一直住到了36周，离37周的足月标准差一周，在张大妈的肚子里，孩子可以说已经发育得很不错了。

因为年龄的关系，张女士的心、肺、肾等各项功能都在走下坡路，尤其是心脏功能，心超检查显示，她的左室舒张功能降低，而随着怀孕，心肺负担愈发加重。而妊娠期高血压综合征也如影随形，时不时地考验一下医护人员，随时监测她的各项指标，成了医生们的头等大事。为了方便联系，贺晶还把自己和相关医护人员的手机号码都留给她的家人。

闯过了最后一关孩子终得顺利出生

接下去，就是生孩子这最后一关了。6月23日，省妇保医院专门召集了相关科室负责人会诊讨论，包括医务科科长，产科全体主任，麻醉科、ICU、新生儿科的人员，针对各种可能出现的问题尽可能考虑得细致完美，一一做好处理预案，制定了抢救方案，落实各个环节的配合。

贺晶举例说道：“比如针对横位，如何避免新生儿损伤，针对中央型前置胎盘、高龄子宫收缩乏力，术中术后容易发生大出血，在准备好自体输血的同时也联系血液中心准备急救用血等等，这些问题都可能会出现。”

6月27日，此时张女士已经怀孕36周，终于到了生孩子的时间。因为年纪太大的缘故，张女士出现了高龄产妇常见的“中央型前置胎盘”情况，而她的子宫也没有力气收缩了，是超困难剖宫产。最后，由多位专家组成的手术团队帮她顺利产下了儿子，而为了保住她的命，切掉了子宫，止住了可能出现的大出血。手术有惊无险，新生儿的各项指标均在正常范围内，出生体重5斤9两，十分健康。

当然，术中术后出现的各种险情，都在预案之内，全由医护团队一一排解。医院之后对于高龄产妇的保养也很到位，在贺晶团队的严密监测下，张女士这个“奶奶级妈妈”顺利闯过了麻醉，血压不稳定，出血，高凝等道道关口，渐渐康复。

生殖专家这样说：不建议做高龄产妇生育概率低，各种风险大

在浙江大学医学院附属妇产科医院，几乎每天都有50至60个孩子出生，大家早就习以为常，但张女士这个男婴的降生，却牵动了医院多个学科专家的注意力。贺晶主任表示，张女士能够足月顺利生下孩子，从医学上来说是一个“奇迹”。

国家“全面二孩”政策实施以来，高龄生育的女性越来越多。浙大妇院副院长、生殖专家徐键主任医师指出，当前二胎产妇的年龄多集中在35至40岁之间，少数在45岁甚至50岁以上，“高龄妊娠面临生育能力下降、胚胎着床失败和流产的风险。”

贺晶也坦言，年龄超过35岁的孕妇，尤其是超过40岁的女性，妊娠期易发生各种病理改变，如妊娠期糖尿病、高血压和心脏病等，死胎和新生儿死亡率高，胎儿畸形率较高。

因此，尽管存在像张女士这样的“奇迹”，可从现实安全角度考虑，徐健仍然建议大家尽量别做高龄产妇，“如果非要尝试，那我希望高龄夫妇能在实施辅助生殖技术前评估自身条件，做好充分准备，同时加强孕前、孕期管理，加强产前筛查和遗传学诊断，做到早期发现，早期干预，减少子代出生缺陷和遗传疾病。”

对于那些已经过了最佳生育年龄，却仍然渴望做母亲的人，贺晶强调说：“高龄，尤其超高龄女性要慎重对待再生育，孕前必须去专业技术强大的妇产科医院咨询是否能够妊娠，如果不适合妊娠，还是要尊重科学，选择放弃，一旦允许妊娠，要做到精准的个体化妊娠期和分婏期管理。”