Once pregnant and delivered in ten months, as expectant mothers, we all hope that our babies will not only be healthy and safe, but also have higher intelligence and appearance, the better. This is also the highest state that everyone has been pursuing during pregnancy. But some things are often not as beautiful as we imagine. Some babies are born with some distressing diseases, such as neonatal cerebral palsy. So how can we prevent this phenomenon in the fetus during pregnancy?
In fact, the fetal hypoxia mentioned in the question is only one of the causes of fetal cerebral palsy during pregnancy. Cerebral palsy in newborns not only occurs during pregnancy but also occurs after delivery or birth.
Although the main symptoms of cerebral palsy include difficulty moving, the disease does not affect the muscles or nerves in the body. Cerebral palsy usually occurs due to brain damage during fetal development. There are several factors that can cause brain damage that can lead to cerebral palsy. These factors include genetic factors, the presence of maternal infection, or fetal injury, each of which can interrupt the normal process of brain development, interfere with the transmission of brain signals, and cause damage.
(1) Early pregnancy:
Have had neurotropic virus infection, especially rubella, which is most likely to cause fetal encephalitis; another example is threatened abortion, where the placenta and uterus are separated during the bleeding period. Excessive separation can cause intrauterine ischemia in the fetus and form lesions.
(2) Second and late pregnancy:
Lesions will form when pregnancy-induced hypertension syndrome occurs, placental vasospasm, insufficient blood supply to the fetus, and brain hypoxia. In the second and third trimester of pregnancy, the mother suffers abdominal injuries, syphilis and other diseases, such as severe heart and kidney diseases, diabetes, etc., prenatal uterine bleeding, early placental separation, etc., which will reduce the blood and oxygen supply to the uterus and cause the formation of lesions in the fetal brain. .
(3) Childbirth period:
Asphyxia and brain damage during childbirth are common causes.
(4) Low birth weight of newborns:
40% of newborns with cerebral palsy have a birth weight of less than 2,500 grams, which is related to maternal diseases or malnutrition. The brain weight of low-birth-weight newborns is often insufficient, which increases the chance of intracranial hemorrhage in immature infants. The brain receives insufficient oxygen and other nutrients, and it is easy for lesions to form at the bleeding site.
(5) After birth:
Cerebral kernicterus, various types of encephalitis, meningitis, toxic encephalopathy, cerebral hypoxia, cerebrovascular disease, hypoglycemia, brain trauma , lead poisoning and other factors.
Cerebral palsy is a neurological disease that affects a person's body movements and muscle coordination. Although symptoms of cerebral palsy do not get worse over time, there are subtle signs that a newborn may show that both parents and doctors may not notice.
① Newborn, this definition usually refers to babies in the first 100 days of life. Babies at this time cannot move on their own, and their movements usually seem uncoordinated because their bodies are Learn how to control your muscles. Therefore, signs and symptoms of cerebral palsy often appear late in infancy.
②Early signal. Although developmental disabilities are difficult to assess in newborns, they can show some early signs of cerebral palsy. Although most newborns and mothers take time to get used to each other, difficulty sucking can be a sign of cerebral palsy. Newborns with cerebral palsy may also show symptoms of uncoordinated muscle tone. Sometimes they lift their arms and legs stiffly, and sometimes they look limp. Cerebral palsy can also cause excessive drooling in newborns.
③Other signals. The signs and symptoms of cerebral palsy are different for each child and depend on the area of ??the brain that sustained damage. There are many signs that may not show up when the baby is young, such as language difficulties, but some signs may show up in infancy. Many babies with cerebral palsy also develop spinal deformities, manifested as a hunchback.
Previously, doctors believed that most cases of cerebral palsy were caused by persistent brain damage during childbirth and labor. The National Institute of Neurological Disorders and Stroke reports that only 5% to 10% of cases of cerebral palsy are caused by a lack of oxygen during delivery.
Therefore, unilaterally monitoring fetal hypoxia to prevent the symptoms of cerebral palsy in newborns cannot solve the fundamental problem.
Many other factors also increase the risk of cerebral palsy, including low birth weight, premature birth, multiple births, and exposure to toxins during pregnancy. Incompatibility between mother and child's blood type, mother's thyroid disease or mental retardation can also increase the risk of cerebral palsy in babies.
First, perform fetal heart rate monitoring during pregnancy
After 34 weeks of pregnancy, pregnant mothers must perform fetal heart rate monitoring when they go to the hospital for prenatal check-ups every week, and dynamically monitor the fetus for 20 minutes In order to understand the status of fetal heart rate, fetal movements and uterine contractions. If the number of fetal movements is more than 3 times in 20 minutes, the fetal heart rate accelerates more than 15 beats/min with each fetal movement, and there are no too frequent contractions.
Then this is a normal result, which means that the fetus is very healthy in the womb. The doctor will make a judgment based on the fetal heart rate monitoring.
Second, count fetal movements
During each fetal movement, the fetal heart rate will accelerate, 10 to 15 times faster than usual. The fetal heartbeat will disappear within 24 hours after the fetal movement decreases until it disappears. It can be seen that fetal movement reflects the safety status of the fetus in the mother's womb.
If the fetal movement count is ≥6 times/2 hours, it is normal. If it is <6 times/2 hours or a decrease of 50%, it indicates the possibility of fetal hypoxia. If necessary, go to the hospital for fetal heart rate monitoring.
?The necessity of counting fetal movements:
Fetal movements can indirectly reflect the health of the baby. If the baby is hypoxic, unhappy, uncomfortable, abnormal fetal movements will occur (referring to the sudden number of fetal movements) increase or decrease). If abnormal fetal movement occurs, first rule out objective conditions (such as whether your mood fluctuated that day, whether you have been to some noisy or special places). If there are no such objective conditions, go to the hospital for a check-up just in case.
?Mom Tips:
Generally speaking, premature babies tend to have a higher probability of developing cerebral palsy. Because premature babies have immature brain development, they are prone to diseases after birth, such as difficulty breathing, hypoxia, intracerebral hemorrhage, and brain tissue damage. In addition, premature infants often have insufficient nutrition, which also affects brain development. The smaller the weight, the higher the chance of developing cerebral palsy. According to relevant surveys, approximately three out of 100 premature babies will have cerebral palsy.
Parents perform massage and gymnastics for their children at home according to certain methods. Twice a day, 5 to 15 minutes each time, and intensive active movement training, such as raising the head, pulling to sit, turning over, sitting, climbing, standing and walking according to the age of the month, to promote the development of motor tension. In this way, cerebral palsy in premature infants can be reduced by more than 2/3, and even if cerebral palsy occurs, menstruation can be significantly reduced.
?Strengthened active movement training method:
①Lie prone and raise your head. When premature babies reach 40 weeks of age, they should start prone training. One hour before feeding, when they wake up on an empty stomach, use words and toys to guide the baby to raise his head in the prone position. Each training session lasts for 10 minutes, 4 to 6 times a day.
Mother-child face-to-face training method. The child lies prone on the mother, and the mother can talk to the child and encourage the child to raise his head.
② Side lying symmetrical posture. Make the child lie on his side on the bed, keeping both upper limbs and hands in the middle of the trunk. This position can control abnormal asymmetrical postures and abnormal extensor muscle tension.
③Prone and raise your head training. Continue to allow the child to perform head-up training in the prone position. Turn over. Use toys to induce children to turn over. When helping children turn over, you can hold the child's hand with one hand and gently turn over to the opposite side with the other hand on the shoulder. Practice at least 7 to 8 times a day.
④Balance training. Place the child on the sheet in a supine position, and the two parents grab both ends of the sheet and rock it from side to side. 2 to 4 times a day.
⑤Hand-mouth coordination training. In the supine position, let the child hold his feet with both hands and put them to his mouth to practice hand-mouth-eye coordination.
⑥Grasp training. Place the toy in the midline to induce the child's upper limbs to extend forward and spread their fingers to grasp. Do this 7 to 8 times a day.
?In addition, no matter how the baby's brain develops, whether there is cerebral palsy or not, proper education and training are the most important. Parents should pay special attention to:
According to scientific research It was found that the peak period of brain development starts from the 7th month of pregnancy and ends around 2 years old, and more than half of the final brain weight increases during this period.
Newborn babies have to sleep 14-20 hours every day after returning home from the hospital. Parents should not think that babies between 0-2 months old only eat and sleep every day. In fact, your baby's brain is developing unconsciously at any time. When the baby is sleeping, parents should try not to disturb the baby's sleep.
When the baby is awake, in addition to feeding, parents should seize every opportunity to help promote the baby's brain development and develop the baby's intelligence from hearing, touch, head-up training, etc.
?During the postpartum baby’s growth process, you can use the following methods to assist your baby in brain development exercises:
1. Visual and auditory stimulation
① When the baby is awake, parents can face the baby and talk to him. When the baby notices the parent's face, the parent can slowly move the position of his head. Let the baby's eyes follow the parent's head.
② Parents can whisper in the baby's ear. When the baby notices the parent's voice, the baby will turn his head to look for the source of the sound.
③You can use some small toys. Parents should shake brightly colored toys about 20 centimeters in front of the baby's eyes, and toys that can also make noises (but the sounds should not be too crisp). When the baby notices the toy, parents can slowly move the toy and let the baby follow the toy with his eyes.
2. Skin tactile stimulation
① Before or after the baby takes a bath, parents can touch and massage the baby's skin. When parents touch their children, they can touch their hair, face, eyebrows, ears, chin, hands, feet, and trunk. Parents can also let their babies touch their own bodies.
② Have parents noticed that babies like to make fists with their little hands? During this period, it is normal for babies to clench their hands into fists, especially when they are nervous, they will hold their hands tighter. But often holding hands like this will affect the development of your baby's hands. Therefore, parents can pat the back of the baby's hand more often to encourage the baby to let go of his hand and open his palm.
3. Head-up training in prone position
Babies 1 to 2 months old also need exercise. Parents can let the baby lie on the bed and put the baby's hands on both sides of the head. Then the parents use toys in front of the baby to attract the baby's head. At the beginning, the time should not be too long, about 30 seconds, and then gradually extend the training time.
If you pay attention to training the baby to raise his head from birth, then by the time the baby is about 2 months old, the baby can stably raise his head at 45° to 90°. Generally, it is better to train your baby to raise his head when he is fasting and awake.
4. Appropriate reminder: If the baby under 2 months old has the following conditions, he needs to seek medical treatment in time.
① A 1-month-old baby does not respond to loud sounds.
② A 2-month-old baby will not raise its head when lying on the bed.
③ Two-month-old babies cannot look at human faces and their eyes cannot follow moving objects.
The causes of cerebral palsy are complex and have many causes. One of the causes is the fetus' lack of oxygen in the womb. Before birth, the baby is a mysterious existence. Don't say that others don't know what he looks like. Even the mother doesn't know what he looks like or what he is doing in his belly. Even with the advanced technology now, our expectant parents can only see the vague appearance of their child from the color ultrasound in the hospital, and see his every move, every frown and every smile. Usually, expectant mothers can feel the baby's presence from fetal movements and baby marks on the belly. So what is the baby's living situation like in the belly? Is it lack of oxygen? How do expectant mothers find out? How to avoid cerebral palsy in babies caused by intrauterine hypoxia? There are three ways to do this, count fetal movements, listen to fetal heartbeat, insist on weekly check-ups in the third trimester, and perform fetal heart rate monitoring.
Generally, most pregnant mothers can feel fetal movement from the 20th week of pregnancy.
Although every mother feels different, some feel like a small fish blowing bubbles, and some feel like intestinal peristalsis. Fetal movements are divided into whole trunk fetal movements and fetal movements of the limbs. Pregnant mothers feel different depending on the size of the fetus and the intensity of its activity. Counting fetal movements generally starts from the 28th week of pregnancy. Choose three relatively fixed time periods every morning, noon and evening, each time period is 1 hour. Find a quiet place, sit down in a comfortable posture, or lie on your side, put your hands on On the belly, concentrate and feel the movements of the fetus.
The fixed time period is mainly used to detect the pattern of fetal movement and detect abnormalities in time. Of course, fetal movements are not static. For example, fetal movements often decrease after the fetus enters the pelvis. In the third trimester of pregnancy, the fetus will also form its own work and rest habits. Therefore, fetal movement is a sign of fetal health. Generally speaking, it is normal to have more than 30 fetal movements in 12 hours. The calculation method is to add the number of fetal movements in three hours and then multiply by 4 to express the number of fetal movements.
During pregnancy, if you have the conditions, you can buy a fetal heartbeat or a stethoscope, and listen to the fetal heartbeat 1 to 3 times a day at home. Generally, the number of fetal heartbeats is around 120 to 160 times, and sometimes it can reach 180 times. These are normal. As long as the fetal heartbeat is regular, there is no problem. If it is too high and exceeds 180 times or if it is too low and below 110 times, you need to go to the hospital to find out the cause. Because after 34 weeks of pregnancy, it may not be possible to determine whether the fetus is hypoxic through the fetal heart rate. It is best to combine it with fetal movements on a daily basis. Of course, after 34 weeks of pregnancy, pregnant mothers start to go to the hospital for fetal heart rate monitoring, which is more accurate.
In the third trimester of pregnancy, pregnant mothers often have a big belly and have difficulty moving. Fetal heart rate monitoring takes a long time, and sometimes it takes 40 minutes or even longer because of failure to pass the test. Leaving the expectant mother feeling exhausted and upset. At this time, you need to adjust your mentality in time, get up and go for a walk, exercise, or drink some juice, touch your belly, wake up the lazy baby, and try to pass it next time. If the fetal heart rate monitoring can pass smoothly, the fetus will be healthy and the mother-to-be can rest assured. If it doesn't pass for a long time, please don't worry, or the baby is sleeping soundly at this time and cannot be woken up, so you can wait and do it. Therefore, when making an appointment with the doctor for fetal heart rate monitoring, you must make the appointment at a time when there is more fetal movement.
1. Correct iron deficiency anemia
Severe fetal hypoxia is mainly due to severe iron deficiency anemia during pregnancy. Anemia is a commonplace topic. Anemia in pregnant women will not have much impact on the pregnant woman, but the impact on the baby is indeed fatal.
Therefore, during pregnancy, you should eat multiple foods rich in iron every day, such as: animal liver, pig blood, duck blood, lean meat, spinach, black fungus, etc. for iron supplementation. In addition, after the second trimester, regular prenatal check-ups should be carried out to detect it in time. In the case of anemia, after iron deficiency anemia occurs, oral iron supplements should be taken under the guidance of a doctor. It is best to choose divalent iron supplements. This type of iron can be directly absorbed by the body. Divalent iron supplements include Iron Edge Tablets and vitamin C. Better absorption.
2. Move more
When you are pregnant to the third trimester, it is not advisable to sit for a long time. It is believed that sitting for a long time will compress the uterus, which is not conducive to the baby's growth and development. Activities in the womb. Another is that sitting for long periods of time will affect the blood circulation of the placenta and lead to intrauterine hypoxia of the fetus. Moving more is not only good for the health of the fetus, but also conducive to the smooth delivery of pregnant women.
3. Stay away from second-hand smoke
Long-term or excessive inhalation of second-hand smoke will affect the quality of oxygen delivered to the fetus. Many of us adults understand the dangers of second-hand smoke. I don’t want to be inhaled, let alone an expectant mother who is pregnant. During pregnancy, you should stay away from smokers and avoid second-hand smoke.
4. Control weight
Being overweight during pregnancy will first affect the blood sugar of pregnant women. Secondly, being overweight will oppress the fetus, which will then cause intrauterine hypoxia of the fetus, so no matter what All have to control their weight.
5. Sleep on the left side
As the pregnancy time becomes longer, the uterus will continue to grow and even occupy the entire abdominal cavity in the later stages of pregnancy. This will The uterus rotates to the right to varying degrees, involving related blood vessels, which will also affect the oxygen supply to the fetus. Therefore, pregnant mothers should sleep on their left side in the later stages of pregnancy to reduce the right rotation of the uterus and relieve the pressure on the fetus.
The most important thing is to do a fetal heart rate test every morning and evening through a fetal heart rate meter if possible, so as to keep abreast of the development and health of the fetus. Prenatal check-ups should also be on time, especially around 36 weeks.
Cerebral palsy is a disease that affects the movement and balance of the fetus due to damage to the brain tissue during its development. It is accompanied by impairments in intelligence, hearing, vision, language development, and even skeletal development. Obstacles etc. It often manifests as mental retardation, abnormal behavior, delayed language development, epilepsy, etc. Common manifestations in the neonatal period include frequent convulsions, abnormal postures, and sensory disturbances. The damaged part of the brain tissue that causes cerebral palsy will not continue to expand the damaged area, nor will it affect other brain areas. There are many causes of cerebral palsy, including maternal factors, genetic factors, pregnancy factors, factors before and after birth, etc. Maternal factors include advanced maternal age, viral infection during pregnancy, exposure to toxic substances or radioactive elements during pregnancy, pregnant women suffering from epilepsy, hyperthyroidism, habitual and frequent abortions, long-term drug abuse, smoking, drinking, and medication. Genetic factors include parents who conceive the child with genetic diseases, family history of hereditary diseases, neurological diseases, etc. Pregnancy factors include trauma during pregnancy, intrauterine compression and hypoxia of the fetus, multiple loops of the fetal umbilical cord around the neck, abnormal placental function, pregnant women suffering from certain chronic diseases, oligohydramnios, etc. Prenatal and postnatal factors include premature birth, dystocia, interruption of umbilical cord blood supply due to various reasons during birth, macrosomia, low birth weight, birth trauma, neonatal asphyxia, neonatal jaundice, neonatal intracranial hematoma hemorrhage or septic shock. , neonatal aspiration pneumonia leading to cerebral hypoxia, etc.
There are many causes of cerebral palsy. The most common cause is fetal hypoxic asphyxia during pregnancy. Therefore, it is necessary to strengthen monitoring of the growth, development and survival status of the fetus in the womb during pregnancy. Such monitoring can not only keep track of the fetal growth and development, but also detect abnormalities in the fetal survival status in time. For example, if the fetus suffers from intrauterine hypoxia, it can be detected as early as possible and dealt with promptly by strengthening fetal monitoring. And for pregnant women whose own conditions may cause fetal hypoxia, they can also be prevented in advance. In particular, high-risk pregnant women are very likely to cause fetal hypoxia. Strengthening fetal monitoring can play an important role in preventing fetal hypoxia. To prevent fetal hypoxia during pregnancy, the most effective monitoring method is to develop the habit of counting fetal movements. As long as there are more than three fetal movements per hour, it is normal. Of course, the condition of the fetus cannot be determined by the fetal movements in just one hour. Moreover, fetal movements should be counted at a fixed time every day. It is normal for the number of fetal movements to be more than 30 times a day, and less than ten. This time I have to go to the hospital in time. Special attention should be paid to the fact that if the fetal movements suddenly become frequent and large, and then suddenly stop, you should be alert to whether the fetus is struggling due to hypoxia, and you need to go to the hospital for examination as soon as possible to prevent accidents.
Currently, many hospitals have remote fetal monitors, which are suitable for patients with chronic diseases, such as gestational hypertension, diabetes, hyperglycemia, severe anemia, hyperthyroidism, liver and kidney disease, and heart disease. Pregnant women who are sick and are not very good at counting fetal movements can apply to rent a remote fetal monitor. They can monitor the fetus in their belly at any time at home. Once the fetus is abnormal and the fetal heart rate changes adversely, it can be monitored in time. Get intervention to avoid continued worsening of fetal hypoxia. In addition, conducting various pregnancy examinations on time is also extremely useful for monitoring the growth and life of the fetus in the womb. For high-risk pregnant women suffering from chronic diseases during pregnancy, timely pregnancy check-ups not only strengthen the monitoring of fetal growth and survival, but also enable timely treatment and control of the condition with the help of doctors. If the fetus is hypoxic in the uterine cavity, in addition to abnormal fetal movement and fetal heart rate, the growth rate will slow down or even stagnate. Therefore, pregnancy examinations at every stage of pregnancy need to be paid attention to. The earlier fetal hypoxia is detected, the more timely the intervention will be and the less damage will be done.
Hello! Nowadays, the more commonly used method is to count fetal movements by oneself, counting three times a day, counting fetal movements once at three fixed times in the morning, noon and evening every day, for one hour each time. If it is not more than 3 times per hour, it reflects that the fetal condition is good; you can also multiply the sum of the number of early, middle and late fetal movements by 4 to get 12 hours of fetal movements. More than 30 times is normal, and less than 10 times is abnormal.
The intensity and frequency of fetal movements vary greatly from individual to individual. Some may have more than 100 fetal movements in 12 hours, and some may only have 30-40. Everyone’s situation is different, and there is no need to compare with others. In comparison, if there are high-frequency fetal movements in a short period of time, it may be that the fetus is struggling during acute hypoxia. At this time, you need to be more vigilant. If the fetal movements disappear after violent fetal movements, you need to go to the hospital for examination as soon as possible.
Perform prenatal check-ups on time, and actively deal with complications of pregnancy. Diseases such as gestational hypertension, hyperglycemia, anemia, oligohydramnios, placenta previa, etc. can lead to chronic or acute hypoxia in the fetus. If hypoxia Failure to detect it in time may lead to metabolic acidosis, which may then threaten the brain. Therefore, in addition to strengthening fetal movement monitoring during pregnancy, we should also actively treat and control the prevention of other diseases.
When it comes to naming, sometimes it is difficult, and sometimes it is not difficult, but it is not a big problem. Recently, many babies have been born in the year of the rat, so this rat baby How to choose a name? Hongtu Naming tells you how to choose a good name
How to avoid cerebral palsy in babies caused by hypoxia in the womb? There are three ways to do this, count fetal movements, listen to fetal heart rate, insist on weekly check-ups in the third trimester, and perform fetal heart rate monitoring.
Hello, I suggest you give it a try according to the doctor’s advice