What should high-risk pregnant women pay attention to during pregnancy?

Patient's question:

Detailed medical condition and consultation purpose: I am 35 years old. In September, I gave birth to a boy who died due to congenital heart disease, transposition of the great arteries. I am planning to have another child and want to know what to supplement and what nutrients to take.
Current general condition: I am doing well physically and have no health issues.

Doctor's answer:

First of all, if you are pregnant, you will be an older pregnant woman, and your child has a history of congenital heart disease, which is the most unfavorable factor for you! During pregnancy, older pregnant women may experience complications such as pregnancy complicated with heart disease, gestational hypertension syndrome, gestational diabetes, and so on. Moreover, the risk of recurrent congenital diseases in your child is higher than that of younger women!!!
Therefore, the most important thing for you is to undergo pre-pregnancy and prenatal examinations.
Older women can identify problems early and take timely action through pre-pregnancy examinations. If hypertension and diabetes are detected early, the primary diseases can be controlled before pregnancy.
Pregnant women should undergo obstetric examinations in the early stages of pregnancy, and medications to prevent fetal malformations should also be started early in pregnancy. Subsequently, regular prenatal examinations should be conducted to identify problems promptly. For pregnant women with complications or comorbidities, it is recommended to be hospitalized for treatment. If necessary, pregnancy termination should be considered to avoid severe consequences.
Although pregnancy in older women carries many potential risks, as long as these measures are taken, you can have a smart and healthy baby.

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