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80% of Chinese couples want to have a second child. How to prepare for a second child?

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The survey shows that more than 80% of the people in our country hope to have two children, and more than 90% strongly support the comprehensive two-child policy. Therefore, the comprehensive two-child policy has basically achieved the unification of the people's fertility wishes and the national fertility policy.

How to judge whether you are suitable for having a second child?

The following people are not suitable for having a second child: either male or female has been medically examined and suffers from serious genetic diseases that are medically considered unsuitable for childbearing, such as various birth defects (congenital malformations, genetic diseases, inborn metabolic diseases, and unexplained Functional abnormality); Suffering from severe mental illness (depression, schizophrenia); Either party has serious bad habits such as drug abuse; The woman's uterus does not have the function of pregnancy or has severe physical diseases that cannot withstand pregnancy, such as severe heart disease, tuberculosis In the active stage, epilepsy, malignant tumors, hepatitis, nephritis, and connective tissue diseases.

Those with the following basic diseases should get pregnant after the disease is stable and well controlled: hypertension, diabetes, hepatitis, nephritis, connective tissue disease, thyroid disease, thrombocytopenia, gallbladder disease, sexually transmitted diseases, uterine fibroids, ovarian cysts, etc. Gynecological diseases.

Who are the high-risk groups for having a second child?

The previous pregnancy was complicated by heart disease, anemia, kidney disease, hepatitis, hyperthyroidism, appendicitis, pancreatitis, idiopathic thrombocytopenic purpura, etc.; the previous pregnancy was complicated by gestational hypertension, placenta previa, and intrauterine fetal growth. Restricted, post-term pregnancy, intrahepatic cholestasis of pregnancy, gestational diabetes, etc.; previous pregnancy was cesarean section, macrosomia, soft birth canal laceration, postpartum depression, poor postpartum incision healing, etc.

How to determine whether you are a high-risk pregnant woman?

In addition to the above-mentioned high-risk factors, if the following conditions occur, you are considered a high-risk pregnant woman: maternal age > 35 years old; excessive obesity (BMI > 25kg/m2); abnormal fetal position, macrosomia, multiple pregnancy, pelvic abnormality, soft birth canal abnormality ; Pregnancy-induced hypertension, placenta previa, placental abruption, polyhydramnios or oligohydramnios, intrauterine growth restriction, intrahepatic cholestasis of pregnancy, and gestational diabetes.

How to prepare for pregnancy for the second child?

1. Get a free national eugenic health checkup before pregnancy;

2. High-risk pregnant women should go to the hospital for relevant consultation when preparing for a second child, and choose targeted pre-pregnancy examination items, such as thyroid function measurement, blood pressure measurement, blood sugar measurement, etc., after obtaining the doctor's "pregnancy preparation permission" After getting the certificate, make plans to prepare for pregnancy;

3. Both husband and wife maintain good living habits (be in good spirits, exercise more, control weight; eat a balanced diet, strengthen nutrition, quit smoking and drinking, and maintain a good work and rest schedule);

4. Have regular sex, because male sperm storage takes 2-7 days, and frequent sex will lead to a decrease in sperm quality;

5. Avoid contact with toxic and harmful substances and avoid living in newly renovated houses;

6. Calculate the ovulation period, and having sex during the ovulation period can increase the chance of conception (the ovulation period for women with regular menstruation is 14 days before the next menstrual period. If the basal body temperature rises, the leucorrhea will be translucent and adhesions are not easy to break, LH A positive test paper test is a signal of ovulation). If couples cannot conceive naturally within six months after taking the above measures, it is recommended to prepare for pregnancy under the guidance of a qualified reproductive medicine center.

How to do a good job in eugenics and nurturing?

1. Provide guidance to couples planning pregnancy before pregnancy, early pregnancy and birth defect prevention, and to avoid exposure to toxic and harmful substances;

2. Start supplementing 800 micrograms of folic acid or a multivitamin containing 800 micrograms of folic acid 3 months before pregnancy to prevent fetal neural tube defects;

3. Go to the hospital for examination as soon as possible after confirming pregnancy, and promptly detect special conditions such as miscarriage, malformation or ectopic pregnancy;

4. All pregnant women should be screened for Down syndrome, and pregnant women over 35 years old should undergo chromosomal testing (weekly amniocentesis or umbilical cord blood puncture) to rule out this disease

5. At 11-13+6 weeks of pregnancy, not only NT can be checked, but also serious structural abnormalities such as anencephaly, severe meningoencephalocele, omphalocele, edema, and conjoined twins can be screened through ultrasound. . Fetal system ultrasound between 18 and 24 weeks of pregnancy can screen out most malformations, but some problems may appear in the third trimester or even after birth, the most common of which is hydrocephalus. Therefore, it is generally still necessary to perform at least one ultrasound between 32 and 36 weeks of pregnancy. Ultrasonography.

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