Post Date November, 16 2024
Now that the policy of having two children has been opened up, the comprehensive two child policy has basically achieved the unity of the people's willingness to have children and the national fertility policy. So, how to prepare for pregnancy when giving birth to a second child?
What are the high-risk groups for having a second child
Previous pregnancy with heart disease, anemia, kidney disease, hepatitis, hyperthyroidism, appendicitis, pancreatitis, idiopathic thrombocytopenic purpura, etc; The previous pregnancy was associated with hypertensive disorder complicating pregnancy, placenta previa, intrauterine growth restriction of fetus, delayed pregnancy, intrahepatic cholestasis of pregnancy and diabetes during pregnancy; The previous pregnancy involved a cesarean section, macrosomia, soft birth canal laceration, postpartum depression, and poor healing of the postpartum incision.
How to determine if you are a high-risk pregnant woman
In addition to the high-risk factors mentioned above, if the following situations occur, it is considered a high-risk pregnant woman: the pregnant woman is over 35 years old; Excessive obesity (BMI>25kg/m2); Abnormal fetal position, macrosomia, multiple pregnancies, pelvic abnormalities, soft birth canal abnormalities; Hypertension in pregnancy, placenta previa, placental abruption, amniotic fluid excess or oligohydramnios, intrauterine fetal growth restriction, intrahepatic cholestasis of pregnancy, and diabetes in pregnancy.
How to prepare for pregnancy in a second child
1. Conducting a national free eugenics health check before pregnancy;
2. High risk pregnant women should seek relevant consultation at the hospital when preparing for a second pregnancy, 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 permit", plan to prepare for pregnancy;
3. Both spouses should maintain good living habits (happy spirit, strengthen exercise, control weight; have a balanced diet, strengthen nutrition, quit smoking and alcohol, and maintain a good schedule);
4. Regular sexual activity, as male sperm reserves require 2-7 days, frequent sexual activity can actually 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. Having sex during the ovulation period can improve the probability of pregnancy (the ovulation period of women with regular menstruation is 14 days before the next menstruation. If there is an increase in basal body temperature, the leucorrhea is bright and hard to break, and the LH test paper is positive, all these are ovulation signals). If couples are unable to conceive naturally within six months after 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 upbringing
1. Provide pre pregnancy, early pregnancy, and prevention of birth defects guidance to couples planning to conceive, to avoid exposure to toxic and harmful substances;
2. Starting from the first 3 months of pregnancy, supplement 800 micrograms of folic acid or a compound vitamin containing 800 micrograms of folic acid to prevent fetal neural tube malformations;
3. After confirming pregnancy, go to the hospital for examination as soon as possible to promptly detect special situations such as miscarriage, malformation, or ectopic pregnancy;
4. All pregnant women should undergo screening for Down syndrome, and pregnant women over 35 years old should undergo chromosomal examination (amniocentesis or umbilical cord blood puncture) to rule out this disease
5. At 11 to 13+6 weeks of pregnancy, not only NT can be examined, but serious structural abnormalities such as anencephaly, severe meningoencephalocele, omphalocele, edema, and twinning can also be detected through ultrasound screening. Fetal system ultrasound at 18-24 weeks of pregnancy can screen for most abnormalities, but some problems may occur in the late pregnancy or even after birth, the most common being hydrocephalus. Therefore, at least one ultrasound examination is still required at 32-36 weeks of pregnancy.
