Some people say they have to be born; some say the pressure is too great and they can’t afford to have a second child at an advanced age, are you ready, mom and dad? To have or not to have It is said that after the news of the full liberalization of the second child policy was revealed, many netizens began to think about the philosophical question of “to have or not to have”. It is good to respond positively to the national policy call, but it is also very important to be realistic from your own point of view! A variety of problems can not be avoided In addition to considering the “born or not born”, “born who take” these two major issues need to be considered, I’m afraid you also have to think about the mother’s own situation, the energy of the parents, financial resources, and the psychology of the first child and so on. In this way, after the frenzy, are there many issues to consider? “Doctor, I’m planning to have a second child, I’m almost forty, and I don’t know how my body is now, should I have a checkup to see?” As we get older, the fertility of men and women decreases, the rate of spontaneous abortion increases, and the rate of fetal malformations increases. So it’s important to have a second child before it’s too late. For mothers who still want to have a second child after 30 years old, it is recommended to do a good pre-conception check before pregnancy, so what should be done? 1, routine gynecological examination: this is also essential, for women who have given birth, may have a history of abortion or IUD, combined with ultrasound and other auxiliary examinations can understand whether there is pelvic inflammatory disease, or endometriosis, is also an effective measure to reduce the occurrence of ectopic pregnancy or placenta praevia, placental implantation and other problems in another pregnancy. 2. Gynecological ultrasound: it is possible to understand the shape of the uterus, the thickness of the endometrium, the size of the ovaries, the follicular base, etc., to predict the reserve function of the ovaries. 3. Infection-related factors: check the white belt and blood test for trichomonas, mycobacteria, mycoplasma, cytomegalovirus infection, rubella virus infection and so on. These are the reasons that may affect the pregnancy or cause fetal abnormalities or miscarriage. 4, endocrine examination: such as endocrine hormone examination, thyroid function, anti-mullerian hormone (AMH) examination, which is also very important! We can assess the function of ovaries through endocrine hormones, pelvic ultrasound, etc. Abnormal endocrine secretion often affects ovulation, making the chances of conception decrease. (Endocrine hormone examination is done on the 2nd-5th day of menstruation) 5. General examination: such as blood routine, coagulation function, blood type examination, in addition, liver and kidney function, blood sugar, blood lipid, and other biochemical routine examination should be performed. 6. Antibody examination: Anti-sperm antibodies, anti-lecithin antibodies, anti-endometrial antibodies, lupus factor, etc. can be checked; these have an impact on conception or miscarriage. 7. Metabolism-related examination: such as folic acid metabolism, trace elements examination, deafness gene examination, etc. 8. Chromosomal and genetic examination: for Guangdong and Guangxi areas, which are high prevalence areas of thalassemia, both parents should be tested for thalassemia genes; for older mothers, due to the relatively poor quality of eggs, the rate of malformation is high, and if the previous pregnancy had repeated miscarriages, chromosomal examination is also feasible for both spouses. 9.Environmental examination: trace element testing or examination of the odorous environment can be carried out, and newly renovated houses should be tested for formaldehyde content. Due to the age problem, in addition to the relevant routine checkups, we should also pay attention to the following issues: 1. body mass index: weight (kg)/height (m) squared is the body mass index, if your body mass index > 25, then we should pay attention to diet and exercise to reduce the weight to within the normal range, otherwise the incidence of gestational hypertension, gestational diabetes, the risk of miscarriage is greatly increased. Suggestions: aerobic exercise at least 5 days a week, at least 40-60 minutes a day. 2, monitor blood pressure: blood pressure fluctuation pattern is generally two peaks and a valley, early morning and 4 to 6 pm is the peak, you can focus on monitoring these two time periods. If the blood pressure rises, >140/90mmHg, you need to go to the hospital for examination, timely detection of problems, timely adjustment. 3, blood glucose, lipids: you can check the blood glucose 2 hours after meals, glycosylated hemoglobin to understand the situation of sugar metabolism in the body, to avoid the emergence of “sugar mother”, “sugar baby”, lipid examination is also very critical, elevated blood lipids, aggravate the chance of pregnancy thrombosis, for This is very unfavorable for senior mothers. 4, thyroid function: recently many outpatient clinics hypothyroidism, subclinical hyperthyroidism, Hashimoto thyroiditis patients, before pregnancy must check the thyroid function, the development of the fetus can not lack the supply of maternal thyroxine. 5, liver and biliary ultrasound: by checking the fatty liver and other conditions, it is best not to get pregnant with fatty liver. Life details are also very important since the decision to give birth, we discussed, have the energy, financial resources, the tests done are also not bad. Then it is even more important to pay more attention to the details of life. It is also very important to maintain a good mood, eat a healthy diet and eat foods that are good for your body and ovaries: 1, good mood 2, exercise This is also very crucial to protect your ovaries! 3, healthy diet Good food for the ovaries: 1, lily poria lily poria can maintain the ovaries, effectively delay female aging, two-way regulation of estrogen levels, inhibit the production of ovarian cysts. 2, cucumber cucumber also contains a substance called “malonic acid”, which can inhibit the conversion of sugars into fat in the body, with the effect of weight loss and adjustment of lipid metabolism. 3, shiitake mushrooms shiitake mushrooms, has the effect of eliminating food, fat, lowering blood pressure. But people with high uric acid should eat less! 4, carrots carrots, not only to help the ovaries, but also for women’s intake of vitamins, but also the role of the purpose. 5, apples apples contain flavonoids, effectively inhibit the oxidation of low-density lipoprotein and play the role of anti-atherosclerosis. In addition, the pectin in apples can also reduce cholesterol levels, and therefore conducive to the prevention of atherosclerosis. 6, hawthorn fruit hawthorn has the effect of lowering blood pressure, promoting cholesterol excretion and lowering blood lipids. Hawthorn is an acidic food, so it should not be eaten on an empty stomach, and should not be eaten for too long, preferably after meals, early in pregnancy, note the prohibition of eating hawthorn, may cause contractions. The second child policy, do not ignore the psychology of a child baby! There is a survey for the only child, “If your mother gives you a little brother, little sister, do you want?” Only a few children said: “It would be nice to have a younger brother and sister, so that there will be more people to play with me!” But most of the children said, “If I have a younger sibling, my mom and dad will not love me as much”, “My younger sibling cries and is too much trouble and will make me noisy”, “My mom and dad work very hard, I am afraid that my mom and dad will not be able to take care of them. I’m afraid they won’t be able to take care of me”. The children are sensitive to the fact that their parents are going to have a second child, and it is normal for them to be afraid that their parents’ love will be taken away from them by their younger siblings. The parents who want to have a second child can do is how to let the child slowly accept and look forward to the arrival of a younger sibling, and a variety of actions to let the child know: a younger sibling will not take away the love of mom and dad, but will be a new family member to love him with him. Experts advise parents: the younger the child, the later the time to tell him the truth should be. It is best not to tell the child right from the start that the mother already has a baby in her belly, but to discuss the issue with him and tell him very calmly that he will have a little brother or sister before his own belly gets his attention.