Earlier this year, the Third Plenary Session announced the adjustment of the fertility policy to “separate two children”. Although the specific implementation time around the world is yet to be determined, with the implementation time in Beijing and Shanghai and other first-tier cities determined, mothers are beginning to be excited, the relaxation of the policy has stirred up a thousand waves in the hearts of only children. What are the physical and psychological problems that mothers should pay attention to when preparing for the second child? The actual fact is that you can find out whether or not you can have a second child at the age of 30 to 45 years old. The first one is the first one to be born, and I didn’t pay too much attention to anything. Now that the policy is open and I want to have a second child, is there anything I should pay attention to in preparing for the second pregnancy? If I get pregnant, are there any special precautions to take during the pregnancy of my second child? Answer: When you are preparing for pregnancy, you can do a preconception checkup to see if you are suitable to have a second child and check if there are any diseases that are not suitable for pregnancy. When preparing for pregnancy, you should keep three points in mind: first, when you are sick (cold, fever, dizziness, etc.), you should not abuse medicine, and you must confirm whether you are pregnant before taking medicine, and if you are sure that you are pregnant, you need to consult your doctor if you can take medicine; second, you should pay attention to regular work and rest; third, you should take appropriate folic acid supplements. In addition, during the second pregnancy also need to consider the following issues: first: if the first child was born by cesarean section, pay attention to the time interval with the first child, consider the risk of uterine rupture, in principle, two years after the cesarean section before the second child; second, in the first pregnancy, whether there are some special circumstances, such as gestational diabetes, premature birth, pre-eclampsia, gestational hypertension, etc., if in the first child If you have these problems, then you need to be more careful with the second child. The second baby is better than one year apart. Question 2: What is the bad effect on the mother’s body if she is pregnant within six months after the normal birth? I heard that if the interval between the two babies is too short or too long, the second baby may be premature or have the risk of low weight, may I ask, how long is the interval between the two babies born in normal birth is more appropriate? Answer: The interval between the birth of two children is not clearly defined, but it is recommended that the interval between the birth of two children should be more than one year after the birth of one child, and a pregnancy interval shorter than 18 months or longer than 5 years is a high risk factor for preterm birth. 3, one year after the cesarean section pregnancy will have the risk of uterine rupture Question 3: My first child was born by cesarean section, and I got pregnant again a year after delivery. Will it be dangerous to get pregnant at this time? Can I have this baby? How long does it take to have another baby after a C-section? Answer: If you get pregnant one year after cesarean section, there is a risk of uterine rupture. In principle, it is recommended that you should wait two years after cesarean section before you get pregnant with your next child, but it is not the same as saying that there is no risk if you get pregnant two years after cesarean section, only that the chance of uterine rupture is relatively low. As for whether you can have this baby after 1 year of pregnancy after cesarean section, it is not mandatory to say that you must not have it, but the interval is only one year, the risk of uterine rupture will be relatively high. 4, the younger the age of the second child the better Question 4: Now that the separate second child policy is out, although the specific implementation time around the world is to be determined, but there are already a group of 30 to 45-year-old mothers who intend to have a second child, may I ask whether women of this age group can have a second child? What is the best age for a woman to have a second child? Answer: The younger the best age for women to have a second child, the better, preferably before the age of 30, because after the age of 35 fertility will decline, the chances of abnormal fetal development will increase, and the chances of complications during pregnancy increase. 5, the baby’s health and the number of children is not necessarily related to Q: I am still the first child, several of the same room inside the second child. Their first births were smooth and went well, but in their second births they either had high blood pressure, symptoms of pre-miscarriage or gestational diabetes. Some say the second child is more trouble than it’s worth. I also want to have a second child, but I don’t understand why the first child is fine, but the second child will have so many illnesses. I’d like to ask the doctor for some answers. Answer: Whether or not the baby is born smoothly and healthy is not necessarily related to whether the baby is the first or second child. The main factor that affects these situations described above is the age of the pregnant woman. When giving birth to a second child, many pregnant women are relatively older, and the chances of natural miscarriage will increase, and the chances of complications during pregnancy will also increase. The first thing you need to do is to get a prenatal diagnosis for your second child. I had my first baby when I was 30 years old, and I’m 35 years old this year. I am a bit worried that my baby may be deformed or have other diseases. What should I pay attention to in order to have a healthy baby at this time? Answer: If you are 35 years old, you should have a prenatal diagnosis if you are worried that your baby will develop abnormally, and we generally recommend that you have a prenatal diagnosis if you are 35 years old or older, because the chance of abnormal fetal development increases when you are 35 years old or older. 2. 3 points to remember when preparing for pregnancy at an advanced age Q: Now that we are open to two children, my wife and I want to have more than one child. Now our eldest child is 10 years old and my wife is 37 years old, if we want to have a child at this time, what should we pay attention to when preparing for pregnancy? What do we have to do to prepare for pregnancy to have a healthy baby? Answer: 37 years old is a senior woman, and the following four major problems will occur in a senior woman’s pregnancy: first, the fertility of senior women decreases, and there will be non-ovulation or irregular ovulation cycles, resulting in reduced fertility and lower chances of pregnancy; second, the chances of spontaneous abortion will increase in senior pregnant women; third, the chances of abnormal fetal development will increase in senior pregnant women, and there will be various fetal Thirdly, the chance of fetal developmental abnormality will be higher in older women, and the chance of various fetal congenital malformations will be much higher than that of women under 35 years old; fourthly, the chance of preterm birth will be increased. The chances of having a healthy baby are significantly lower for a 37-year-old woman, so the potential risks associated with age should be taken into account before planning a second pregnancy. For senior women at the age of 37, as their body organs age, they may have more physical problems than when they were younger, so when preparing to get pregnant, they can have a preconception checkup to see if they are fit to have a second child and to check for diseases that make them unfit for pregnancy. When preparing for pregnancy, it is important to keep three things in mind: first, when you are sick (cold, fever, dizziness, etc.), do not abuse medicine yourself, and make sure you are pregnant before taking the medicine, and if you are sure you are pregnant you need to consult your doctor if you can take the medicine; second, pay attention to regular work and rest; third, take proper folic acid supplements. The second child will be born prematurely. It is true. Q: I heard that the possibility of preterm birth of the second child is higher, may I ask the doctor if there is a scientific basis for this statement? If it is true, how likely is it that the second child will be born prematurely? How can a mother prevent her second child from being born prematurely? Answer: The possibility of preterm delivery increases with the second child. In daily life, pregnant women should pay more attention to rest, do not work too hard, and do not have sex during the late pregnancy to prevent preterm delivery of the fetus. 2, the first child cesarean section, the second child still cesarean section? The risk of uterine rupture is reduced by caesarean section Q: Now that the policy allows it, my husband and I both want to have a second child. My first child was delivered by cesarean section last November and I want to have a normal delivery this time. A friend told me that “if you have one C-section, you will have to have a C-section for all future births”. If I am pregnant now, will I have a normal delivery and the wound will be opened? Or would it be better to continue with a C-section? Answer: In the medical field, there is such a saying, about this opinion, mainly considering the reasons for cesarean section, we can separate it into two aspects: the first case, if the first cesarean section is due to its own unchangeable reasons, then all future births have to be cesarean section, such as the reason of small bone disc, the bone disc will not become bigger after the first child, so all future births have to be cesarean section, this is not negotiable. There is no room for negotiation. In the second case, if a pregnant woman can give birth by herself, but during the birth of her first child, due to some variable reasons, such as the pregnant woman is afraid of pain, the risk of fetal asphyxiation, fetal malposition and other conditions that lead to a cesarean section, it is not necessary to have a cesarean section during the birth of the second child, because during the delivery of the second child, it is not necessary to encounter these reasons that lead to a cesarean section. So whether a second child needs a cesarean section or not, we need to measure whether the risk of uterine rupture is high for the pregnant woman. If the risk of uterine rupture is high, we would recommend continuing with the cesarean section, and if the risk of uterine rupture is not too high and the pregnant woman herself is willing to go ahead and try for a normal delivery, she can have a natural delivery under close monitoring. However, in this case, it is necessary to be vigilant and to follow the principle of “informed consent”. In practice, the chances of having a second cesarean section for the first child are higher because there is a risk of uterine rupture, which varies from person to person, but it is difficult to predict exactly which one will occur, because the mortality rate is very high when uterine rupture occurs. So in this case, many pregnant women will choose to have a cesarean section. 3. If you have a healthy baby in the first child, you don’t need to be examined in the second child? Pregnancy checkups are necessary Q: I already had a preconception checkup with my husband when I had my first child, but now I am planning to have my second child, do I still need to have a preconception checkup? What preconception checkups are necessary to ensure a healthy baby? Answer: Pregnancy checkups are needed. As you get older, your health will change, and preconception checkups are the same as for your first child, with heart, liver and kidney function, blood sugar, etc., to check if there are any diseases that are not suitable for pregnancy. 4, pay attention to diet, the second child do not have to worry about gestational hypertension? The risk is high, seek early medical attention Q: I am 27 years old, my first pregnancy because of gestational hypertension, the baby was induced at the age of 6 months. Now I am pregnant, but I am afraid that the baby will not be there again. Can you tell me what I should do to keep the baby I have now? I really want to have a baby. Answer: The first pregnancy was induced due to gestational hypertension, and there is a possibility of hypertension in the second pregnancy, so it is recommended to go to a tertiary care hospital with good conditions early for some checkups and pregnancy care to help better handle the situation that arises. I’ve had the ring put in after my first child, and now I want to have a second child, can I conceive normally after the ring is removed? Will it have any effect on the second child? Answer: You can conceive normally after IUD removal, because IUD is a reversible contraceptive measure. 2, hormonal changes in pregnancy, not suitable for breastfeeding Q: My first child was born in the normal way, and now is still breastfeeding. But my wife is pregnant again, please, should I wean myself from breast milk? Will breastfeeding while pregnant make the baby in my belly malnourished? How can I take care of my wife? Answer: Pregnancy to wean breast milk, because the body’s hormone levels will change after pregnancy, breast milk will also carry these hormones, not suitable for feeding the baby again. 3, cesarean section of the second child to be hospitalized in advance Q: the first child cesarean, the second child also intends to cesarean section, cesarean section of the second child to go to the hospital in advance? How many days in advance is the best? Answer: The second child should be hospitalized in advance, normally one week earlier than the expected date of delivery.