Pre-eclampsia is the most common disease of early pregnancy. Although it is a minor disease, the diagnosis and treatment of this simple disease has become quite complicated due to the fact that the health of the next generation is at stake. The complexity is not due to the difficulty of diagnosing and treating the disease, but due to the lack of new medical knowledge popularized by the public, the older generation is still immersed in the old ideas of the strong influence of the new generation through the Internet search to find a response, but most of the views on the Internet is just a one-sided discussion of the Internet users, the lack of scientific evidence, so that most patients still do not know what to do in the early stages of pregnancy and how to deal with the abnormality when it occurs. Therefore, this article is written in the hope that it can provide you with some more useful information. Pregnancy is counted from the first day of the last menstrual period, so this is also the day that should be memorized and always reported to the doctor. When menopause reaches 42 days, it is time for the first checkup. In addition to the urine HCG retest to reconfirm the pregnancy, the ultrasound is the most important part of the exam. Many patients ask me, “Doctor, is ultrasound bad for the baby?” In fact, such concern is not necessary, ultrasound is a very safe means of examination, ultrasound has been used for decades for fetal examination, there is no evidence that ultrasound may have adverse effects on the fetus, such as teratogenicity, except, of course, day-to-day exposure to ultrasound. Why should the first examination be performed at 42 days? The timing is very specific: 42 days is the earliest possible time for an ectopic pregnancy to rupture and bleed in the abdominal cavity, so the first examination at this time can help to detect a potentially dangerous ectopic pregnancy. Many older family members are dismissive: “No way, how can it be an ectopic pregnancy? It hasn’t even been born yet!” In fact, the average number of ectopic pregnancy surgeries performed in our Huangpu and Yangpu hospitals is 5-10 per day, and there are several deaths from ectopic pregnancy in Shanghai every year, so “ectopic pregnancy” is all around us. In addition, around 42 days for normal menstruation for pregnant women, this time the basic embryo sac diameter has been greater than 1cm, the embryonic buds have grown, most of the fetal heartbeat has been able to see, at this time the examination to assess the development of the fetus is of direct significance, if the embryo development is not good, timely abortion can reduce the dead fetus long-term retention in the body of the systemic coagulation system to bring the adverse effects. Finally, early pregnancy ultrasound can provide valuable information for pregnant women who have difficulty in deducing the expected date of labor, since early ultrasound has a higher rate of coincidence with the gestation period. Regarding the modality of ultrasound, transabdominal ultrasound, transvaginal ultrasound and transanal ultrasound are available. Often the patient’s family members show concern before performing transvaginal ultrasound, thinking that transvaginal operation may aggravate the miscarriage condition. In fact, this consideration is over-anxious, a gentle transvaginal examination will not lead to aggravation of miscarriage, and due to the advantage of the position, the vaginal ultrasound can more accurately determine the position of the pregnancy (in order to exclude ectopic pregnancy), more accurately measure the length of embryonic buds, and more clearly see the beating of the fetal heart The choice is entirely based on the needs of the condition. Abdominal ultrasound can be used for general early pregnancy tests, but the degree of accuracy is slightly less than that of negative ultrasound, which may be preferred for early pregnancy tests without any abnormalities. Many patients will worry that the bleeding in early pregnancy signifies an unhealthy fetus and are very nervous, but this is not necessary. First of all, bleeding in early pregnancy does not cause fetal abnormality and is not indicative of fetal abnormality. In fact, many fetuses in the early stages of pregnancy show signs of pre-eclampsia due to various factors (most of which are due to the fact that the placenta is not firmly attached at this time), and the fetus is perfectly normal. On the other hand, miscarriage is a process of survival of the fittest, and even some Western countries do not advocate fetal preservation, relying entirely on natural selection, while in China in general, the treatment of fetal preservation is more intense. At present, our hospital mostly advocates moderate birth control, only for repeated miscarriages, the presence of endocrine or immune factors that require medical intervention is necessary to use a strong birth control. Fertility preservation is mainly based on progestin supplementation, and some fertility preservation herbs and proprietary Chinese medicines also have a good effect on fertility preservation and are often used as adjunctive therapy to progestin. I have also encountered patients who have asked me, “Do these drugs have adverse effects on the embryo?” The current routine use of fertility-preserving medications is well-established; these medications have been accumulated over decades, if not centuries, and have only been updated in terms of source and dosage form, allowing for more precise regulation, more natural medications, and greater ease of use. There is no evidence that these medications have adverse effects on the embryo, on the contrary, the effect of fertility preservation has brought greater benefits to human beings. Of course, human knowledge of diseases and medications is always evolving and there is no end to this quest, and who knows what new discoveries will be made about the events we have now identified, but, on the whole, there is no doubt that the use of medications to preserve the fetus is quite safe. In addition, general information on the health of life during early pregnancy can be found in many newspapers and magazines, mainly on diet, hygiene, etc., and a few words are probably mentioned here. Diet needs to be diversified, the amount should not be too much, but not partial food, in addition to blind tonic is inappropriate, especially hawthorn, cinnamon, brown sugar and other things have the effect of activating the blood, not to eat more, so as not to cause miscarriage, this is a lot of patients and their families will go into the wrong place; pay attention to the hygiene, this point does not need to be said, most of the patients have been able to do a very good, in the early pregnancy of the third month of the placenta attached to the not solid, should not be cohabitated with the same room, so as not to cause Miscarriage (late pregnancy in March, in order to avoid premature rupture of fetal membranes fetal preterm birth is also not suitable for coitus oh); pregnancy 42 days to March is a teratogenic sensitive period, need to try to avoid the impact of a clear teratogenic effect of the substance; there is the most important point is to pay attention to maintain an optimistic and open-mindedness, a pleasant mood on the immune system and the body’s blood circulation have significant benefits, to be a positive, optimistic, courageous to face the difficulties of expectant mothers on the The next generation is the best fetal education. Finally, as the “Post-80s” enter the reproductive age, more and more phenomena that have never been seen in the past have emerged. The “4-2-1” model makes the “1” to ensure the safety and the very uncertainty of embryo development a contradiction. The “4-2-1” model creates a contradiction between the need to ensure the safety of the “1” and the uncertainty of embryonic development; a contradiction between the excessive care of parents and the desire of young parents-to-be to take responsibility; and a contradiction between the lack of medical knowledge of patients who are not engaged in the medical profession and the desire of patients to grasp the disease through medical knowledge. In fact, the “Post-80s” is a generation with a sense of responsibility, courage, sensitivity and good learning. We hope that the parents can let go more and let the young people conceive and raise the next generation independently, and that the young parents-to-be can objectively look at the risks in the process of childbearing, and appropriately solve all the problems in the process, so that we can get a better result in the end.