We conducted a micro-interview on second child birth not long ago, and the response was overwhelming. We are now compiling representative questions from the interview and sharing them with our partners who have been paying attention. Q: Mr. Zhang, I want to have a second child and my baby is two weeks old now. I had one pregnancy during this period but I lost it without a heartbeat. Zhang Yu, Department of Gynecology, Peking Union Medical College Hospital A: 15-20% of all human pregnancies end up in miscarriage, 80% of which occur in early pregnancy, so don’t be nervous and anxious about an occasional embryonic abortion, the chances of a successful pregnancy are over 90%. More than 50% of miscarried embryos are due to a fatal defect in the embryo itself that prevents it from surviving, and two or more miscarriages in a row require a thorough investigation by a doctor to find the cause. Women only ovulate once a month, one egg at a time, and even if they are healthy, they cannot get pregnant in the same month after removing birth control. Q: I had high urine sugar in my pre-pregnancy test results, the first time 1+, and later 3+, but my blood sugar was normal, and this is the only problem among all the items, do I need to have another blood sugar test? A: Pregnant women have a lower kidney sugar threshold and the presence of urine sugar is a physiological phenomenon, it does not mean that they are diabetic. All pregnant women, even if they do not have diabetes, should be screened for gestational diabetes between 24-28 weeks of gestation, and if normal, do not get too hung up on the urine sugar. Q: My sister has not been pregnant for two years of marriage. A month ago the test said it was blocked on the right side, can she be fertilized unilaterally? A: Two years without pregnancy can be diagnosed with infertility. Tubal obstruction may be the cause of infertility, but women have two fallopian tubes, and as long as one is functioning normally, they are also able to get pregnant normally. Therefore, there may be other infertility factors, and male infertility also accounts for more than 20% of cases and should not be ignored. Q: Because of work, sometimes I can’t eat at home in the morning and noon, so I can only eat at fast food restaurants. A: Whether or not preparing for pregnancy, men should take care of their own health, reproductive health is part of physical health, overall good, reproduction is good. Men face more work pressure and should not squeeze the time for eating and sleeping even if they are busy. It has also been proven that not eating and sleeping properly not only does not do a good job, but also loses the body’s capital. Q: I haven’t had my period until now, it’s been delayed for several days, and I have two bars on the test paper. But I always feel that I am not pregnant, is it a psychological effect? A: If a woman has regular periods, has sex and is not using contraception, once she has her period and the test is positive, she is very likely to be pregnant. You may just be psychologically unprepared. It is said that when the baby is born, the mother will still feel strange, and the intimacy between mother and child is built up little by little after delivery. Q: Should I not eat ginseng, red dates, cinnamon, etc.? Is there anything else I should abstain from? A: Endometriosis does not require much abstinence from the Western medical point of view. For women with dysmenorrhea, nutritional studies have found that reducing the intake of red meat and fat may help to relieve the symptoms by consuming more fish oil and olive oil, eating cereals during menstruation, eating less and more often, and exercising in moderation may also be of some help. Q: My wife and I have been preparing for pregnancy for almost six months, but I took a few cold pills for a cold a few days ago and my wife was mean to me. I have always felt that in the process of preparing for pregnancy, the woman should just pay attention to it, but the man can’t take medicine for pregnancy? A: Pregnancy preparation is a matter for both parties, men should also quit smoking and drinking, exercise, reduce health diet and stress, the sperm growth cycle is about three months, men at least three months in advance “closed mountains and forests”. The concept of drugs is rather general, theoretically, no matter who is sick, if you have to take medicine, you can not give up treatment because of pregnancy preparation, but a few cold pills do not affect the quality of sperm, you were scolded a bit unfairly, the use of other prescription drugs need to consult a doctor or pharmacist. Q: I had a boy with my first child, and I have been divorced for three years and remarried for six months, but I have been infertile, and both men and women have been checked for problems. I wonder what is going on? A: The elements of pregnancy are: ovulation in women, sufficient number and vitality of sperm in men, normal sex life, open and functioning fallopian tubes, and a uterus with the capacity to accommodate. Even if all the conditions are sufficient, there is not always a chance of conception every month. women under 35 years old need to be fully examined only if they cannot get pregnant after one year of pregnancy preparation, and women over 35 years old need to be examined as early as possible if they cannot get pregnant after 6 months of pregnancy preparation. Q: Can pregnant women drive and what should I pay attention to when driving? A：If there is no one to help you have to drive by yourself, it is also possible. Pregnant women must drive according to their own ability, whether driving or sitting in a car, they should use the seat belt correctly throughout the whole process, especially when their belly is bigger. See below Q: husband sperm liquefaction long, liquefaction time to more than 1 hour, husband check prostate no inflammation, the doctor said to eat some to regulate on good, but I am still worried, we are very want children, I do not know how long it will take to get well? What are the causes of sperm non-liquefaction? A: Low male sperm count, decreased vitality, long liquefaction time and white blood cells are all common problems for couples preparing for pregnancy, and tertiary hospitals have special male departments responsible for male reproductive health. It is recommended that male friends must go to regular hospitals for consultation. Q: I am 33 years old and have a 9-year-old daughter, but now I am pregnant again, it’s been one month, and before that I had a gravida, is there any danger? A: It is recommended to follow up after the treatment and contraception for one year before considering pregnancy. It is also recommended abroad that pregnancy can be carried out 6 months after the hcg is logarithmically negative. Q: My husband and I are not young, but we always feel that we are not ready to have children, so we have been taking birth control pills since we got married, and now the old people in our family are urging us to hurry up and have children, but I have been taking birth control pills for almost a year, and I want to know how long it takes to have children after taking birth control pills. A: At present, the long-acting contraceptive pill has basically withdrawn from the historical stage, the most commonly used on the market is the short-acting compound oral contraceptive pill, such as MaFuLong, Yosemite, etc., this type of drug after a period after stopping the pill, you can consider preparing for pregnancy, in the process of taking the accidental pregnancy due to omission, etc., also do not need to terminate the pregnancy. Q：I had a cesarean section in September of the year before last when I was 29 years old, and I got pregnant again in August of this year. I’ve heard that you can get pregnant after two years after a C-section, but not if your uterus is not strong enough, because it will rupture, right? What should a woman who had a cesarean section try to eat to make her uterus recover better, and maybe do some exercises to help the uterus? A: Although doctors recommend contraception for two years, pregnant women who have had a year and 11 months between births do not need to be overly bothered. If the embryo is developing and in a good position, there is no need to terminate the pregnancy because of this. Recovery after cesarean delivery has little to do with diet and exercise. It is better to try to strengthen the repair of the uterus through your own efforts than to cooperate with your doctor to strictly master the indications for cesarean delivery and not to perform unnecessary surgery. Q: Can I choose to have a normal delivery at an advanced age because it will be better to recover, or is it better to have a cesarean section? A: Advanced age is not an absolute indication for cesarean delivery. The following are the major factors that determine a normal delivery: strong labor force, wide birth canal, not too large fetus, fetal previa and pelvic position. If all these conditions are present, advanced pregnancy can be delivered as well, and perineal massage can be performed during pregnancy to reduce the risk of lateral incision. Q: I have a 10-year-old daughter who is 40 years old and is of advanced maternal age. When is the right time? A: A healthy embryo does not need birth control injection, for repeated early miscarriage appropriate supplementation of progesterone may be beneficial, your previous miscarriage is a large month of pregnancy 6 months miscarriage, I do not know if the cause of miscarriage is clear, such as the endocervical relaxation, fetal malformation, placental abnormalities or other possible, need to identify the cause of the previous miscarriage in order to take precautionary measures for this pregnancy, blind birth control or stay in bed all day is not recommended. It is not recommended to blindly keep the baby in labor or stay in bed all day. Q: A relative is a hepatitis B patient, and the doctor recommends two years of comprehensive treatment with medication and injections to stabilize the condition before preparing for pregnancy. If his wife gets pregnant after two years, is there a high probability of the baby getting infected? Or is it possible to prepare for pregnancy during the medication period? The wife is healthy and has antibodies. A: The fetus of a non-hepatitis B mother will not become infected in utero and will also provide maximum protection if the formal process of hepatitis B vaccination is followed after birth. The father’s influence on the child lies in the possible transmission via body fluids caused by close contact in life. From this perspective, it is protective for the child for the father to actively treat hepatitis B and reduce or eliminate its transmissibility. It is important to emphasize that even newborns delivered by hepatitis B mothers can be breastfed after delivery protected by timely vaccination and immunoglobulin injections. Q: We are actively preparing for pregnancy, I quite like seafood, but it is said that you can’t eat seafood after pregnancy, so I’m not pregnant yet, I’m just going to have a baby, so I should be fine to eat now, right? A:Scientifically there is no saying that you can’t eat seafood during pregnancy, but you should pay more attention to the way seafood is cooked during pregnancy, make sure it is cooked before eating, and wash your hands with soap and water after cleaning and cooking seafood, and clean the plates and utensils. Considering the problem of listeria contamination, do not eat unpasteurized cheese and dairy products during pregnancy, and do not eat soft cheese unless it is heated to a rolling boil. Hard cheeses, processed cheeses, cream cheese and yogurt are safe to consume during pregnancy.