Forced squatting is a squatting position or knee-to-chest position to relieve symptoms due to difficulty breathing and palpitations during short distance walking or other activities. This is seen in cyanotic congenital heart disease. Cyanosis is a manifestation of cyanotic changes in the skin and mucous membranes due to increased de-oxygenated hemoglobin in the blood, which may also be called cyanosis. This change often occurs in areas with thin, less pigmented skin and rich capillaries, such as the lips, fingers (toes), and nail beds. What can be done to prevent this disease in children? When preparing for pregnancy, special attention should be paid: if you are on medication, go to the hospital and consult with your doctor before you plan to get pregnant. This is because certain medications, such as lithium-containing drugs and anti-spasmodic drugs, can cause congenital heart defects. If you have diabetes, it is very important to control your blood sugar before and between pregnancies. If you have a history of heart disease in your family, then tell your doctor to see if an ultrasound cardiogram is necessary for your fetus. In addition, studies have shown that taking 400 micrograms of folic acid daily before and between pregnancies can prevent up to 50% of congenital heart defects (as can congenital spina bifida).