Yesterday, 1/8th of the patients came to the clinic to get an IUD or to consult about preparing for a second child. 100% of them did not know what medical preparations to make, and 80% of them had gynecological diseases, so is there a combination of medical and surgical diseases? It is not clear. In fact, the first thing to prepare is the physical health of the pregnant woman, the second is the health of the future child, the third is the mental health education of the first child to accept a younger sibling, and the fourth is the medical expenses to be borne. First, it is necessary to be clear whether the important organs of the pregnant woman are in a normal state. The normal health condition is the basis for the conception of a normal fetus. Don’t be like the doctor from the Chinese Academy of Sciences, who knows that it is not suitable to conceive again, but wants to “walk on the tiger mountain”. So what tests do pregnant women need to do to know their health condition? The general gynecological examination is to observe the vulva, vagina and cervix for inflammation and superfluous organisms, and if there is any abnormality, routine examination of the white belt and testing for mycoplasma and chlamydia should be performed, because the inflammation of the lower genital tract will reduce the chance of conception, secondly, it is difficult to treat during pregnancy, taking into account the safety of the fetus and the mother, and thirdly, it will increase the rate of infection of the amniotic sac; the purpose of the double examination is to understand the size, position and shape of the uterus, the presence of pressure pain, and The purpose of gynecological ultrasound examination is to understand the size and shape of the uterus, the uniformity of myometrial echogenicity, the thickness of the endometrium and its uniformity, and the condition of bilateral adnexa. For those who have not undergone cancer screening within the last year, HPV (human papillomavirus) testing and TCT (cervical fluid-based cytology) should be performed, and colposcopy should be done promptly if abnormalities are found. Screening for medical and surgical diseases is mainly about the function of important organs, such as whether the heart, liver, spleen, lungs and kidneys are “functioning” well. Routine tests include: blood tests: routine blood tests + coagulation, blood biochemistry, hepatitis B and C, HIV and syphilis antibodies, five A tests and six gonadal tests, etc. Routine tests include: ultrasound of the liver, gallbladder, spleen, pancreas and kidneys, electrocardiogram, etc. Second, for eugenics need to perform eugenics four tests, such as the recent existence of related microbial infections, 2 months later to review, temporary not easy to get pregnant. Spouse semen routine test is also necessary. Third, do not neglect the feelings of the first child, otherwise it will lead to mental health problems of the first child, especially the only child who resists the birth of a second child needs appropriate psychological guidance. Fourth, the approximate cost of the above suggested medical screening needs to be around 2,000 yuan.