With the opening of China’s family planning policy, many women, especially the post-80s, are facing the problem of having a second child. With the experience of having a first child, many mothers are ready to have a second child with a variety of moods, what is the difference between a second child delivery and a first child, and what do you need to pay attention to? I’ll answer some questions below. Will there be any difference between the second child and the first child in labor? What should I pay attention to? The signs of labor are the same whether it is the first or second child: paroxysmal regular contractions with long intervals at the beginning and then gradually shortening, usually in the abdominal pain interval of about 5-6 minutes is the aura of labor, some pregnant women are accompanied by a small amount of vaginal redness; sometimes there is vaginal water, which is “early rupture of membranes”. But after the second child is in labor, labor progresses faster than the first child, so if you find an aura of labor, you should go to the hospital in time. If you have an aura of labor, you should go to the hospital in time. Especially if the interval between the first and second child delivery is relatively short, such as within three years, you need to pay attention. In addition to individual differences, if the birth canal conditions are better, the size of the fetus is suitable, and the physical condition is better, the second child may be smoother than the first child, that is, the labor process will be shorter, so that the second child after the appearance of labor signs, to go to the hospital in a timely manner, so as to avoid the short labor process caused by untimely treatment, endangering the safety of mother and child. Another question is: Will the birth of a second child be as painful as the first? If the first child is difficult, will the second child be difficult too? The pain of childbirth scares many women who want to have a second child, but most second births are shorter than first births, which means the pain will be shorter. Moreover, nowadays, the conditions are better than before, so you can use analgesic delivery after entering labor, which can effectively reduce the pain. If the first child is difficult to deliver, whether the second child will be difficult to deliver depends on the labor force, the birth canal, the fetal position and the condition of the mother, all of which will have an impact on the smoothness of the delivery. Can I have a cesarean section with my first child and a normal birth with my second child? How soon can I have my second child after a C-section? If you had a cesarean section with your first child, you can get pregnant again after 2 years or more. Whether you can have a normal delivery after another pregnancy also depends on the woman’s condition. If the reasons for the previous cesarean section still exist, it is still necessary to have a cesarean section. If you choose to have a trial of labor, pay close attention to the contractions because too strong contractions can lead to uterine rupture, which can be risky for both the fetus and the adult, and if there is hemorrhage, it can be dangerous to the fetus and the life of the pregnant woman. The majority of mothers who are preparing to have a second child are older, and if they are over 35 years old, they are of advanced maternal age. As women get older, especially those older than 35, their ovarian reserve function decreases, their eggs also age, and their ability to conceive decreases, so if you want to have a second child, get pregnant as early as possible. Pay attention to physical conditioning before pregnancy, it is best to exercise first, ensure enough energy and actively treat chronic diseases or other illnesses in order to give your baby the most favorable growth environment when you get pregnant. Preconception checkups for senior women with second pregnancy The mandatory preconception checkups for senior women are much more than the mandatory checkups for normal women, such as cervical TCT, reproductive endocrine examination + post-ovulatory progesterone test, ovarian reserve function, breast scan or ECG, etc. If there is no pregnancy for more than one year of pregnancy preparation, in addition to male checkups, uterine tubal lavage or imaging, hysteroscopy; as well as checking anti-sperm antibodies If there is no pregnancy for more than one year, in addition to the male partner’s examination, the test should include hysteroscopy, anti-sperm antibodies, antiphospholipid antibodies and anti-endometrial antibodies. Moreover, female diseases such as endometriosis, ovarian cysts, fibroids, premature ovarian failure, cervical inflammation, and breast tumors are highly prevalent and common in women over 35 years old, so these diseases need to be excluded, and if they exist, they must be treated as soon as possible. Active prevention against pregnancy complications The rate of fetal malformation in advanced maternal age is 2 to 3 times higher than that in low maternal age. Therefore, it is necessary to have regular checkups, such as ultrasound and even amniocentesis, during pregnancy, and the incidence of hypertension and diabetes increases after pregnancy. For sugar and salt intake, fat intake, all must be consumed appropriately, and the diet should be distributed reasonably to try to put the baby’s weight in the range of 6~7 pounds. It is also necessary to take more careful care during pregnancy and actively avoid pregnancy complications. It is recommended to do some exercises before pregnancy and delivery, to take reasonable nutrition and control weight, to have prenatal diagnosis, and to try to have natural delivery. In addition, prenatal diagnosis and B-ultrasound must be performed in advanced maternal age. If IVF is done, pre-implantation genetic diagnosis should be performed before in utero implantation, and when normal conception is successful, the chorionic villi can be removed for examination at 7-9 weeks of pregnancy or amniocentesis at 15-18 weeks of pregnancy. In conclusion, the birth of a woman is affected by various factors. If you have the requirement to have another baby, you need to go to a gynecological clinic for a medical check-up before pregnancy; have regular maternity check-ups during pregnancy; avoid excessive stress and fear during the delivery period, and follow the doctor’s guidance and advice. We wish all mothers-to-be a smooth perinatal period and a safe mother and child!