If you have an unplanned pregnancy at the age of 44, if you are in good health, no hypertension, diabetes and other chronic diseases, and no contraindications to pregnancy, it is recommended to continue the pregnancy and visit the hospital in time to perform routine blood, urine, liver and kidney function and thyroid function to exclude underlying diseases. Enhance nutrition, take oral multivitamins and folic acid to prevent fetal malformation. Check the ultrasound at 50-60 days of pregnancy for fetal heartbeat and fetal germ, and perform NT examination at 12-14 weeks of pregnancy to see the thickness of the nuchal translucency layer to exclude fetal malformation. A perinatal handbook will be created and chromosomal examination will be performed at 16-20 weeks of pregnancy to rule out chromosomal abnormalities and to take oral calcium supplements. If chromosomal abnormalities are present, terminate the pregnancy if necessary, as the chance of chromosomal abnormalities increases with age, and continue regular perinatal care if everything is normal.