Pregnancy and childbirth is actually a potentially dangerous thing, maternal death, in the past, is a common thing, common to what extent, look at the past movies, you often know that there are women died because of obstructed labor or postpartum hemorrhage, and now look at the maternal mortality rate in African countries, close to 100,000 of 2000 (medical is usually expressed in 100,000 as a base), in other words In other words, one out of every 50 maternal deaths, which is like a ghost gate. The number of maternal deaths in our country is now at 23/100,000, with significant regional differences, from 8/100,000 in the better developed regions to a higher rate in the less developed regions. 23/100,000 translates into another ratio that is actually quite frightening, meaning that about one in 4,000 maternal deaths will occur. Unfortunately, medical science is not a panacea, and even in developed countries, the maternal mortality rate is still not zero. Maternal mortality is a different concept from oncological mortality, as these mothers are usually young and many do not have persistent comorbidities. It is a great trauma for many families. Maternal mortality can be prevented in many cases through efforts, so the World Health Organization and the Ministry of Health of our country are paying more attention to maternal mortality. The United Nations Millennium Development Goals include reducing maternal mortality as an important goal in the 2000 plan. There are many causes of maternal mortality, including postpartum hemorrhage, gestational hypertension, medical comorbidities, thromboembolic disease, ectopic pregnancy, amniotic fluid embolism, and puerperal infections. How can we make our pregnancy and delivery safer? Here are some suggestions I have for you: 1. Prenatal checkups need to be taken seriously, and they need to be taken seriously! Formal prenatal checkups are a process to screen out where various problems in pregnancy lie. Hypertensive disorders in pregnancy, for example, occur in many female populations, usually in the second trimester with high blood pressure and swelling, and formal prenatal checkups that require blood pressure checks and urine protein checks each time can help reduce the risk of pregnancy by detecting hypertensive problems in pregnancy and intervening in a timely manner. I believe that most of the women who read my popular science articles are aware of this. Dr. Gong please bring this message from me to many people around you who are not aware of regular maternity checkups, especially in those rural and remote areas, not going for maternity checkups at one time will increase the risk of pregnancy a lot. Figure 2 Excessive birth weight is not good for either the pregnant woman or the child 2. pay attention to weight management during pregnancy, the traditional concept that you should have a big fat boy is healthy, not knowing that the greater the birth weight of the child, the more of a challenge for yourself, your birth canal is so wide, the heavier the child, the less easy it is to give birth, the greater the chance of difficult labor, postpartum hemorrhage, vaginal tearing, and injury during childbirth To make your child healthy, please manage your weight first (next time I’m going to write a special article on weight management during pregnancy, stay tuned), don’t be misled by the old people’s traditional ideas, new age women should avoid excessive weight gain for the sake of their own safety during pregnancy. Generally normal weight women should not gain 12.5kg throughout pregnancy, and the general weight gain in the first 3 months should not exceed 2.5kg, you are advised to seek advice from a nutritionist if you have difficulties with weight control. If your baby’s weight can be controlled within 3kg, your delivery will probably be much smoother. 3. If you have some medical comorbidities before pregnancy, please make sure to consult your doctor before you get pregnant to see if your health condition allows you to get pregnant. During pregnancy, in addition to your own body, you will be burdened with an enlarged uterus, placenta and blood supply for the baby. If there are prior problems with heart function, the added burden will often overwhelm the heart to carry the pregnancy and pregnancy should be avoided at this time. Figure 3 Declining trend in maternal mortality in the United States over the last century