For families with two children, the eldest child may not adapt or may have psychological problems, so parents need to be prepared. Before preparing to have a second child, communicate with the eldest child, talk to the child about the benefits of having a sibling, growing up with a partner is not lonely, when they grow up, they can look after each other, they can tell their sibling’s experience to the child, so that the eldest child can experience the joy of two children living together. At the same time, after the pregnancy of the second child can not put too much energy into the second child, neglecting the care of the eldest child, so that the eldest child has a feeling of being abandoned. During the mother’s pregnancy with the second baby, you can participate in the birth of the younger sibling by letting the child touch the mother’s belly, etc. When you have a second child, care for the first child as usual and believe that the child will gladly accept the arrival of a younger sibling. 1. Can the first child be delivered by cesarean section and the second child be delivered by normal delivery? The first child was born by cesarean section, so it is more difficult to have a normal birth in the second child. Psychologically, it will affect the woman’s confidence in the second child’s delivery. Physically, it is also more difficult to deliver a second child. Therefore, the first child is delivered by cesarean, and the second child is often recommended by the doctor to be delivered by cesarean. In addition, if the first child is delivered by cesarean section, it is inevitable that the woman will experience a uterine scar pregnancy if she has a second child. When a woman is pregnant, her uterus grows and the fibers of the uterus are stretched and elongated hundreds of times, and the uterus contracts strongly during labor to deliver the fetus. If the uterus is normal, it is perfectly capable of carrying this “burden”. However, the scar of the uterus is a weak area and may rupture during the growth of the embryo and the enlargement of the uterus. 2. Is it possible to have a healthy baby at the age of 46? At the age of 46, physiologically speaking, fertility is definitely not as good as that of a person in his or her twenties. Therefore, the focus should also be on checking the reproductive endocrine system, ovarian function and uterine condition should be evaluated first. At the same time, it is advisable for her husband to check the quality of sperm. 3.How long is the interval between pregnancies to be safe? For women who had their first cesarean delivery, the interval between the end of the first delivery and the second conception should be at least two years, and the minimum should not be less than 18 months. From the viewpoint of maternal health and nutrition, it is best to conceive after 2-3 years, no matter what kind of delivery method. 4.What should I do if I have been on the IUD for many years and want to have a second child? For women who have been on the ring, the birth control ring must be removed first, and then the body will be conditioned for about six months, and then the pre-conception examination, the examination results are normal before considering pregnancy is more appropriate. 5.What are the most common diseases when preparing for pregnancy with a second child? The most common first disease is infertility. Another one is miscarriage, which is mostly seen in older couples. This is because the quality of male sperm decreases and the quality of female follicles decreases, thus causing a decrease in the quality of fertilized eggs. The likelihood of miscarriage is also increased in women who suffer from diseases such as fibroids. What preparations should be made before pregnancy? 1. Avoid contact with toxic substances in the 3 months before conception In the 3 months before conception, the couple should try to avoid contact with toxic and radioactive substances. After the male is exposed to some pesticides, his wife’s chances of miscarriage after pregnancy are many times higher than the average person, and there is also the possibility of causing abnormal mental behavior of the offspring. Heavy metals such as lead and cadmium can affect the production of sperm. In addition to that industrial chemicals like aminomethyl purine, cotton phenol diol, chloropropane, vinyl chloride, etc., they can affect sperm quality. Therefore, husbands should try to avoid exposure to these chemicals during pregnancy preparation. Similarly, women’s exposure to toxic substances can also affect the quality of their eggs and cause infertility or miscarriage. 2. 6 months before conception, couples should refrain from smoking and drinking. 6 months before conception, smoking and drinking are prohibited. Chronic alcoholism caused by parents after alcohol abuse can reduce the vitality of sperm or eggs, or abnormal development, thus affecting the development of fertilized eggs and embryos, causing the fetus to develop multiple malformations such as central nervous system dysfunction and abnormal facial features, and can also lead to fetal heart defects, hand and foot deformities and mental retardation. At the same time, it should be noted that smoking is also a big no-no for parents-to-be. This is because the harmful substances in cigarettes can lead to lack of energy in the egg cells and eventually death, and can also affect the quality of male sperm. Sexually transmitted diseases are a major cause of infertility, especially gonorrhea and chlamydia, and many patients develop pelvic inflammatory disease, which causes damage to the reproductive system and may lead to the risk of ectopic pregnancy. It is best for women to have annual checkups for early detection and early treatment. Overweight is often accompanied by hyperglycemia and hyperlipidemia, especially in older women who may have endocrine abnormalities. Underweight women are also prone to endocrine abnormalities, resulting in infertility or miscarriage. The diet should be a combination of meat and vegetables, coarse and fine. 5.Appropriate folic acid supplementation before pregnancy Eat more folic acid-rich foods and folic acid supplementation before pregnancy, eat iron-rich foods often, and increase the intake of seafood appropriately. It is recommended to do pre-conception nutrition consultation. Women are warmly advised to take folic acid in the first trimester of preparing for pregnancy and in the early trimester of pregnancy to prevent the occurrence of defects such as fetal brain neural tube malformation. 6, learn to relieve stress appropriately Both couples preparing to have a second child should learn to relieve stress appropriately. The stress will have a certain impact on fertility, especially women when the body is in a state of long-term tension, adrenaline and stress hormones will be a lot of secretion, which will lead to some women ovulation chaos. It is recommended that women try to exercise to reduce stress, no less than three times a week, each time half an hour to an hour of aerobic exercise is appropriate. The company’s main goal is to provide a good solution to the problem. 7, do not take a sauna before pregnancy In addition to the above preparations, men should also pay attention to do not take a sauna or too frequent hot bath before pregnancy, too long hot bath will result in low sperm count, low survival rate; do not ride a bicycle, motorcycle too much, which will make the prostate chronic strain and congestion, affecting fertility. 8, 3 months before pregnancy to do eugenics examination It is recommended to go to the regular hospital 3 months before preparing for pregnancy to perform pre-conception eugenics examination. Men should check the semen routine. Women need to check: cervical lesion screening, eugenics (including immunization and TOUCH infection), thyroid function, biochemical examination, etc. Special note: Pregnant women over 35 years old are high-risk pregnant women with increased incidence of fetal chromosomal disorders, so regular screening for chromosomal disorders is needed during pregnancy and invasive prenatal diagnosis is performed if necessary.