With the liberalization of the National Health Planning Commission’s policy that a couple can have two children, more and more families are concerned about whether to have a second child, including many older mothers over 35 years of age in the post-70s and post-80s. The medical definition of 35 years of age or older is advanced maternal age, because after 35 years of age, women’s body functions are in a downward trend, the incidence of fetal malformations increases, and the risk of complications increases in advanced maternal age. How to do pre-pregnancy checkups and how to have a healthy baby at an advanced age? If you are determined to have a baby, you should make early preparations At 9:00 a.m. on November 23, the reporter saw that the waiting hall was already crowded with people waiting to be seen at the reproductive medicine clinic of Weifang People’s Hospital. Dr. Ma Huagang, director of the department, told reporters, “After the full liberalization of the two-child policy, it is obvious that the number of outpatient clinics has increased, originally one hundred and twenty to thirty outpatients a day, but now increased to one hundred and fifty to sixty, many older couples to consult the issue of having a second child.” Ms. Wei, who is attending the clinic, is a staunch advocate of the second child. “In fact, I’ve always wanted to have a second child, but the country has not been liberalized, and we don’t dare to have one without complying with the policy.” After hearing about the liberalization of the two-child policy, Ms. Wei was excited, “I started taking folic acid tablets the day after I found out about it. But considering that I am 37 years old, I feel more comfortable to come to the hospital for a comprehensive examination and listen to the doctor’s opinion before preparing for pregnancy.” In this regard, Ma Huagang commented that there are few people who have the same mentality as Ms. Wei. “The company’s main goal is to provide the best possible service to its customers. The reason is that from the recent outpatient situation, a large part of those who come to consult for the preparation of the second child are post-70s, and from the examination results are not optimistic, many of them are very difficult to get pregnant without conditioning.” Ma Huagang further explained, “For these senior preparers, time is very valuable, because conditioning also takes time, so if you want to have a second child you should prepare early.” The first time I saw a woman, I had to go to the hospital. According to Ma Huagang, the main tests include the following. Eliminate and treat underlying diseases. With the improvement of living standards, the proportion of “three high maternal” represented by “high blood pressure, high blood sugar, high blood lipids” is increasing, so it is important to do a good job of monitoring blood sugar, blood pressure and blood lipids before pregnancy. If any of these abnormalities occur, go to the hospital for treatment in a timely manner. Specialized examination. These include gynecological examination, cervical cytology screening (currently TCT), screening for high-risk HPV, and the recommended additional eugenics test (TORCH), which is also known as Toxoplasma gondii, rubella virus, cytomegalovirus, and herpes simplex virus. Evaluate the function of the uterus and ovaries. It is generally recommended to check blood for sex hormone 6 and other related hormone tests on an empty stomach on the 2nd to 3rd day of menstruation, and ultrasound to check the condition of the uterus and the number of basal sinus follicles in the ovaries to make a comprehensive assessment of a woman’s uterus and ovarian function. If there is any abnormality, pre-treatment will be given. Tubal patency test. For women with regular menstruation, a hysterosalpingogram can be performed in different rooms 2-5 days after menstruation to see if the tubes are open; for women with irregular menstruation, they can come to the hospital to assess if they are suitable for a hysterosalpingogram. For the consultation process encountered “more women than men” problem, Ma Huagang especially reminded pregnant couples, pre-conception test men and women are equally important, do not think that as long as the female side of the check is fine, everything is fine. “As men age, the quantity and quality of sperm declines, and it is recommended that men undergo sperm quality checks as necessary.” If necessary, receive medically assisted treatment For senior mothers more concerned about assisted reproductive technology, Ma Huagang stressed that assisted reproductive technology is an alternative for couples with problems, it is not the “hand of God” and should not be abused. “From the perspective of pregnancy preparation, natural conception should be preferred. However, in the above-mentioned tests, if an older woman has obvious ovarian hypofunction, tubal obstruction such as hydrocele or adhesion, or if a man has sperm problems, she should seek help from assisted reproduction technology.” Ma Huagang analyzed that women over 40 have a significantly lower chance of conceiving than the younger age group, and if they have not conceived after six months of active attempts, they should visit the hospital’s specialized reproductive medicine department to receive the necessary medically assisted treatment (including medication and surgery). In addition to good pre-conception checkups, Ma Huagang recommends that women of advanced age preparing for pregnancy take both multivitamins and folic acid; ensure reasonable living habits and regular living and rest; properly adjust work stress and maintain a calm, relaxed state of mind; and try to stay away from abnormal working environments such as high temperatures, radiation, dyes (decorative chemicals), and waste.