Find out if it is possible to have a second child. Pre-pregnancy examination of the second child is to ensure that both husband and wife are physically fit to have a second child, especially for women with poor birth history or cesarean section of the first child. It is especially important to have a pre-pregnancy examination before giving birth to a second child. The second child's pre-pregnancy examination includes the following nine items:
1, general physical examination. Conduct a general examination and fertility assessment, conduct a comprehensive and systematic examination of various organs of the body such as the heart, liver and kidney, and check whether the heart, lungs, liver and kidney functions are suitable for pregnancy.
2, blood routine. Understand the level of hemoglobin. If you have anemia and other blood diseases, you should treat them first and then get pregnant. Besides, I also know about coagulation. If there is anything abnormal, I will treat it first and then get pregnant.
3, urine routine. Ten months of pregnancy is a great test for mother's kidney system. An increase in the body's metabolism will increase the burden on the kidneys. If you have kidney disease, the consequences will be very serious.
4, leucorrhea routine. Routine screening of trichomoniasis, mold, mycoplasma and chlamydia infection, vaginal inflammation, gonorrhea, syphilis and other sexually transmitted diseases through leucorrhea. If you have sexually transmitted diseases, it is best to get pregnant after thorough treatment.
5, stool routine. Check eggs and occult blood test, check feces for red blood cells and white blood cells, and rule out diseases such as enteritis, hemorrhoids and polyps.
6. Gynecological endocrinology. By detecting six indexes such as luteinizing hormone, follicle stimulating hormone, prolactin, estradiol, progesterone and testosterone in serum, we can accurately understand the endocrine situation of women.
7.ABO hemolysis test. Including blood type and ABO hemolytic titer. (The subjects are: women with type O blood, husbands with types A and B, or with a history of unexplained abortion. ) avoid hemolysis of the baby.
8. oral test. If there is no dental disease, it is good to do a good job of cleaning teeth. However, if the expectant mother's teeth are seriously damaged, it is necessary to take medicine or extract teeth during pregnancy, which has a great impact on the fetus, so if there is dental disease, it should be treated as soon as possible.
9. Chromosome examination and genetic disease examination. Couples of childbearing age with a family history of genetic diseases should check whether the chromosomes are abnormal and find genetic diseases such as Creutzfeldt-Jakob disease and Turner syndrome and infertility as soon as possible.
What tests should be done before the second child is pregnant 1? From the physical point of view: (1) If the first child is born smoothly, there is no strict time limit for giving birth to the second child, and it is generally better after one year. If the mother's first child is normal and is breastfeeding her baby, then it is best for the baby to get pregnant after weaning, so that the body can recover better and it is also conducive to the growth and development of the second child after pregnancy. If the mother does not breastfeed after delivery, she can get pregnant for the second time in about half a year, and it is forbidden to get pregnant too early after delivery, otherwise the body is not conducive to the growth and development of the fetus. However, it is recommended to have a second child after one year.
(2) If the first child is delivered by caesarean section, it is necessary to regenerate the second child every two years, otherwise it will easily lead to uterine rupture and have the risk of childbirth. Due to the poor healing of cesarean section uterine wall incision in a short period of time, pregnancy is premature, and the uterus is constantly enlarged and thinned due to fetal development, especially at the surgical incision, which makes the connective tissue inelastic, and fresh scars are easy to rupture at the end of pregnancy or during delivery, leading to massive abdominal bleeding and even life-threatening. So it is safer to get pregnant two years after the operation.