Is it necessary to have a prenatal checkup before having a second child? What tests are needed for having a second child?

Moms who are preparing to have a second child, please look here. Today, the editor will introduce to you whether you need a prenatal checkup for the second child. What kind of checkups are needed for the second child? For the health of your baby and yourself, you must go for the checkup.

Preparations for having a second child

For "single" families who are preparing to have a second child, preparation is very important. After the implementation of the "single" second child policy in Shandong Province, women who are of the right age and wish to get pregnant again should remove the IUD three months in advance, go to the hospital for relevant examinations and evaluations, and plan for conception. Routine pre-pregnancy examinations include: gynecological internal examination, leucorrhea routine, cervical scraping, infrared breast ultrasound, abdominal B-ultrasound (uterus + appendages), urine routine, blood routine, hepatitis B two pairs and a half + hepatitis A and hepatitis C antibody test, renal function, chest X-ray, electrocardiogram, full set of malformation (rubella, toxoplasmosis, syphilis screening), chromosomal abnormalities, internal medicine examination, and sex hormones. In addition, folic acid needs to be supplemented during the preparation period and the three months before pregnancy to prevent infant malformations.

In addition, do not eat raw, cold, spicy food, do not drink alcohol, do not eat bitter melon, nuts, longan, increase nutrition, eat light and nutritious food, such as fish, meat, eggs, bean products, etc. Eat protein-rich food and fresh vegetables rich in vitamins. Do not use skin care products that irritate the skin. You can choose a fragrance-free, pigment-free facial cleanser with less irritation, or choose baby soap and shower gel.

Generally speaking, if the first child is a normal birth, then the recovery period is relatively short. Generally, after one year, the physiological functions of women are basically restored after childbirth. After examination, if the reproductive system such as the fallopian tubes and uterus are in normal condition, you can consider having a second child. Director Chen explained that this is to allow the uterus to recover better and ensure that the body is fully adjusted before having a second child.

If the first child was delivered by cesarean section, should the second child also be delivered by cesarean section? Theoretically, no. As long as the uterus has recovered well before, the fetal weight is well controlled, and there are no contraindications to vaginal delivery in the next pregnancy, the mother can give birth naturally, but the risk will be relatively increased. Therefore, in clinical practice, the natural delivery of mothers who had a cesarean section for the first child needs to be closely monitored throughout the whole process. For the sake of safety, the proportion of those who eventually choose cesarean section accounts for the vast majority. "For mothers who had a cesarean section for the first child, as long as the ovaries, fallopian tubes and other tissues were not injured during the first cesarean section, doctors generally recommend contraception for more than two years, and when the uterus has recovered almost, they can have a second child. Because the uterus that has undergone cesarean section is a scarred uterus, the possibility of placenta previa is greater, and most of them are dangerous placenta previa." Director Chen reminded that premature pregnancy will cause excessive tension on the uterine scar after cesarean section, with the potential risk of rupture, which is easy to cause heavy bleeding, and both mother and child will be in danger.

Do I need a pre-pregnancy check before having a second child?

The purpose of the second pregnancy checkup is to ensure that the couple is physically fit for the second child. This is especially important for women with a poor reproductive history or who had a cesarean section for their first child. The second pregnancy checkup includes the following 13 items:

1. General physical examination

Conduct a full body check-up and fertility assessment, and conduct a comprehensive and systematic examination of various organs in the body, such as the heart, liver, and kidneys, to check whether the heart, lungs, liver, and kidney functions are suitable for pregnancy.

2. Routine blood test

Understand the level of hemoglobin. If you have blood system diseases such as anemia, you should treat them before getting pregnant. Also understand the coagulation situation. If you find any abnormalities, treat them before getting pregnant.

3. Urinalysis

The ten-month pregnancy is a huge test for the mother's kidney system. The increased metabolism of the body will increase the burden on the kidneys. If there is a kidney disease, the consequences will be very serious.

4. Leucorrhea Routine

Routine screening of leucorrhea for trichomonas, fungus, mycoplasma chlamydia infection, vaginal inflammation, as well as sexually transmitted diseases such as gonorrhea and syphilis. If you have a sexually transmitted disease, it is best to treat it thoroughly before getting pregnant.

5. Stool routine

Check for worm eggs and occult blood tests, check for the presence of red blood cells and white blood cells in the stool, and rule out enteritis, hemorrhoids, polyps and other diseases.

6. Gynecological endocrinology

By testing six indicators in serum, including luteinizing hormone, follicle-stimulating hormone, prolactin, estradiol, progesterone, and testosterone, we can accurately understand the female endocrine condition.

7. ABO hemolysis test

Including blood type and ABO hemolytic titer. (The subjects of the examination are: women with blood type O, husbands with blood type A or B, or with a history of unexplained miscarriage.) Prevent hemolytic disease in infants.

8. Oral examination

If there is no dental disease, you only need to do a good job of cleaning your teeth. However, if the mother's teeth are severely damaged, the pain during pregnancy will require medication or tooth extraction, which will have a great impact on the fetus, so if there is a dental disease, it should be treated as soon as possible.

9. Chromosome examination

Check for genetic diseases. Couples of childbearing age with a family history of genetic diseases can check for chromosomal abnormalities to detect genetic diseases and infertility such as Klinefelter syndrome and Turner syndrome at an early stage.

10. Diabetes testing

Including fasting blood sugar test and glucose tolerance test. Women with diabetes must first ask a doctor for examination and evaluation before deciding whether to get pregnant.

11. Hepatitis B virus antigen and antibody test

The hepatitis B virus can cause intrauterine infection through the placenta or interfere with the birth canal, causing the fetus to become a carrier of the hepatitis B virus after birth. Therefore, expectant mothers who are planning to have a second child should undergo this test.

12. STD Testing

If you suspect that you or your husband has or has had a sexually transmitted disease, such as syphilis or AIDS, you should undergo an STD test. If the test results are abnormal, you should seek timely treatment.

13. TORCH detection

The TORCH test includes tests for Toxoplasma gondii, Rubella virus, CMV, and Herpes simplex virus.

What are the situations where it is not suitable to have a second child?

1. Either man or woman has been diagnosed with a serious genetic disease that is medically considered unsuitable for reproduction, such as various birth defects. (Congenital malformations, genetic diseases, congenital metabolic diseases, and unexplained functional abnormalities)

2. Suffering from serious mental illness (depression, schizophrenia)

3. Either party has serious bad habits such as drug abuse.

4. The woman's uterus is not capable of pregnancy or she has a serious physical disease that cannot sustain pregnancy, such as severe heart disease, active tuberculosis, epilepsy, malignant tumor, hepatitis, nephritis, connective tissue disease (systemic lupus erythematosus, thrombocytopenia).

5. Those with underlying diseases such as hypertension, diabetes, hepatitis, nephritis, connective tissue disease, thyroid disease, thrombocytopenia, gallbladder disease, sexually transmitted diseases, uterine fibroids, ovarian cysts, etc. should become pregnant after the disease is stable and well controlled, but should consult about the impact and risks of the original disease after another pregnancy.