What are the items in the prenatal checkup for the second child?

After the second child policy was implemented, many families are excited to have a second child. However, a prenatal check-up is very important. You should pay attention to monitoring your blood pressure and blood sugar levels, and find out if you have any gynecological diseases such as pelvic inflammatory disease. You should actively seek treatment for some diseases.

1. Pay more attention to monitoring blood pressure and blood sugar

With increasing age, the degree of vascular endothelial damage progressively worsens. The incidence of pregnancy complications such as severe preeclampsia, placenta previa, placental abruption, premature rupture of membranes and postpartum hemorrhage in multiparas is significantly higher than that in primiparas, which can lead to an increased incidence of gestational hypertension. Therefore, before pregnancy, attention should be paid to monitoring blood pressure and blood sugar levels. If there are abnormalities, early treatment should be sought, and it is best to wait until the condition stabilizes before becoming pregnant.

2. Check for pelvic inflammatory disease

In addition, most multiparous women had a history of artificial abortion, induced labor, or IUD removal before this pregnancy.

It can easily cause endometritis, which in turn can lead to problems such as placenta previa and placenta accreta. Therefore, before planning a pregnancy, appropriate gynecological examinations and auxiliary examinations such as B-ultrasound should be performed to rule out pelvic inflammatory disease. Mild pelvic inflammatory disease can be treated conservatively with medication, while severe cases require surgical treatment.

When undergoing the above examinations, multiparous women are required to provide a valid medical history, such as whether there were complications in the previous pregnancy (hypertension, diabetes, thyroid disease, etc.), the method of delivery (cesarean section or natural delivery), whether the delivery process was smooth, whether there was any soft birth canal damage, etc. In this way, during the pre-pregnancy check-up, the doctor will conduct further detailed examinations based on the medical history.

3. Blood type test cannot be ignored

In addition, neonatal hemolytic disease due to incompatibility between maternal and fetal blood types is more common in multiparous women or women with a history of miscarriage. This is an immune hemolytic disease of the fetus or neonate caused by incompatibility between maternal and fetal blood types. Clinically, it is mainly divided into ABO blood type incompatibility and Rh blood type incompatibility. Blood type incompatibility can lead to miscarriage, fetal edema, and in severe cases, intrauterine fetal death. However, these can be monitored early and treated. Therefore, before a woman prepares to have a second baby, she should pay attention to her blood type. If the woman has RH negative blood, or the woman has type O blood and the man has a blood type other than type O, blood type antibodies must be checked. Only with a baseline value can regular checkups be conducted during pregnancy to monitor whether the fetus's growth and development are normal.