“二孩”生育政策后再生育的临床思考

Clinical concern of the second pregnancy under the two-child policy

"二孩"生育政策放开为妇产科领域带来了更多的压力与挑战。高龄产妇面临着自身生育力、健康情况的下降等问题,临床医生需要加强沟通和充分告知,谨慎、全面、个体化的评估其生育力及身体状态,并采取合理有效的助孕措施。此外,剖宫产术后瘢痕子宫再次妊娠所伴随的相关临床问题要求更规范的孕检制度;高龄生育相关子代健康问题亦不容忽视。"二孩"生育的临床管理将会成为一个新的课题,有待临床重视及规范。

The decree of two-child policy has brought more pressure and challenges for obstetrics and gynecology.Considering the declining fertility and health of elderly mothers,clinicians need to communicate sufficiently with them,assess carefully their fertility and physical status,and implement effective assisted reproductive measures. Moreover,it is necessary to establish a standardized pregnancy examination system for women with scarred uterus due to caesarean section. In addition,the newborns＇ health condition should not be neglected. In conclusion,clinical management of second delivery will become a newfocus,which needs concern and specification.