Can a 40-year-old woman still have a second child?
Generally speaking, whether a 40-year-old woman can have a second child depends on her physical condition. If in good health, having a second child is possible; if in poor health, it is not recommended. Any discomfort should prompt timely medical consultation. The specific analysis is as follows:
If a 40-year-old woman still has good ovarian function, is able to ovulate naturally or successfully conceive through assisted reproductive technologies, and does not suffer from chronic conditions such as hypertension or diabetes, or other health issues that could affect pregnancy and delivery, then having a second child is theoretically feasible.
However, if a 40-year-old woman has declining ovarian function, irregular menstruation, or ovulation disorders, her fertility may be significantly impaired, making a second pregnancy inadvisable. Additionally, if she suffers from severe chronic diseases such as poorly controlled hypertension, diabetes, or heart disease, attempting a second pregnancy may increase risks for both mother and baby, and thus is not recommended.
Maintaining a healthy lifestyle—including balanced nutrition, moderate exercise, and sufficient sleep—can help improve fertility and support a healthy pregnancy.