Why did I have severe reactions with my first pregnancy but very few with my second?

Patient's question:

Why did I have severe reactions with my first pregnancy but no reactions with my second? My urine is also alkaline. Is it a boy?

Doctor's answer:

Guidance: It is possible to determine the baby's gender around 4 months through ultrasound, but it depends on the baby's position. If the position is good, the result will be accurate, but do not rely too much on the judgment. The most direct method for determining the baby's gender is ultrasound, as it can clearly show the baby's various organs and parts, including the reproductive organs. However, according to the laws in our country, it is illegal to tell the pregnant woman the baby's gender. Another method is amniocentesis, which involves a chromosome test. The doctor asked:

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