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Zhao Li Li
Obstetrics
About me
Attending physician, undergraduate degree, specializing in the diagnosis and treatment of common and frequently-occurring diseases in gynecology and obstetrics. Currently working at Huludao Central Hospital.
Proficient in diseases
Specializes in candida vaginitis, trichomonas vaginitis, habitual abortion, puerperal infection, threatened abortion, severe morning sickness during pregnancy, ectopic pregnancy, cervicitis, pelvic inflammation, miscarriage, dysmenorrhea.
Voices
Causes of Premature Birth
Generally, there are many reasons that can cause symptoms of preterm birth. Normally, due to reasons such as cervical dilation, or the occurrence of regular abdominal pain, preterm labor may be induced. In some cases, long-term vaginal inflammatory conditions can lead to premature rupture of membranes, or cervical canal dilation may also cause preterm birth. If symptoms of preterm birth occur at present, it is necessary to actively suppress contractions, protect the fetus, and provide symptomatic treatment. If this is ineffective, it is advisable to actively prepare for rescuing and caring for the newborn.
What should I do if endometritis keeps recurring?
Generally, endometritis is a common gynecological inflammatory disease. Treatment of inflammation typically requires a lengthy recovery process, and in some cases, chronic inflammation of the endometrium may occur due to long-term bacterial infections. Once endometritis is diagnosed, it is advised to pursue active treatment, usually involving systemic antibiotics to control the infection, combined with local treatment. Local treatment includes cleaning the vulva and using vaginal suppositories, and these combined treatments often yield noticeable results.
Does premature birth hypoxia affect intelligence?
Under normal circumstances, if a preterm infant suffers from hypoxia, severe cases may have an impact on future intelligence. However, if preterm infants experience hypoxia after childbirth, they generally receive oxygen therapy, which also affects their intelligence to some extent. Therefore, in daily life, it is still necessary to strengthen the care of preterm infants, adjust their diet, and after oxygenation, appropriately supplement DHA and other substances that can promote brain development and effectively improve issues such as delayed brain development in infants and toddlers.
Do frequent Braxton Hicks contractions lead to preterm labor?
In the late stages of pregnancy, there may be occurrences of Braxton Hicks contractions, generally happening at a low frequency of about two to three times per day. Some individuals experience these false contractions primarily at night, which disappear during the day. This is considered normal physiological behavior in the late stages of pregnancy. If there is a frequent occurrence of Braxton Hicks contractions, it may also lead to the dilation of the cervix, causing premature labor. Therefore, if this situation arises and the fetus is not yet full-term, it is recommended to go to the hospital for an examination in a timely manner, and symptomatic treatment to maintain the pregnancy may be necessary.
What does it feel like when the cervix opens prematurely?
Under normal circumstances, if preterm labor is already confirmed and the cervix is fully dilated, it is generally considered inevitable and preparations for the active resuscitation of the newborn should be made. Typically, if the cervix is fully dilated due to preterm labor, regular abdominal pain may first occur along with discomfort in the lower abdomen, indicating strong uterine contractions. After the uterus contracts, this leads to continuous dilation of the cervix until it expands to ten centimeters. Once fully dilated, the next steps in treatment are carried out, closely monitoring the condition of the premature infant after birth and providing symptomatic medication if necessary.
Do ectopic pregnancies require surgery?
In general, if an ectopic pregnancy is confirmed, further symptomatic examinations and treatments are necessary. Normally, it is recommended to determine the specific location of the ectopic pregnancy and any changes in vital signs under ultrasound examination. If the patient's vital signs are stable, the ectopic site has not ruptured, and there is no intraperitoneal bleeding, conservative medical treatment can be temporarily administered. If severe intraperitoneal bleeding has occurred, accompanied by changes in vital signs, it is advisable to promptly proceed with surgical treatment.
How is an ectopic pregnancy treated?
If symptoms of an ectopic pregnancy are confirmed, further examinations are necessary before symptomatic treatment can be administered. Normally, it is essential to first determine the specific status of the ectopic pregnancy, whether there is any rupture, whether the patient's vital signs are stable, and whether there is significant internal bleeding in the abdominal cavity. If the symptoms are not severe and there is no rupture, localized conservative medicinal treatment can be administered. However, if the symptoms are severe, accompanied by hemorrhagic shock or substantial internal bleeding in the abdomen, emergency surgical treatment is required.
How should pregnant women supplement for anemia?
Under normal circumstances, if anemia symptoms are confirmed after pregnancy, further examination is still necessary for active symptomatic treatment. Normally, the specific cause of the anemia can be identified, whether it is due to iron deficiency, folate deficiency, or B12 deficiency. According to the specific cause of anemia, oral medication can be administered for symptomatic treatment, which can effectively alleviate the symptoms. After taking oral medication, it is also necessary to regularly check the rise in hemoglobin levels to properly manage the condition.
Can I have a bowel movement if my membranes rupture early?
According to the current situation, if premature rupture of membranes has occurred, it is first necessary to clarify whether the amount of vaginal discharge is within the normal range. If a large amount of amniotic fluid flows out of the vagina after activity, try to minimize movement as much as possible. Generally, it is necessary to adopt a left lateral recumbent position with the buttocks elevated, to reduce the outflow of amniotic fluid. It is also necessary to timely use antibiotics to control infection, assess the current progress of labor and the condition of the fetus, and decide on the specific mode of delivery. Normally, bowel movements can be performed, but try to minimize the number of times getting out of bed to avoid the continuous outflow of amniotic fluid or the occurrence of umbilical cord prolapse.
Can you walk with premature rupture of membranes?
In general, if premature rupture of membranes has already occurred, it is normally necessary to rest, avoiding standing and walking. Premature rupture of membranes mainly refers to the situation where the water breaks before the onset of labor pains. This means that the membranes have ruptured and amniotic fluid may leak out at any time. Standing or walking can easily lead to continuous leakage of amniotic fluid, resulting in a reduction of the fluid or prolapse of the umbilical cord due to the leakage. If the prolapsed umbilical cord causes compressive symptoms, the fetus can quickly die within the uterine cavity. Therefore, after confirming premature rupture of membranes, it is necessary to rest in bed with the buttocks elevated and closely monitor specific fetal heart changes.