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Liu Wen Li
Obstetrics
About me
Liu Wenli, female, master's degree student, associate chief physician, graduated from the Department of Obstetrics and Gynecology of Hebei Medical University, currently working at the Second Affiliated Hospital of Xingtai Medical College in the Department of Obstetrics and Gynecology. Has attended and exchanged at conferences multiple times, and has published several papers in national core journals. One personal publication: "Clinical observation of the alleviation of cisplatin chemotherapy side effects by garlicin injection" published in the August 2008 issue of the 24th volume of "Chinese Journal of Misdiagnosis".
Proficient in diseases
Specializes in the diagnosis and treatment of common and frequent diseases in obstetrics and gynecology, as well as gynecologic tumors, endocrine disorders, and minimally invasive procedures.
Voices
Is hospitalization necessary for embryonic arrest?
This is not necessarily the case; it depends on the specific situation. Firstly, we need to consider the timing of the embryo arrest. If the embryo arrest occurs within 70 days of pregnancy, generally, hospitalization is not needed, and a miscarriage can often be handled on an outpatient basis. However, if the embryo stops developing after 70 days of pregnancy, even reaching three or four months, then hospitalization is required for a induced labor. This is because the fetus is relatively larger, making outpatient treatment problematic and riskier. Additionally, we must also consider if the pregnant woman has any complications. If there are complications alongside the embryo arrest, it is generally safer to be hospitalized.
How to treat gestational diabetes?
The treatment principle for gestational diabetes is to control blood sugar and then ensure the normal development of the child. There are many methods to control blood sugar. First, it involves diet management guided by a doctor, adjusting the diet's structure and quantity, followed by post-meal exercise. If after a week of adjusted diet and post-meal exercise, blood sugar levels still do not meet the standards, insulin injections can be used to keep the pregnant woman's blood sugar within the prescribed range. This can help reduce the impact of diabetes on the fetus and the pregnant woman.
Does premature rupture of membranes require induction of labor?
The management of premature rupture of membranes varies depending on the gestational age. If the rupture occurs very early in pregnancy, the doctor will assess the maturity of the fetus. If it seems that the child still has a long way to mature, or it is difficult to conservatively maintain the pregnancy until maturity, induction of labor may be recommended. If the doctor feels that the fetus is mature enough, then induction of labor may be considered, which involves the administration of drugs to induce labor. If it is between these two scenarios, expectant management may be advised, which involves not inducing labor, along with infection prevention, bed rest, etc. Since infection can occur after a long duration of membrane rupture, it is important to closely monitor infection indicators during this period. If an infection is detected, labor may be induced using drugs to expedite delivery.
How long does a blighted ovum naturally miscarry?
There are two situations regarding a pregnancy with an empty sac. One situation is that the embryo does not develop well and remains an empty sac. In another situation, it is possible to wait for another 4 to 5 days or a week and then recheck with an ultrasound. It might be that the development is just occurring later than usual, and thus, no embryonic bud has developed at the time of the initial ultrasound, displaying an empty sac. As for how long it will take for the empty sac to be expelled, there is no definite timeframe. In some cases, it is not necessary to wait for it to be expelled naturally; active measures such as medication treatment or surgical abortion can be taken.
How to deal with one loop of umbilical cord around the neck detected by four-dimensional ultrasound?
If the umbilical cord is wrapped around the neck once, there is no need to worry about it, because having the umbilical cord wrapped around the neck once is not as terrifying as it seems. If you want to give birth, it is completely feasible, and for most people with the umbilical cord wrapped around the neck once, if there are no other adverse factors, it generally does not affect the delivery. Moreover, even if you want to do something about it, you are powerless. It's not something that the pregnant woman herself can improve. Besides, there are cases where the umbilical cord is wrapped around two or three times, and they have given birth as well, so there is absolutely no need for anxiety.
What should I do if the umbilical cord is wrapped around the neck once during the mid-pregnancy?
The incidence of the umbilical cord wrapping around the neck once is quite high, accounting for about one-fifth of pregnant women. Generally, if the umbilical cord is loosely wrapped around the child's neck, and if the cord is long enough, it usually does not have a significant impact on the fetus. However, if the umbilical cord is tightly wrapped around the neck, and additionally, if the cord is relatively short, it can sometimes lead to pulling and thinning of the cord, causing obstruction in the blood vessels within the cord. This can result in oxygen deficiency for the baby. Therefore, during the mid-pregnancy period when umbilical cord entanglement occurs, it is important to enhance monitoring. Regular prenatal check-ups, counting fetal movements by oneself, and frequent monitoring of fetal heart rate changes are advisable.
Can you have a natural birth if the umbilical cord is wrapped around the neck twice?
The umbilical cord wrapped around the neck twice is something that can definitely be attempted, meaning a trial of natural delivery, or vaginal trial. Clinically, there have been many cases where the umbilical cord was wrapped around the neck twice, and the baby was delivered smoothly. Therefore, it's unnecessary to avoid a trial of delivery and opt for cesarean section just because the umbilical cord is wrapped around twice; that would be somewhat excessive. Of course, when the cord is wrapped around the neck twice, since the wrap is relatively tight, the remaining length of the cord might be short, and when the baby's head moves downward, there could be changes in the fetal heart rate, but not necessarily in all cases. Therefore, for pregnant women with the umbilical cord wrapped around the neck twice, doctors will closely monitor changes in the fetal heart rate during the delivery process.
Is there any danger in natural childbirth with the umbilical cord wrapped around the neck once?
Umbilical cord wrapping around the neck once is completely manageable with a natural birth, as it is very common in clinical practice, and many pregnant women with the umbilical cord wrapped around the neck have successfully delivered naturally. Even cases where the umbilical cord wraps around the neck twice, or even three times, can still undergo natural childbirth. Therefore, trying for a natural birth with the umbilical cord wrapped around the neck once is entirely feasible. Of course, during this process, it is necessary to monitor changes in the fetal heart rate or other conditions. As long as there are no issues with the fetal heart or other aspects, the mere fact of the umbilical cord being wrapped around the neck does not affect the delivery.
What should I do if the umbilical cord is wrapped around the neck?
Umbilical cord entanglement around the neck is a common complication for pregnant women. It mostly occurs with the umbilical cord wrapped around the neck once, accounting for about 20% of all deliveries, which means that 1 in 5 pregnant women will experience this condition. The main danger of umbilical cord entanglement is that if the cord is wrapped tightly or is short, it can pull on the cord during pregnancy or delivery, causing the blood vessels within the cord to constrict. This constriction can decrease the fetal blood circulation, leading to fetal distress, which is characterized by changes in fetal heart rate and fetal movement. Therefore, if there is umbilical cord entanglement, it is important to enhance monitoring during pregnancy and delivery. If fetal distress or fetal hypoxia occurs, a cesarean section should be performed promptly to terminate the pregnancy.
Pregnancy hypertension symptoms
The symptoms of hypertension during pregnancy vary depending on the blood pressure level, individual tolerance, and other factors. Common symptoms include high blood pressure, protein in the urine, and generalized edema. Edema can vary in severity; it can start with bilateral ankle swelling, progress to the calves, thighs, and then become generalized throughout the body. Increased blood pressure can also lead to headaches, dizziness, nausea, and blurred vision. In more severe cases, pain in the upper abdomen and convulsions may occur.