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Du Rui Xia
Obstetrics
About me
Deputy Chief Physician, working at Anyang People's Hospital.
Proficient in diseases
Vaginitis, pelvic inflammatory disease, ectopic pregnancy, cervical erosion, uterine fibroids, polycystic ovary syndrome, are common gynecological diseases.
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Early symptoms of threatened miscarriage
Premature birth refers to the condition where delivery occurs after the pregnancy has reached 28 weeks but before completing 37 weeks. Premature infants have a very high mortality rate. If a woman experiences prolonged back pain and a hardening of the lower abdomen during this time, it is due to contractions of the uterus. There can also be vaginal discharge of fluids, indicating early breaking of waters. Increased vaginal discharge, sometimes with traces of blood, might also indicate imminent premature birth; medical check-ups and treatment should be sought immediately.
Will there be stomach pain in a threatened miscarriage?
In general, when threatened miscarriage occurs, pregnant women often experience abdominal pain. This pain is usually a dull ache in the lower abdomen, similar to the pain experienced during menstrual cramps. If the symptoms of threatened miscarriage are severe and the pain is quite pronounced, miscarriage may occur. This type of pain is mainly caused by contractions of the uterus. Besides abdominal pain, vaginal bleeding often accompanies this condition, which can also lead to miscarriage. When threatened miscarriage occurs, it is essential to rest in bed, reduce physical activity, avoid emotional stress, and consider visiting a hospital for an ultrasound to observe the development of the gestational sac.
Natural miscarriage impact on the body
If a woman experiences a natural miscarriage, it can have adverse effects on her body. If attention is not paid to local cleanliness and hygiene during uterine bleeding, and the body's resistance is lowered, it can easily lead to some gynecological infections. If the inflammation is not treated in time, it can affect future normal pregnancies. Furthermore, if care is not enhanced after surgery, and rest is not adequately observed, it will impact the uterus's normal contraction and recovery, leading to continuous vaginal bleeding, which can also affect future pregnancies. Additionally, it can also have some adverse psychological effects on the pregnant woman.
Do you still need to get tested for Mediterranean pregnancy after pre-pregnancy testing?
After checking for thalassemia before pregnancy, it is still necessary to check again after becoming pregnant. The purpose of the thalassemia test is to examine some genes to see if there are any genetic issues. Additionally, the husband also needs to be cautious to see if there is a possibility of hemolysis occurring. The thalassemia screening test is aimed at those who have severe hemolysis, or have previously given birth to a child with thalassemia, or if one of the spouses is a carrier of thalassemia trait, then a re-examination is necessary.
Can you get pregnant with endometritis?
When suffering from endometritis, it is not recommended to become pregnant during this time. It is better to wait until the endometritis is cured before trying to conceive. This is because endometritis can impact pregnancy. During the inflammation, a large number of white blood cells and macrophages appear on the surface of the endometrium, which can affect the vitality of sperm, leading to decreased sperm activity and even dead sperm, thus reducing the chances of pregnancy. Additionally, during endometritis, women may also develop anti-sperm antibodies, which hinder the implantation of the fertilized egg, preventing normal fertility. Therefore, it is advised for women to wait until after the endometritis is cured before trying to conceive.
How long to rest after a natural miscarriage?
Women will experience both physical and psychological impacts after a miscarriage, and the body needs time to recover. Therefore, it is best to rest for at least two weeks before going back to work after a miscarriage. It is crucial to rest, avoid fatigue, and refrain from vigorous exercise. Consuming foods rich in proteins and vitamins, such as eggs, lean meats, milk, fresh vegetables, and fruits, can help enhance resistance and promote healing post-miscarriage.
Can postpartum depression breastfeed?
When postpartum depression occurs, it is possible to continue breastfeeding. If the depression is mild and no medication is taken, continuing breastfeeding will not affect the baby's growth and development. However, depression often leads to low spirits, frequent crying, and a reluctance to care for the child, which can affect milk secretion and lead to a reduction in milk supply that may not meet the baby's growth needs. In such cases, it may be necessary to add supplementary food or formula. If postpartum depression is severe and involves medication, these medications may enter the baby's body through the breast milk, which can affect the baby's health. Therefore, if postpartum depression occurs and medication is taken, breastfeeding should be stopped. (Note: The answer is for reference only. Medication should be administered under the guidance of a professional physician, and blind medication should be avoided.)
Can postpartum urinary incontinence be recovered?
Most cases of urinary incontinence postpartum in women are treatable. To manage postpartum urinary incontinence, it is essential to develop good urination habits. Patients with postpartum urinary incontinence should urinate every two to three hours. This practice can help train the bladder control muscles and enhance the new mother’s awareness of urination. Each time you urinate, try to empty the bladder completely to train the pelvic floor muscles. Regularly performing exercises that strengthen the pelvic floor muscles can increase their contraction and control abilities, alleviating cases of urinary incontinence. Most conditions can improve; however, more severe cases may require further treatment.
How long does it take for the lochia to clear after a natural miscarriage?
Generally, lochia can be cleared within a week after a natural miscarriage occurs. The duration of lochia discharge during a natural miscarriage is also related to the length of pregnancy. If the miscarriage occurs during a later stage of pregnancy, there may be a longer period of vaginal bleeding because the endometrium is thicker, potentially requiring about ten days. Typically, it will clear within a week, and it should not last more than ten days at most. It is advised for women to undergo a medical examination at a hospital two weeks after a natural miscarriage, at which time the recovery of the uterus and any remaining tissues can be assessed. After such a miscarriage, it is important to rest, enhance nutrition, and abstain from intercourse for a month.
Why doesn't the ultrasound show the umbilical cord around the neck?
Generally, in cases where there is umbilical cord entanglement around the neck, it can be detected through an ultrasound examination. However, if the ultrasound does not show the umbilical cord wrapped around the neck, it is possible that the cord moved back around as the fetus moved during pregnancy. It might also be that the cord is not fully wrapped around the fetus's neck, but rather draped over the shoulder or neck. This situation could also relate to the fetal position, making it undetectable.