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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.
Voices
Can you still have a natural birth if the membranes rupture prematurely?
Whether a natural delivery is possible after premature rupture of membranes depends on the condition of the pregnant woman and the fetus. If the woman's pelvis is normal and there are no signs of intrauterine hypoxia in the baby, then a natural delivery can be conducted. If, during natural delivery, the baby shows signs of hypoxia or the woman's pelvic conditions are not favorable, a cesarean section should be performed promptly after the premature rupture of membranes. If delivery cannot be achieved naturally within 24 hours after the premature rupture of membranes, it is crucial to prevent infection.
Does endometritis cause abdominal pain?
When women suffer from endometritis, they often experience abdominal pain. Endometritis is generally caused by the disruption of the protective function of the female reproductive tract during childbirth or uterine cavity operations, leading to the invasion of pathogens into the reproductive tract and resulting in inflammation of the endometrial lining. Clinically, endometritis is characterized by congestive necrosis of the endometrial lining, with a large amount of purulent secretions in the vagina accompanied by an odor. Therefore, endometritis often involves toe bone pain under these circumstances, and it is important to promptly visit a hospital for examination and treatment.
Can ultrasound detect nuchal cord?
During the color ultrasound examination, it is possible to detect whether the fetus is experiencing umbilical cord entanglement around the neck. If the ultrasound shows a V-shaped echo around the fetal neck, it generally indicates that the umbilical cord is wrapped around once. If the echo is W-shaped, then the cord is wrapped twice. If the cord is wrapped multiple times, the echo will appear serrated. Additionally, the color ultrasound can also assess the blood flow around the umbilicus to determine the presence of umbilical cord entanglement. If cord entanglement is detected, it is recommended to have regular ultrasound check-ups at the hospital to monitor the fetus's safety in the uterus.
Can you exercise with the umbilical cord around the neck?
When a nuchal cord occurs, one should not have too much psychological burden, as it is a fairly common situation. The prognosis should be determined based on the specific circumstances of the nuchal cord, including the number of loops and the tightness of the loops. If the cord wraps around once or if there is a loose knot, appropriate activities can be undertaken. However, if the wrapping is tight, or if there are multiple loops, one should regularly visit the hospital for prenatal check-ups to understand the safety of the fetus in the womb. In such cases, it is necessary to reduce activities to avoid increasing the risk of nuchal cord complications, which could cause fetal hypoxia or even suffocation.
Does endometritis affect pregnancy?
When endometritis occurs, it affects a woman's ability to become pregnant normally. This is because endometritis causes abnormalities in a woman's menstrual cycle and vaginal discharge. If the endometrium is not actively treated, it can easily progress to chronic endometritis. Recurrent episodes can lead to adhesions, contractions, and narrowing of the uterine cavity, all of which can impact pregnancy. Even if fertilization occurs between the sperm and egg, forming a zygote, if the inflammation persists and is not well managed, it can also easily lead to miscarriage. Therefore, it is crucial to actively treat endometritis when it occurs.
Can I walk for an hour after meals if the umbilical cord is wrapped around the neck?
In cases where there is umbilical cord entanglement around the neck, as long as the baby's fetal heart rate and fetal movement checks are normal, the mother can normally go for a walk after meals. This condition will not affect the fetus. It is important to regularly visit the hospital for fetal heart monitoring and prenatal examinations, pay attention to observing changes in fetal movement inside the womb, and avoid doing overly heavy or intense exercises. If any abnormalities in fetal movement or heart rate are observed, it is necessary to go to the hospital for examination. When needed, oxygen intake and treatments to preserve the pregnancy might be required.
What fruits are good to eat when membranes rupture prematurely?
When premature rupture of membranes occurs, pregnant women can moderately consume some fruits that have a low sugar content. It is also important to eat fruit between meals in appropriate amounts, not excessively, as it might affect normal eating. Neutral fruits are recommended, including pomegranates, lemons, oranges, grapes, apples, olives, pineapples, and bananas, all of which are suitable to eat after premature rupture of membranes. Additionally, fruits such as kiwis, cherries, crabapples, and loquats can be consumed to supplement vitamins and folic acid. Fruits rich in Vitamin C such as tangerines, and also oranges and grapefruits, are also good options.
Can the umbilical cord unwrap itself after it has wrapped around the neck and entered the pelvis?
When the fetus has already engaged and there is nuchal cord occurrence, it is generally unlikely for the wrapping to unwind again. This is because once the fetus has engaged, the fetal position is fixed, and the fetus will no longer change its position, making the nuchal cord a more fixed condition. When dealing with nuchal cord, it is important to observe the number of loops and whether the tightness of the loops could impact the fetus. Therefore, it is necessary to regularly attend prenatal appointments at the hospital to monitor its developmental condition. If the nuchal cord loops just once around the neck, it usually does not affect the baby.
Does psoriasis affect the fetus during pregnancy?
Psoriasis generally does not cause any adverse effects on the fetus during pregnancy. Psoriasis is a recurrent chronic inflammatory skin disease, with a long course and a high tendency to relapse. There is a certain hereditary aspect to psoriasis, with about 20% of cases having a family history, but it is not absolute. It is recommended that pregnant women with psoriasis pay attention to nutrition, new lifestyle habits, emotional adjustment, and psychological regulation, as these factors can be helpful during pregnancy for those with psoriasis.
Can you eat red dates during a threatened miscarriage?
You can eat red dates during threatened miscarriage. Red dates are beneficial for replenishing qi and blood, and they also provide a large amount of vitamins. However, eating red dates alone cannot solve the problem when a threatened miscarriage occurs. It is crucial to visit a hospital for an examination timely. Treatment should be selected based on the examination results. Additionally, it is important to rest, reduce physical activity, maintain a cheerful spirit, avoid excessive mental stress, avoid getting cold, and abstain from sexual intercourse.