

Du Rui Xia

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

Is postpartum urticaria contagious?
Postpartum urticaria is not contagious. The occurrence of urticaria is mainly an allergic reaction to various factors such as certain foods, medications, plants, or infections. Clinically, it mainly manifests as dilation and increased permeability of small blood vessels in the skin and mucosa, resulting in skin rashes and redness. However, this condition is related to a decrease in the body's immune strength, making postpartum urticaria more likely to occur after childbirth. Postpartum urticaria has a certain hereditary nature. When postpartum urticaria occurs, one should not scratch it to prevent breaking the skin and causing secondary infections. Avoid using irritating liquids for cleansing or hot water for washing. When itching occurs, topical antipruritic agents can be applied. It is advisable to eat fresh vegetables and fruits in daily life and avoid spicy and irritating foods.

Can you eat bananas with threatened miscarriage?
When threatened miscarriage occurs, it is okay for pregnant women to eat bananas. Bananas contain a good amount of nutrients and are low in sodium. They are a very suitable fruit to eat during pregnancy as they help in preventing mental fatigue, moisturizing the lungs to stop coughing, and preventing constipation during pregnancy. Bananas are also easy to digest and absorb, providing many benefits when consumed during threatened miscarriage.

Can you eat chestnuts with a threatened miscarriage?
When experiencing signs of threatened miscarriage, pregnant women can eat chestnuts in moderation. Chestnuts are very nutritious, containing protein, amino acids, trace elements, and vitamins. These nutrients can enhance a woman's physical resistance and are beneficial for pregnancy maintenance, hence chestnuts can be consumed during a miscarriage. Additionally, it is crucial to rest in bed during a miscarriage and maintain emotional stability without being overly anxious. During this period, sexual activity is strictly forbidden. Attention should be paid to genital hygiene. Dietarily, it is advised to consume foods rich in protein and to avoid raw, spicy, and irritating foods.

Causes of endometritis
Endometritis can be divided into tuberculous endometritis and non-tuberculous endometritis, with the latter being more common in clinical settings. Non-tuberculous endometritis is often caused by various pathogenic infections. It commonly occurs during menstruation, after a miscarriage, or during childbirth due to bacterial infections. For instance, inadequate sterilization during surgery, sexual activity during menstruation, and the retention of placenta or membranes after childbirth can all facilitate ascending infections.

Umbilical cord around the neck ultrasound manifestations
The impact of umbilical cord entanglement on the fetus is quite significant. If the entanglement is excessive and tight, it can lead to fetal hypoxia. Generally, fetuses with the umbilical cord wrapped around the neck once or draped on the neck do not show clinical symptoms. However, if the entanglement is tight, it can jeopardize fetal health. During an ultrasound examination, echoes can be seen on the fetus's neck where the umbilical cord is wrapped, and distinct pressure marks may appear on the skin. A single wrap around the neck appears as a U-shape, two wraps appear as a W-shape, and three wraps as a serrated shape.

Does dysmenorrhea affect pregnancy?
Whether dysmenorrhea affects pregnancy cannot be generalized. Dysmenorrhea can be divided into primary dysmenorrhea, which is physiological, and secondary dysmenorrhea. Primary dysmenorrhea refers to cases where there are no pathological changes in the female reproductive organs, and the pain is solely due to uterine contractions during menstruation, commonly seen in adolescent girls. Moreover, conditions such as adenomyosis, severe uterine fibroids, and endometriosis can also cause pain and are associated with changes in the uterus, which can affect pregnancy. However, primary, functional dysmenorrhea generally does not impact the ability to conceive. Thus, whether dysmenorrhea affects pregnancy depends on the specific circumstances.

Can a natural miscarriage be completely cleared?
After a natural miscarriage, whether it can be completely cleared varies from individual to individual. Some women may have a complete miscarriage naturally. However, some people may have existing gynecological inflammation or be relatively weak, which can lead to incomplete miscarriage, necessitating further uterine cleaning. After the miscarriage, women should closely monitor their vaginal bleeding and abdominal pain. Normally, after such a miscarriage, abdominal pain should last about two to three days, and vaginal bleeding should clear up within a week. If vaginal bleeding persists for a longer time and abdominal pain occurs, the possibility of residual materials in the uterine cavity should be considered, and it is advised to go to the hospital for further ultrasound examination and subsequent treatment as needed.

What should be noted for threatened miscarriage?
After the occurrence of threatened miscarriage, it is crucial to rest, and if possible, bed rest is recommended to reduce activity. Additionally, local hygiene must be maintained, frequently changing underwear to keep the area dry and fresh, preventing bacterial infection. Intercourse should be strictly avoided during a threatened miscarriage. It is important to observe vaginal bleeding and discharge. If any tissue-like materials are expelled, they should be preserved and brought to the hospital for examination to determine the nature of the expelled material. Nutrition should be enhanced by consuming light, easily digestible foods, including fresh fruits and vegetables.

Does an umbilical cord around the neck always require a cesarean section?
When nuchal cord occurs, it is not always necessary to perform a cesarean section, because sometimes the cord may be loosely wrapped around, even if only for one loop, and in such cases, natural childbirth is still possible. However, if the nuchal cord is wrapped more than two or three times, and is tightly wrapped, and if there is fetal hypoxia inside the uterus, then a cesarean section must be performed to quickly terminate the pregnancy. Nuchal cord is a common cause of difficult labor in pregnant women. Therefore, during the later stages of pregnancy, regular prenatal check-ups should be carried out to monitor the fetus's health. If any abnormalities are detected, it is urgent to admit to the hospital for delivery to avoid potential impacts on the baby, such as hypoxia or asphyxiation.

Preterm birth refers to how many weeks?
Premature birth refers to a baby born after the pregnancy has reached 28 weeks but before completing 37 weeks. Most of these babies weigh less than 2500 grams at birth and have poorer adaptive abilities compared to full-term babies. They require special care. Feeding premature infants can be challenging. They generally need to be fed breast milk or formula every two to four hours. Start by feeding once or twice; if there is no vomiting for six to eight hours, continue feeding some milk. Also, position the baby's head to one side to prevent inhalation of vomit.