Subscribe
236
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
How to count fetal movements when the umbilical cord is wrapped around the neck
When there is nuchal cord presence, it is important to determine the number of loops around the neck as well as the tightness of the loops, to assess if they might affect the fetal heart rate. Generally, nuchal cords do not impact fetal blood circulation, so fetal movement can still be measured normally. Proper measurement should be taken at fixed times each day: morning, noon, and evening—for example, at 7 AM, 12 PM, and 9 PM respectively. During each of these times, select one hour when you can calmly and attentively feel and count the baby’s movements in a quiet setting, and record the number of movements.
How many days of postpartum bleeding are normal?
Postpartum hemorrhage typically stops around three weeks. Lochia can be classified into bloody lochia, serous lochia, and white lochia. Another type is abnormal bleeding, which is pathological bleeding. It occurs postpartum, for instance, due to soft birth canal injuries, cervical lacerations, uterine atony, or pre-existing blood disorders, which may extend the bleeding duration even beyond a month. This abnormal condition requires prompt medical attention. Normal lochia during the initial three to four days is bloody. As the bleeding from the uterus gradually decreases, it transitions to serous lochia, which can last about ten days. Finally, it becomes white lochia, which clears up after about three weeks.
Postpartum anal fissure
Postpartum anal fissures are a common symptom during natural childbirth. They occur when there is a tear in the anal area during the delivery of a child. This condition mainly leads to pain in the anal region for women after giving birth, especially during bowel movements. When dealing with postpartum anal fissures, it is important to maintain cleanliness and hygiene in the affected area. Each evening, washing with warm water or a potassium permanganate solution, which has cleansing and anti-inflammatory properties, can effectively alleviate pain in the anal area. Additionally, it is beneficial to consume foods that facilitate bowel movements, such as fresh vegetables and fruits that are rich in dietary fiber, as they can effectively promote gastrointestinal motility and improve constipation.
Is natural miscarriage dangerous?
Miscarriages that occur before the 28th week of pregnancy generally do not cause significant harm to the expectant mother. This situation is relatively common, mostly due to chromosomal abnormalities in the embryo or environmental stimuli affecting the pregnant woman, such as abdominal impacts, extreme emotional fluctuations, fatigue, or staying up late, all of which may lead to spontaneous miscarriage. Under normal circumstances, spontaneous miscarriages do not lead to particularly serious consequences. However, some women may experience significant bleeding or infections of the reproductive system during a miscarriage, which require timely hemostasis and infection control. Additionally, it is advised to promptly visit a hospital in the event of a miscarriage and follow the doctor's guidance for management.
What should a pregnant woman eat when she has a cold?
During pregnancy, if a pregnant woman accidentally catches a cold, she can use some dietary therapy methods to recuperate. She can drink some ginger tea with sugar, which can alleviate headaches, nasal congestion, runny nose, and joint pains caused by the cold. Additionally, she can drink honey, which contains various bioactive substances that can stimulate the body's immune function and have a beneficial effect on the body's recovery from a cold. Furthermore, she can eat radishes, which are rich in nutrients and trace elements such as calcium, iron, and zinc, to enhance the body's resistance and speed up the recovery from the cold.
Can traditional Chinese medicine be used to regulate embryonic arrest?
After experiencing a case of embryonic arrest, it is crucial to actively investigate the cause, and it is not feasible to rely solely on drinking herbal medicine for treatment. The causes of embryonic arrest can include genetic factors, endocrine factors, immunological factors, infectious factors, and abnormal uterine conditions in women that may also impact embryonic development. However, if the cause is not identified, there is still a possibility of another embryonic arrest in the next pregnancy. Therefore, consuming herbal medicine is insufficient for treatment, and it is necessary to go to the hospital for a detailed examination. After determining the cause, treatment can then proceed.
How long should I wait before rechecking the ultrasound if the umbilical cord is around the neck?
When there is an occurrence of umbilical cord around the neck, it is generally recommended to have an ultrasound examination once every one to two weeks. Umbilical cord around the neck is a relatively common phenomenon during pregnancy, mostly due to the umbilical cord being too long, frequent fetal movements, and an excessive amount of amniotic fluid. These factors can cause the umbilical cord to wrap around the fetus's neck, and it may also wrap around the fetus's abdomen or limbs. Therefore, when umbilical cord entanglement occurs, it is important to enhance prenatal check-ups to regularly monitor changes in fetal heart rate and fetal movement. Additionally, towards the late stages of pregnancy, the appropriate method of delivery should be selected based on the specific circumstances of the umbilical cord entanglement.
Is prematurity prone to jaundice?
Premature infants often exhibit jaundice. This is because during premature birth, the baby's gas distension function is not yet perfect, the liver's detoxification capabilities are relatively weak, and the ability to process bilirubin is poor. Therefore, jaundice easily occurs, and the physiological jaundice in premature infants is more severe compared to full-term infants. Due to the reduced sucking ability and swallowing reflex in premature infants and their underdeveloped intestinal function, most babies cannot be normally breastfed after birth. The increased absorption of bilirubin in the intestines exacerbates the jaundice in premature infants. It is advised for premature infants to initiate breastfeeding as soon as possible and some medications can also be used to promote liver enzyme activity.
Symptoms of threatened miscarriage and missed abortion
In the event of threatened miscarriage or fetal developmental arrest, the first symptom to appear is vaginal bleeding, which is a very important sign. Mainly, the uterus expels the fetus that has stopped developing based on the principle of natural selection. Another symptom that may occur after embryonic arrest is pain in the lower abdomen, which is also common. Furthermore, after embryonic arrest, the hormones secreted in the body will gradually decrease, leading to a reduction or disappearance of early pregnancy reactions such as nausea, vomiting, loss of appetite, and breast tenderness in pregnant women. It is crucial to address fetal arrest promptly and to regularly conduct prenatal check-ups during pregnancy to monitor the health of the fetus.
How to treat hair loss during lactation
Hair loss during breastfeeding is a normal physiological phenomenon. It is caused by hormonal changes in the body during and after pregnancy, especially the decrease in estrogen levels. The amount of hair loss is generally not significant, so there is no need for deliberate treatment. It usually recovers gradually within about a year. However, it is also important to ensure adequate rest in daily life, ensure sufficient sleep, avoid staying up late, enhance nutrition, and intake vitamins or consume fresh vegetables and fruits to maintain emotional stability. It is not recommended to treat this condition with medication.