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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 get pregnant with ventricular premature beats?
Premature ventricular contractions (PVCs) are a relatively common type of cardiac arrhythmia clinically. If the PVCs are occasional, it is possible to become pregnant and have children. However, during pregnancy, the cardiac workload for women increases, which can exacerbate symptoms. It is recommended that, before attempting to conceive, if premature ventricular contractions or other cardiac diseases are diagnosed, it is best to address these issues promptly. Priority should be given to the patient's safety, taking appropriate measures before planning for pregnancy. Additionally, women should have regular prenatal check-ups at the hospital during pregnancy to monitor their health and the development of the fetus.
How to prevent preterm birth
The causes of preterm birth are numerous, and prevention mainly involves addressing these causes. For etiological reasons, proactive treatment of some chronic diseases is necessary. For pregnant women with a history of preterm birth, it is crucial to pay close attention two to three weeks before the previous preterm birth date. They should avoid overexertion, abstain from sexual activity, and rest in bed until the expected due date. It is also important to identify the causes of preterm birth, such as cervical insufficiency. If so, a cerclage surgery can be performed around the 14th week of pregnancy. If a pregnant woman shows signs of labor or preterm birth, she should be given oxygen immediately, and an injection of vitamin K should be administered to prevent intracranial hemorrhage in the newborn.
What causes postpartum urinary incontinence?
Postpartum urinary incontinence in women often occurs after vaginal delivery. Clinically, postpartum urinary incontinence is relatively common and is mostly due to the stretching or injury of certain muscle groups in the pelvic floor as the baby passes through the birth canal during delivery. This can also occur due to surgical intervention affecting the nerves and blood vessels that support the pelvic floor, leading to relaxation or atrophy of the levator ani muscle. Postpartum urinary incontinence typically occurs about a week after delivery, and timely treatment is necessary. During the treatment period, bed rest is advised, which can alleviate some of the discomforts and possibly avoid the need for surgery.
Can you get pregnant with endometrial polyps?
Endometrial polyps can affect pregnancy, but it does not mean that conception is impossible. Rather, it means that the chances of becoming pregnant may decrease. Endometrial polyps can affect the lining of the uterus and thereby hinder the implantation of a fertilized egg after the sperm and egg have combined. Even if fertilization and implantation occur in the uterus, miscarriage is more likely to happen. Therefore, when endometrial polyps occur, treatment can be administered based on the size and extent of the polyps. If the condition is mild with few and small polyps that do not affect pregnancy, conception is still possible.
What are the signs of premature birth?
After 29 weeks of pregnancy, if the baby is born prematurely, it is called preterm birth. When preterm labor occurs, there are some early signs, mainly manifesting as the onset of abdominal pain, which is persistent and gradually worsens. Additionally, due to the contraction of the uterus, the abdomen becomes hard and localized muscle tension occurs, leading to a feeling of swelling. Moreover, when the amniotic fluid ruptures, the pregnant mother will feel a flow of liquid from the vagina and there will be an increase in intestinal activity compared to usual, along with some abnormal vaginal discharge. These are some of the signs of preterm labor.
What foods are good for threatened miscarriage?
When experiencing signs of threatened miscarriage, pregnant women should choose foods rich in vitamins and pay attention to a light diet, eating food that is easy to digest and absorb. They should avoid spicy and stimulating foods, as well as raw and cold seafood or other barbecue and hot pot foods, to prevent diarrhea and aggravate the miscarriage. When choosing foods, one can opt for soy products, fresh vegetables, fruits, lean meats, eggs, and walnuts. Additionally, it is advisable to select foods that are rich in vitamin E, which supports pregnancy, such as some soy products. It is also beneficial to choose foods containing roughage but avoid cold foods and thermogenic foods like longan, as longan is very heaty and should be avoided as it might induce miscarriage.
Causes of Premature Birth
There are many causes of preterm birth, such as cervical loosening during pregnancy, gynecological inflammations, underdeveloped uterus, congenital uterine malformations, and uterine fibroids, as well as pregnancy-related hypertension and diabetes, which can also lead to preterm labor. Additionally, carrying twins can increase uterine tension and potentially cause preterm birth. Other factors include long-distance travel, fatigue, emotional fluctuations, family relocation, abdominal trauma, prolonged standing, high psychological stress, advanced maternal age, and placental abruption during pregnancy, all of which can contribute to the occurrence of preterm birth.
What are the symptoms of postpartum depression?
In cases of postpartum depression, women primarily exhibit emotional excitability, as well as anxiety, feelings of helplessness, guilt, and concerns about being unable to support their child. Severe cases may involve fears of the child suffering in the world, leading to infanticidal actions, and even suicide. This condition generally occurs more frequently in women who have a history of mental illness. Following childbirth, due to physical discomfort, emotional instability, and factors such as sleep disturbances, these adverse reactions are likely to be exacerbated.
How long can premature rupture of membranes last?
When premature rupture of membranes occurs, it can last up to 24 hours. If labor has not commenced 24 hours after rupture, pregnancy termination becomes necessary, and one can either induce labor to facilitate a vaginal delivery or opt for a cesarean section. For ruptures occurring between the 28th and 35th weeks of pregnancy, as the baby's lungs are not yet fully developed, it is crucial to administer medication promptly to help mature the fetal lungs and extend the gestational period as much as possible. Once the fetal lung development is adequate, pregnancy should be terminated in a timely manner. For cases of premature rupture of membranes occurring after 36 weeks of pregnancy, where fetal development is generally mature, pregnancy can be terminated more promptly.
What should I do if the membranes rupture prematurely?
If it occurs before the baby is full-term and there is premature rupture of membranes, efforts should be made to preserve the pregnancy and prolong its duration. It is necessary to rest in bed, maintain cleanliness of the external genitalia, and closely monitor the condition of vaginal discharge, contractions, and whether the mother has any infections. If more than 12 hours have passed since the rupture of membranes, antibiotics should be administered to prevent infection, which can help prevent neonatal pneumonia and also reduce the occurrence of intracranial hemorrhage in the baby, as well as decrease the incidence of chorioamnionitis and postpartum endometritis. Medications that inhibit uterine contractions should be used if contractions occur. Additionally, medications that promote the maturation of the fetal lungs should be used to prevent preterm birth, which can lead to breathing difficulties.