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Zhao Li Li
Obstetrics
About me
Attending physician, undergraduate degree, specializing in the diagnosis and treatment of common and frequently-occurring diseases in gynecology and obstetrics. Currently working at Huludao Central Hospital.
Proficient in diseases
Specializes in candida vaginitis, trichomonas vaginitis, habitual abortion, puerperal infection, threatened abortion, severe morning sickness during pregnancy, ectopic pregnancy, cervicitis, pelvic inflammation, miscarriage, dysmenorrhea.
Voices
Can you get pregnant after menopause?
If menstruation has already ceased, it is generally not possible to become pregnant. This is because after menopause, ovarian function has essentially declined, and there is no regular secretion of estrogen and progesterone. Thus, there is no development and presence of mature follicles, making pregnancy highly unlikely. Currently, symptoms can only be addressed by utilizing assisted reproductive technologies. If menstruation ceases before the typical age of menopause, early ovarian failure should be considered, and appropriate diagnostic and therapeutic measures should be taken.
Can oxytocin be used for premature birth?
Under normal circumstances, babies born between 28 and 37 weeks of gestation are referred to as premature infants. Persistent and regular abdominal pain, accompanied by dilation of the cervix, usually suggests preterm labor and a likely onset of labor, necessitating timely medical attention for appropriate examination and treatment. Normally, during the process of preterm labor, if there is insufficient uterine contraction or other abnormal conditions, it might be appropriate to use oxytocin to induce labor. If the mother has no other complications, vaginal delivery is still the primary method of delivery to reduce conditions such as fetal hypoxia in the uterus.
What should I do if my breasts are swollen and painful and I can't pump milk out?
If breast pain has already occurred, it is still necessary to actively treat the symptoms. Normally, if the milk cannot be completely extracted after stimulation, it is possible that a blockage in the milk ducts may be occurring. It is generally recommended to apply local heat and massage to the breasts before pumping. These treatments can effectively promote local blood circulation and help the milk ducts to clear, facilitating the complete extraction of milk. If there is continuous non-discharge of milk causing local breast swelling, it's necessary to consider the possibility of mastitis and seek medical advice promptly to receive appropriate treatment.
How long will postpartum bleeding last until it stops?
Generally, in normal childbirth or after cesarean section surgery, there is usually a small amount of vaginal bleeding, which typically subsides completely within about a week. If there is heavy bleeding after delivery, it is crucial to closely monitor the vaginal bleeding to rule out the possibility of delayed postpartum hemorrhage. If the uterus contracts well and there is no retention of placental fragments, the area will generally be clean within about a week, albeit with some bloody discharge. Therefore, if there is abnormal vaginal bleeding postpartum, it is recommended to promptly re-examine to exclude the possibility of late bleeding, so as to avoid endangering life.
What to eat for postpartum anemia
In general, if anemia occurs postpartum, it is recommended to undergo further examination to understand the specific causes of postpartum anemia, and then to treat the condition accordingly. If iron deficiency anemia occurs postpartum, it is necessary to promptly supplement iron to correct the anemia symptomatically. If the anemia is due to a lack of certain vitamins leading to megaloblastic anemia, it still requires specific oral medication treatment based on the underlying cause. During the treatment process, it is also necessary to closely monitor the specific recovery from anemia after taking oral medications. If anemia persists without relief, further examinations are needed to exclude the possibility of blood system diseases causing the anemia. (Medication use should be carried out under the guidance of a professional doctor.)
Why do lactating women experience urinary incontinence?
Under normal circumstances, postpartum women might experience mild urinary incontinence due to incomplete recovery of pelvic floor muscle function, which is within the normal physiological range. If urinary incontinence persists throughout the entire breastfeeding period, it is considered that there may be an abnormal illness. Due to the stimulating effect on the pelvic muscles during childbirth, it is easy for the pelvic floor muscles to become relaxed. If not properly repaired after childbirth, this can lead to urinary incontinence. Persistent urinary incontinence may affect normal life and work, requiring timely medical consultation and examination. If there are no other ways to improve, surgical repair treatment might be necessary.
What is the earliest month that premature birth can occur?
Under normal circumstances, the entire childbirth process for a fetus is divided into three stages: early pregnancy, middle pregnancy, and late pregnancy. Generally, fetal development between 28 to 40 weeks is considered a viable period. During this time, if delivery occurs, the baby's chances of survival are very high. However, normally, a fetus between 37 to 40 weeks is considered full-term, so babies born before 37 weeks are referred to as premature. Premature babies need close monitoring of their developmental status after a normal delivery to avoid potential complications.
Why does adenomyosis cause infertility?
Under normal circumstances, adenomyosis is mainly due to factors such as the elasticity of muscle fibers in the uterine muscle layer, leading to abnormal enlargement of the uterus. This causes severe complications such as increased menstrual flow and painful menstruation. There are no specific treatment methods. During the onset of adenomyosis, it might affect the normal menstrual cycle of women, leading to increased menstrual flow or irregular menstruation. This can easily interfere with the normal development and ovulation of follicles, therefore significantly impacting normal conception. Once diagnosed, it is also necessary to actively treat the symptoms to avoid delaying normal conception.
Signs of premature birth
Generally, babies born between 28 and 37 weeks of gestation are considered premature. Normally, premature babies have underdeveloped organ systems, which makes them prone to serious abnormalities in various organs after birth. This can lead to conditions such as respiratory distress syndrome or cerebral palsy. Signs of premature labor typically include sudden regular abdominal pain without any other abnormalities, accompanied by clear uterine contractions and a feeling of abdominal heaviness, with a persistent, notable dilation of the cervix.
How to handle bleeding due to embryonic arrest?
If it has already been determined that the embryo has ceased to develop and significant vaginal bleeding has occurred, it is likely that the bleeding is caused by uterine contractions stimulated by the halted embryonic development. In this case, it is first necessary to seek medical attention promptly. After confirming the halted development of the embryo, it is important to perform a surgical abortion promptly to completely remove all tissues associated with the ceased embryonic development, reducing the occurrence of post-abortion bleeding. After the surgery, it is also necessary to promptly use antibiotics to prevent infections within the uterine cavity.