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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
What will the vaginal discharge be like if the embryo stops developing?
During prenatal check-ups, if there are indications that embryonic arrest has occurred, timely symptomatic treatment is still necessary. Normally, embryonic arrest does not affect vaginal discharge, so the nature of the discharge alone cannot be used to determine whether the embryonic development in the uterus is healthy. After confirming embryonic arrest, it is generally advised to promptly undergo an artificial abortion to completely expel the embryo from the body, to avoid long-term retention which could lead to disorders such as coagulation dysfunction. After the miscarriage due to embryonic arrest, further examination to determine the specific cause of the arrest is necessary, in order to treat the condition promptly and appropriately.
Is it easy to get pregnant with endometritis?
If it is confirmed that there is localized inflammation of the endometrium, under normal circumstances, it will still have some impact on pregnancy. After confirming endometritis, it is necessary to actively conduct examinations and symptomatic treatment. If it causes changes in the menstrual cycle, or persistent lower abdominal pain, accompanied by an increase in vaginal secretions, it is necessary to timely use broad-spectrum antibiotics for symptomatic treatment. It is also necessary to use some local suppositories inside the vagina for combined treatment to alleviate the symptoms effectively. Generally, it is better to start actively preparing for pregnancy after the recovery from endometritis.
What should be done about postpartum urinary incontinence in women?
Generally, women are prone to urinary incontinence after childbirth. Normally, due to the significant increase in uterine pressure during childbirth, which compresses the bladder, or damage to the anterior vaginal wall, postpartum urinary incontinence can occur. If urinary incontinence is confirmed, it is still necessary to observe temporarily. Postpartum urinary incontinence can generally last three to six months, and the bladder will recover to its pre-pregnancy state. During this period, it is best to wear thicker clothes and trousers, use a pad, and maintain cleanliness of the vulva. If the symptoms of urinary incontinence cannot be alleviated, it is still necessary to perform pelvic floor exercises or undergo symptomatic surgical treatment.
How to switch from preterm formula to regular formula?
Generally, in the early stages of preterm infants, it is still necessary to feed them promptly with preterm formula. Since the gastrointestinal function of preterm infants is relatively weak, they may not be able to digest and absorb some full-term formula, which can easily increase the burden on the gastrointestinal tract. If the baby's development is currently good, you can switch to ordinary formula. During the transition between two formula brands, there should first be a gradual shift; you can start by mixing the two formulas, using more preterm formula and less ordinary formula. Gradually switch to the new ordinary formula brand, reducing the amount of preterm formula, allowing the baby to adapt gradually.
Can premature rupture of membranes lead to a vaginal delivery?
If symptoms of premature rupture of membranes occur, further examination is still necessary to determine the specific mode of delivery. If there is only an early rupture of the membranes without systemic infectious symptoms, a comprehensive assessment of the development size of the fetus inside the uterine cavity, the specific amount of amniotic fluid, and the condition of the birth canal should be conducted. If there are no abnormalities, it is possible to attempt vaginal delivery. During the trial of labor, it is also necessary to closely monitor the changes in the amniotic fluid and the condition of the fetal heart rate. If any abnormalities occur, there is also the possibility of switching to an emergency cesarean section at any time.
Causes of Premature Birth
Generally, there are many reasons that can cause symptoms of preterm birth. Normally, due to reasons such as cervical dilation, or the occurrence of regular abdominal pain, preterm labor may be induced. In some cases, long-term vaginal inflammatory conditions can lead to premature rupture of membranes, or cervical canal dilation may also cause preterm birth. If symptoms of preterm birth occur at present, it is necessary to actively suppress contractions, protect the fetus, and provide symptomatic treatment. If this is ineffective, it is advisable to actively prepare for rescuing and caring for the newborn.
What should I do if endometritis keeps recurring?
Generally, endometritis is a common gynecological inflammatory disease. Treatment of inflammation typically requires a lengthy recovery process, and in some cases, chronic inflammation of the endometrium may occur due to long-term bacterial infections. Once endometritis is diagnosed, it is advised to pursue active treatment, usually involving systemic antibiotics to control the infection, combined with local treatment. Local treatment includes cleaning the vulva and using vaginal suppositories, and these combined treatments often yield noticeable results.
Does premature birth hypoxia affect intelligence?
Under normal circumstances, if a preterm infant suffers from hypoxia, severe cases may have an impact on future intelligence. However, if preterm infants experience hypoxia after childbirth, they generally receive oxygen therapy, which also affects their intelligence to some extent. Therefore, in daily life, it is still necessary to strengthen the care of preterm infants, adjust their diet, and after oxygenation, appropriately supplement DHA and other substances that can promote brain development and effectively improve issues such as delayed brain development in infants and toddlers.
Do frequent Braxton Hicks contractions lead to preterm labor?
In the late stages of pregnancy, there may be occurrences of Braxton Hicks contractions, generally happening at a low frequency of about two to three times per day. Some individuals experience these false contractions primarily at night, which disappear during the day. This is considered normal physiological behavior in the late stages of pregnancy. If there is a frequent occurrence of Braxton Hicks contractions, it may also lead to the dilation of the cervix, causing premature labor. Therefore, if this situation arises and the fetus is not yet full-term, it is recommended to go to the hospital for an examination in a timely manner, and symptomatic treatment to maintain the pregnancy may be necessary.
What does it feel like when the cervix opens prematurely?
Under normal circumstances, if preterm labor is already confirmed and the cervix is fully dilated, it is generally considered inevitable and preparations for the active resuscitation of the newborn should be made. Typically, if the cervix is fully dilated due to preterm labor, regular abdominal pain may first occur along with discomfort in the lower abdomen, indicating strong uterine contractions. After the uterus contracts, this leads to continuous dilation of the cervix until it expands to ten centimeters. Once fully dilated, the next steps in treatment are carried out, closely monitoring the condition of the premature infant after birth and providing symptomatic medication if necessary.