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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
Do ectopic pregnancies require surgery?
In general, if an ectopic pregnancy is confirmed, further symptomatic examinations and treatments are necessary. Normally, it is recommended to determine the specific location of the ectopic pregnancy and any changes in vital signs under ultrasound examination. If the patient's vital signs are stable, the ectopic site has not ruptured, and there is no intraperitoneal bleeding, conservative medical treatment can be temporarily administered. If severe intraperitoneal bleeding has occurred, accompanied by changes in vital signs, it is advisable to promptly proceed with surgical treatment.
How is an ectopic pregnancy treated?
If symptoms of an ectopic pregnancy are confirmed, further examinations are necessary before symptomatic treatment can be administered. Normally, it is essential to first determine the specific status of the ectopic pregnancy, whether there is any rupture, whether the patient's vital signs are stable, and whether there is significant internal bleeding in the abdominal cavity. If the symptoms are not severe and there is no rupture, localized conservative medicinal treatment can be administered. However, if the symptoms are severe, accompanied by hemorrhagic shock or substantial internal bleeding in the abdomen, emergency surgical treatment is required.
How should pregnant women supplement for anemia?
Under normal circumstances, if anemia symptoms are confirmed after pregnancy, further examination is still necessary for active symptomatic treatment. Normally, the specific cause of the anemia can be identified, whether it is due to iron deficiency, folate deficiency, or B12 deficiency. According to the specific cause of anemia, oral medication can be administered for symptomatic treatment, which can effectively alleviate the symptoms. After taking oral medication, it is also necessary to regularly check the rise in hemoglobin levels to properly manage the condition.
Can I have a bowel movement if my membranes rupture early?
According to the current situation, if premature rupture of membranes has occurred, it is first necessary to clarify whether the amount of vaginal discharge is within the normal range. If a large amount of amniotic fluid flows out of the vagina after activity, try to minimize movement as much as possible. Generally, it is necessary to adopt a left lateral recumbent position with the buttocks elevated, to reduce the outflow of amniotic fluid. It is also necessary to timely use antibiotics to control infection, assess the current progress of labor and the condition of the fetus, and decide on the specific mode of delivery. Normally, bowel movements can be performed, but try to minimize the number of times getting out of bed to avoid the continuous outflow of amniotic fluid or the occurrence of umbilical cord prolapse.
Can you walk with premature rupture of membranes?
In general, if premature rupture of membranes has already occurred, it is normally necessary to rest, avoiding standing and walking. Premature rupture of membranes mainly refers to the situation where the water breaks before the onset of labor pains. This means that the membranes have ruptured and amniotic fluid may leak out at any time. Standing or walking can easily lead to continuous leakage of amniotic fluid, resulting in a reduction of the fluid or prolapse of the umbilical cord due to the leakage. If the prolapsed umbilical cord causes compressive symptoms, the fetus can quickly die within the uterine cavity. Therefore, after confirming premature rupture of membranes, it is necessary to rest in bed with the buttocks elevated and closely monitor specific fetal heart changes.
Is the risk of infection high with premature rupture of membranes?
In general, after premature rupture of membranes, there is still a significant risk of intrauterine infection. Normally, after premature rupture of membranes, it is necessary to clearly determine whether the development size of the embryo inside the uterine cavity is mature, as well as the specific amount of premature rupture of membranes and vaginal discharge. If the rupture of membranes is severe and there is a large amount of amniotic fluid flowing out of the vagina, it generally may lead to a reduction in amniotic fluid and significantly increase the risk of infection. After confirming premature rupture of membranes, it is necessary to actively use antibiotics for symptomatic treatment to prevent infections, promote fetal lung maturity inside the uterine cavity, and reduce the risk of delayed lung function development in the fetus after childbirth.
What should I do if a premature baby has poor gastrointestinal health?
In the process of premature birth, due to the incomplete development of various organs and the nervous system, a series of complications may occur in various systems. If there is currently gastrointestinal discomfort after premature birth, it still needs to be adjusted in many aspects. Firstly, during the feeding process, it is recommended to pay attention to the feeding scale of the formula, and it is also necessary to maintain the cleanliness of bottle feeding. If frequent diarrhea and other gastrointestinal conditions occur, some probiotics for the intestines can be applied for adjustment, or some antidiarrheal medications can be used for symptomatic treatment.
Do you need to have an abortion if the embryo stops developing?
During prenatal check-ups, if it is indicated that the embryo has ceased to develop, it is necessary to treat the condition promptly. Normally, after the embryo has stopped developing, a detailed examination of the body is required to determine the current health status and to exclude potential complications such as coagulation dysfunction caused by the failed pregnancy. If everything is within the normal range, it is still recommended to promptly proceed with an abortion surgery to completely remove the embryo from the body to prevent long-term retention of embryonic tissue in the uterine cavity, which could lead to infections. After the abortion, it is also necessary to closely monitor the recovery of the uterine appendages and, if necessary, provide anti-inflammatory treatment as appropriate.