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Liu Wen Li
Obstetrics
About me
Liu Wenli, female, master's degree student, associate chief physician, graduated from the Department of Obstetrics and Gynecology of Hebei Medical University, currently working at the Second Affiliated Hospital of Xingtai Medical College in the Department of Obstetrics and Gynecology. Has attended and exchanged at conferences multiple times, and has published several papers in national core journals. One personal publication: "Clinical observation of the alleviation of cisplatin chemotherapy side effects by garlicin injection" published in the August 2008 issue of the 24th volume of "Chinese Journal of Misdiagnosis".
Proficient in diseases
Specializes in the diagnosis and treatment of common and frequent diseases in obstetrics and gynecology, as well as gynecologic tumors, endocrine disorders, and minimally invasive procedures.
Voices
The differences between gestational diabetes and diabetes
Gestational diabetes is a condition in which diabetes does not exist before pregnancy, but occurs after becoming pregnant. This is referred to as gestational diabetes. Diabetes refers to cases where the condition existed before pregnancy. Of course, sometimes it's not easy to distinguish between gestational diabetes and pre-existing diabetes, such as when diabetes exists before pregnancy but goes undiagnosed and is only discovered after becoming pregnant. In such cases, it is difficult to determine whether it is gestational diabetes or diabetes. In this situation, it is necessary to conduct further tests after childbirth; a 75g glucose screening test should be taken 6 weeks postpartum. If the results are still abnormal, it is considered diabetes.
What to do if you catch a cold in early pregnancy?
Catching a cold during early pregnancy is a rather tricky issue, as the viral infection can also affect the child's development. However, how to handle it depends on the symptoms of the cold. If it's just a simple cold, a sore throat, or nasal congestion, then it might be relieved by drinking more water. If symptoms cannot be alleviated with more water and rest, or if there is fever and severe body aches, then it is necessary to seek medical attention. Besides checking for the flu, under the guidance of a doctor, taking some medications is completely fine.
How to check for an ectopic pregnancy?
The examination for an ectopic pregnancy is divided into two steps, the first step is to confirm whether one is pregnant. Then, pregnancy can be detected either by a pregnancy test strip or the most accurate method, which is through a blood test. Once pregnancy is confirmed, the second step involves an ultrasound examination. A blood test only indicates whether or not one is pregnant, but an ultrasound can specifically determine whether it is an intrauterine pregnancy or an ectopic pregnancy. If it is an intrauterine pregnancy, the pregnancy can simply continue. If it is an ectopic pregnancy, surgical or medical treatment is necessary. On an ultrasound, an ectopic pregnancy is indicated by the absence of a gestational sac within the uterine cavity, but a gestational sac or mass is found outside the uterus, which confirms the diagnosis of an ectopic pregnancy.
Is pregnancy hypertension dangerous?
Pregnancy-induced hypertension is a relatively dangerous disease because it has a significant impact on both the pregnant woman and the fetus. Firstly, it can cause the pregnant woman to have proteinuria, edema, and high blood pressure. If the blood pressure rises further, it may lead to cerebral hemorrhage, brain herniation, convulsions, etc. Additionally, if there is a lot of proteinuria, the whole body can become swollen, and as the protein is lost with the urine, the fetus's growth and development can be restricted, leading to reduced weight. Furthermore, the fetus may also experience hypoxia, changes in fetal heart rate, and intrauterine fetal demise.
Are the twins premature?
The likelihood of premature birth is higher in twins than in singletons, but this does not mean that all twins will be born prematurely. In the case of twins, there are two children in the uterus. Generally, the combined weight of two children is more than that of one. Additionally, there might be more amniotic fluid and a larger placental area. Therefore, the contents of the uterus occupy more volume, and when the uterus is stretched to a certain extent, its sensitivity increases. As a result, some may experience contractions and give birth prematurely before reaching 37 weeks of pregnancy.
What are the symptoms of gestational diabetes?
The symptoms of gestational diabetes vary depending on the severity of the disease. Most cases of gestational diabetes are symptomless and are only detected when high blood sugar levels are found during diabetes screening. Therefore, it is recommended to perform a 75g glucose screening during pregnancy, at the very least, fasting blood sugar should also be checked because most diabetic patients do not notice any symptoms on their own. If the diabetes is more severe, the patient may experience symptoms such as increased thirst, increased appetite, weight loss, and frequent urination.
What is postpartum hemorrhage?
Postpartum, the endometrium in the uterus sheds, and the lochia is expelled. Typically, this blood flow is slightly heavier than a menstrual period. If there are blood clots, it indicates a higher amount of bleeding, or that the blood is not moving much. If the blood accumulates inside the uterus or vagina for too long without being expelled, it can form clots. The presence of small blood clots is not alarming, but if there are many clots, it is advisable to see a doctor to check if poor uterine contraction is the cause. An ultrasound can determine if there are any residuals. If poor uterine contractions and residuals are ruled out, increasing activity and promptly expelling the blood can be beneficial.
What should a pregnant woman do if she has a cold and feels excessive internal heat?
What should pregnant women do after catching a cold and feeling excessive internal heat? Since it is inconvenient for pregnant women to take medicine, they should try to relieve the symptoms by drinking more water and urinating more. In addition to drinking plain water, pear juice can be consumed by boiling pears with some rock sugar, which can effectively alleviate the symptoms of excessive internal heat. Additionally, mung bean soup with some rock sugar can also be a good beverage to reduce internal heat. If these treatments are not effective, it is important to seek medical attention promptly.
Can premature rupture of membranes be repaired?
The amniotic sac, once ruptured, cannot be repaired. It is a membrane that envelops the fetus and the amniotic fluid, providing protection against microbial invasion from the outside and preventing infection of the fetus. Once ruptured, not only can the amniotic fluid leak, leading to a decrease in its volume, but it can also lead to infections and the possibility of umbilical cord prolapse. Typically, rupture of the amniotic sac naturally leads to contractions. Therefore, if it is not yet full-term, it is important to prevent the rupture of the amniotic sac.
How to induce lactation in premature births
The lactation induction for premature births is actually the same as for full-term births. First and foremost, it starts with the individual. Through diet, the amount of breast milk can be increased, for example, by consuming more soups, such as rice porridge, noodle soup, milk, and soy milk. Since 90% of breast milk is water, replenishing water is essential for sufficient milk supply. Additionally, it is important to keep a pleasant mood. The mother should be happy and have enough sleep, as these factors can help increase milk production. Moreover, it is important to let the baby nurse more frequently and intensively, because the act of breastfeeding stimulates the breasts as a reflex. The more frequently and the more the baby nurses, the more milk is produced through this reflex. What should one do if the baby is premature and in pediatrics? In such cases, it's necessary to pump milk every 3 hours. Pumping itself also creates stimulation that promotes milk secretion.