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Liu Wei Jie
Obstetrics
About me
Graduated from Hebei Medical University, deputy chief physician, popular science author. Enthusiastic about public welfare popular science. With more than ten years of clinical work, I have performed numerous obstetrics and gynecology surgeries. I hope to use my years of clinical experience to solve everyone's medical doubts.
Proficient in diseases
Skilled in diagnosing complex ectopic pregnancies, embryonic arrest, prenatal nutrition, gestational diabetes, embryonic arrest, miscarriage, prenatal examinations, prenatal screening, non-invasive testing, Down syndrome screening, placenta previa, placental abruption, cesarean section, vaginal delivery, vaginitis, pelvic inflammatory disease, uterine fibroids, ovarian cysts, HPV infection, colposcopy, cervical erosion, cervical cin, and molar pregnancy, as well as their diagnosis and treatment.
Voices
How does iron-deficiency anemia affect pregnant women?
First of all, iron deficiency anemia during pregnancy is very common, and it is also a very common complication we encounter in prenatal screening. The reason for anemia during pregnancy is due to the increased demand for iron as the fetus grows, and maternal intake is insufficient. Iron deficiency anemia can lead to severe bleeding during childbirth, and if a cesarean section is performed, it may adversely affect the healing of the incision. Furthermore, iron deficiency anemia may affect fetal intelligence. Therefore, it is crucial to ensure proper prenatal screening during pregnancy to prevent severe anemia. If anemia is severe, blood transfusion treatment may be necessary during childbirth or cesarean delivery.
How long after a natural miscarriage can one become pregnant?
Miscarriage naturally refers to the process where the embryo is spontaneously lost from the mother's body, this is called a natural miscarriage. After a natural miscarriage, the medical suggestion is to wait for six months before getting pregnant again; however, the current view is that waiting at least three months is also acceptable. In our clinical cases, there are instances where pregnancy occurs one month after a natural miscarriage. If there are no symptoms of physical discomfort after the miscarriage, and the follow-up ultrasound examination is normal, in fact, there is no specific mandated period to wait before becoming pregnant again after a natural miscarriage. Nevertheless, waiting at least three months primarily allows the endometrium sufficient time to fully recover.
How long does it take for the bleeding from a natural miscarriage to stop?
If it is a natural miscarriage, and the embryo is expelled completely, there is generally bleeding for about three days, accompanied by a small amount of bleeding or a small amount of brown discharge. If the bleeding lasts for a long time, about three days, and the amount of bleeding is significant, it is considered possible that there might be remnants or that the uterus is not contracting properly. In such cases, it is first necessary to undergo an ultrasound examination. An ultrasound can determine the issue of remnants and how much is left. If the ultrasound shows remnants greater than 1.0 cm, surgical cleaning of the uterus is required; if less than 1.0 cm, it can be treated with medication. Then, another ultrasound will be needed to check the recovery of the uterus.
Is calcium supplementation effective for postpartum hair loss?
Does calcium supplementation help with postpartum hair loss? Some people may experience hair loss after childbirth. Postpartum hair loss is due to significant fluctuations in estrogen levels, namely the rapid decrease in estrogen, which can lead to hair loss. It may also be caused by breastfeeding issues or poor sleep. Hair loss is not greatly related to calcium deficiency. However, calcium supplements are still needed during breastfeeding because both the mother and the infant have a high demand for calcium. Therefore, while calcium supplementation does not greatly help with postpartum hair loss, it is necessary during the postpartum period due to the needs of the baby and the mother.
Can you get pregnant with vaginitis?
Vaginitis is a very common gynecological issue among women, occurring countless times in every woman's life. Thus, the ability to get pregnant while having vaginitis indicates that there are no major issues with your body. Vaginitis itself does not affect the development of the fetus, however, during childbirth, it may lead to infections in the fetus. For instance, fungal vaginitis may cause oral thrush in children, and bacterial vaginitis may lead to infections of the uterine lining. In other words, vaginitis could potentially trigger infections during childbirth, affecting both the mother and the fetus. Throughout the pregnancy, it does not cause developmental deformities in the fetus.
Ectopic pregnancy abdominal pain symptoms
Let's first discuss what an ectopic pregnancy is. An ectopic pregnancy occurs when the fertilized egg implants outside of the uterus, such as in any part of the fallopian tubes, the corners of the uterus, or the abdominal cavity. Due to the different implantation sites, the symptoms of abdominal pain vary. A very small number of people feel no symptoms at all, experiencing only vaginal bleeding. Additionally, some people may feel severe discomfort in the abdomen. The last type involves severe, intense abdominal pain, resembling a tearing sensation, accompanied by nausea, vomiting, and hypotension shock.
Does an ectopic pregnancy hurt?
Ectopic pregnancy is an abnormal pregnancy experience. It is defined as the implantation and development of pregnancy tissue outside of the uterus, often leading to rupture and bleeding. Thus, over 95% of ectopic pregnancies result in pain. The majority of ectopic pregnancies occur in the fallopian tubes, where the pregnancy tissue develops and the tube may rupture. However, some individuals may not be sensitive to pain, and if the ectopic pregnancy occurs at the fimbrial end of the fallopian tube, they might not experience pain, though they may still feel discomfort in the lower abdomen. Diagnosis of an ectopic pregnancy requires a combination of ultrasound, progesterone, HCG levels, and the presence or absence of abdominal pain or bleeding.
How long do I need to rest after a natural miscarriage?
The duration of rest required after a miscarriage depends on the duration of pregnancy. For instance, for miscarriages within the first 3 months of pregnancy, it is recommended to rest for at least 2 weeks. Additionally, avoid sharing a bed for a month. If the miscarriage occurs between 3 to 28 weeks of pregnancy, follow the normal postpartum rest period of about 42 days, as it takes this time for the body to fully recover. Besides resting, it is crucial to avoid catching cold after a miscarriage, abstain from sharing a bed for a month, and take appropriate contraceptive measures or prepare for pregnancy accordingly.
Is the chance of getting pregnant with polycystic ovary syndrome high?
Polycystic ovary syndrome (PCOS) manifests as absent or irregular menstrual periods, and is also associated with obesity, hirsutism, insulin metabolism disorders, as well as elevated blood sugar and cholesterol levels. The mechanism behind the development of PCOS is unclear but may be related to genetic factors, diet, and lack of exercise. Due to the irregular menstrual cycles, which stem from anovulation (lack of ovulation), the likelihood of pregnancy decreases. It is challenging to calculate the specific probability of pregnancy, but overall, the chances of becoming pregnant with PCOS are very low, although there is still a possibility. Treatment for PCOS generally starts with lifestyle changes, such as avoiding staying up late and refraining from eating sweets. Weight management is also crucial; weight gain is recommended for those who are underweight, whereas weight loss is advised for those who are overweight, along with appropriate exercise.
Does the eugenic five-item check include syphilis?
Does the eugenic check for syphilis? Eugenic examination checks for toxoplasmosis, rubella virus, cytomegalovirus, and other mycoplasma, chlamydia, or parvovirus infections. These are generally diseases transmitted through the respiratory tract, and if infection occurs, they mainly affect the development of the fetus's brain or eyes, as well as the development of the liver and other internal organs. The test for syphilis, which is a type of sexually transmitted disease, belongs to infectious diseases. The eugenic check does not necessarily concern infectious diseases; it can be contracted through respiratory infection or by consuming contaminated food. However, syphilis is very specific in its transmission, which occurs through blood, mother-to-child transmission, or sexual contact. These two are not the same concept.