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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
Embryonic arrest generally occurs at what time?
First, let's discuss what embryonic arrest means. There are two scenarios of embryonic arrest. The first scenario is where the embryo initially does not develop well, leading to the cessation of development in the very early stages of pregnancy. The second scenario occurs when the embryo initially develops well, but after a period, embryonic arrest happens. Therefore, embryonic arrest generally occurs during early pregnancy but can also occur later, around the middle of early pregnancy. It can happen at any time, but it is most commonly identified after 8 weeks. However, some cases involve the presence of an embryonic bud and heart tube, and embryonic arrest can still occur even at 10 or 11 weeks.
What should pregnant women do about anemia?
We often find that anemia in pregnant women is very common during prenatal check-ups. There are three main reasons for anemia. The first reason is iron deficiency anemia, which is due to insufficient intake during pregnancy while the fetus requires a large amount, leading to iron deficiency anemia. The second reason is megaloblastic anemia, which is caused by insufficient intake of vitamin B6 and folic acid, resulting in anemia. Another condition is thalassemia, which is due to a genetic mutation causing anemia. For treatment of anemia, we first need to address the specific cause. If it is iron deficiency anemia, iron supplements are necessary, and the diet should include foods like pork liver and lean meat. If it is megaloblastic anemia, supplementation with folic acid and vitamin B12 is needed. Moreover, for thalassemia, mild cases can be observed, while severe cases may require a small amount of blood transfusion treatment.
The most common cause of postpartum hemorrhage
Postpartum hemorrhage is divided into two scenarios. The first type occurs within 24 hours after childbirth and is seen in four situations. The first is due to inadequate uterine contraction, the second is trauma to the soft birth canal, the third concerns placental factors, and the fourth involves coagulation disorders. The second type of hemorrhage is late postpartum bleeding, which occurs one to two months after childbirth. This can be associated with postpartum infections, slow recovery of physical condition postpartum, retained products, and poor healing of cesarean section scars.
Is it easy to get pregnant with a teratoma?
First, what is a teratoma? Teratoma is a common ovarian tumor in gynecology, with a very high incidence rate. It is generally benign and the occurrence of teratomas is related to congenital genetic factors. Generally, if a teratoma is found, the first step is to check the size of the teratoma. If it is smaller than five centimeters, tumor series tests are normal, and there is no other discomfort, observation can be initiated. If the teratoma is relatively large, larger than five centimeters, surgical intervention is required. Teratomas themselves are not related to pregnancy, but because teratomas can lead to ovarian cyst torsion, after torsion occurs, one side of the adnexa may need to be removed, which could reduce fertility.
Ovarian teratoma grows during pregnancy
Will ovarian dermoid cysts grow larger after pregnancy? According to clinical experience, there is no correlation between ovarian dermoid cysts and pregnancy status. If there was a dermoid cyst before pregnancy, it is sufficient to monitor its changes during pregnancy check-ups. Generally, ovarian dermoid cysts do not grow larger after pregnancy. However, it is important to note that ovarian dermoid cysts are prone to torsion and rupture. Therefore, patients with ovarian dermoid cysts should be attentive to any abdominal pain during pregnancy. If there is no abdominal pain, generally there should not be a major issue.