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Du Rui Xia
Obstetrics
About me
Deputy Chief Physician, working at Anyang People's Hospital.
Proficient in diseases
Vaginitis, pelvic inflammatory disease, ectopic pregnancy, cervical erosion, uterine fibroids, polycystic ovary syndrome, are common gynecological diseases.
Voices
What department should I go to for postpartum breast pain?
Postpartum breast pain usually indicates acute mastitis, and one can go to the general surgery department of a hospital for treatment. Postpartum mastitis often occurs because the breast ducts are blocked by breast milk that isn't properly expelled, which can also cause breast lumps. In such cases, it is crucial to express the breast milk to facilitate the clearing of the breast ducts. The changes in a woman's breasts after childbirth are very noticeable. The breasts enlarge and produce milk. If there is difficulty in expelling milk, this can lead to breast pain and even the formation of lumps, necessitating a visit to the surgical department of the hospital for examination and treatment.
Why are there still pregnancy reactions when the embryo has ceased to develop?
Women experience various pregnancy reactions to different degrees after conceiving, such as nausea, vomiting, loss of appetite, and fatigue. These are primarily caused by hormonal changes in the body following pregnancy. When there is a case of embryonic arrest, the hormones in the body will gradually decrease, and the pregnancy reactions will also gradually weaken. Some may also experience abdominal pain and vaginal bleeding. Therefore, after embryonic arrest occurs, some pregnant women may exhibit early signs, such as the disappearance of breast tenderness and vaginal bleeding, along with a reduction in pregnancy reactions. These signs indicate that timely treatment is necessary.
Will a threatened miscarriage lead to a natural miscarriage if not treated to preserve the pregnancy?
During threatened miscarriage, some may end up having a miscarriage. For example, if active treatment for pregnancy preservation isn't administered in time during a threatened miscarriage, increased bleeding and abdominal pain may occur, which can easily lead to miscarriage. However, some cases of threatened miscarriage are relatively mild and may gradually reduce bleeding and eliminate abdominal pain through active pregnancy preservation treatment, rest, or enhanced nursing, marking successful pregnancy preservation. In cases of threatened miscarriage, if one decides not to keep the baby, the options of medication-induced abortion or surgical abortion are available to terminate the pregnancy as soon as possible, as delaying could potentially affect women's health.
What should I do if I have postpartum anal fissures that bleed and cause pain?
When experiencing postpartum anal fissures, bleeding, and pain, it is important to use some medications locally to relieve pain and to promote smooth bowel movements. Traditional Chinese Medicine treatments can also be used for sitz baths or fumigation of the anal area. After the sitz bath or fumigation, some traditional Chinese topical medications can be applied; these are generally safe and do not affect breastfeeding women. Moreover, in daily life, it is crucial to drink plenty of water, engage in moderate activities, avoid lying in bed for long periods, and avoid consuming cold, spicy, or irritating foods. Instead, consume plenty of fresh vegetables and fruits to facilitate gastrointestinal motility.
How many weeks early can a premature baby survive?
In clinical practice, infants born after 28 weeks but before 37 weeks of pregnancy are considered preterm. The survival rate of these babies varies; the earlier the birth, the lower the likelihood of survival. Clinically, babies born at 23 weeks have a 17% chance of survival; those born at 24 weeks have a 39% survival rate; at 25 weeks, the rate is 50%; at 26 weeks, it increases to 80%; and at 27 weeks, it rises to about 90%. Babies born between 28 and 31 weeks have an even higher survival rate, approximately 95%; and from 32 to 33 weeks, the survival chances are comparable to those of full-term babies. Records indicate that the earliest preterm baby to survive was born at 21 weeks and five days, in Canada.
Can postpartum hair loss grow back?
Postpartum hair loss can occur after childbirth, but hair can regrow after some time. The main reason for postpartum hair loss is the hormonal changes that occur after giving birth. Typically, the hair loss will naturally stop after about six months. It's important to pay attention to enhancing nutrition, eating foods rich in vitamins and trace elements, and ensuring adequate sleep to prevent emotional lows. Additionally, use gentle shampoos and avoid those that are too acidic or too alkaline. It's also crucial to maintain stable emotions and provide careful care for the baby.
Why is there still morning sickness when the embryo has stopped developing?
After a missed miscarriage occurs, the level of human chorionic gonadotropin (HCG) in the body does not immediately drop to normal levels, so symptoms of morning sickness may still occur. As the hormone levels decrease gradually following the embryonic demise, these symptoms of morning sickness will also gradually ease and even disappear. Therefore, it is important to address a missed miscarriage promptly. This can be managed through surgical abortion or medication-induced abortion to avoid prolonged untreated cases, which could lead to gynecological inflammation or abnormalities in blood coagulation functions.
Is natural miscarriage harmful?
During a miscarriage, a woman's body can suffer some harm, with the most dangerous issue being the potential for gynecological infections after the miscarriage. This includes conditions such as endometritis, salpingitis, and oophoritis, which can spread to the pelvic area and cause pelvic inflammatory disease. If these inflammations are not actively treated, they can lead to pelvic adhesions, which may impact future pregnancies. Additionally, during a miscarriage, if there is incomplete miscarriage and not all tissue is expelled, it can lead to severe bleeding, and even shock, posing a risk to the woman's life. Therefore, close observation of the body's recovery after a miscarriage is essential.
How long does it take for endometritis to heal?
Endometritis is a common gynecological infection in clinical settings, mainly caused by ascending bacterial infection due to weakened immunity. To determine if there is endometritis, it is necessary to examine the cervical secretions. Additionally, patient's daily symptoms such as abdominal pain, increased vaginal discharge, and blood-tinged discharge can also help in the diagnosis. Treatment involves the use of appropriate antibiotics, generally curing the condition within one to two weeks. Sexual activities should be suspended during treatment. Furthermore, after completing a course of treatment, a follow-up visit to the hospital is required to check the effectiveness of the medication. (Please follow medical advice when using medication.)
Is placenta previa likely to lead to preterm birth?
Placenta previa refers to the condition where, after 28 weeks of pregnancy, the placenta reaches or covers the internal opening of the cervix. There are multiple causes for placenta previa, and its occurrence does not necessarily lead to preterm birth. Clinically, placenta previa mainly results in irregular vaginal bleeding, which increases the risk of preterm birth. Therefore, it is recommended that regular prenatal visits be conducted at a hospital when placenta previa occurs. Treatment measures should be taken based on the specific condition of the placenta, and treatment to preserve the pregnancy may be necessary at times. In cases of placenta previa, it is advisable to rest in bed as much as possible and avoid strenuous activities.