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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
Is it easy to get pregnant after a natural miscarriage?
When a natural miscarriage occurs, it is generally not easy to conceive. There are many reasons for natural miscarriage, one common cause is the insufficiency of corpus luteum function in women, leading to low levels of pregnancy hormones in the body, which can easily result in spontaneous miscarriage. Additionally, whether a woman has some gynecological diseases, such as uterine fibroids, endometritis, endometrial displacement, septate uterus, bicornuate uterus, unicornuate uterus, and other uterine issues, can also affect pregnancy and lead to natural miscarriage. Moreover, if the fertilized egg has chromosomal abnormalities during pregnancy, it can also cause a natural miscarriage. Therefore, when women prepare for the next pregnancy, they need to go to the hospital for relevant examinations. After identifying and actively correcting some factors affecting pregnancy, they can then try to conceive again.
Can I drink milk tea if I have menstrual cramps?
It is generally not recommended to drink milk tea during menstrual cramps. This is because milk tea contains some caffeine, and drinking caffeine during menstrual cramps can easily induce anxiety and irritability in women, which aggravates the symptoms of menstrual pain. It also consumes some of the energy stored in the body and affects metabolism. Additionally, tea contains tannic acid, and during menstruation, when a woman's blood hemoglobin levels are low, drinking milk tea can hinder the absorption of iron from food, which can exacerbate anemia. Furthermore, some dairy products in milk tea, such as cream, cheese, and cultured milk, can disrupt the balance of trace elements in the body and are factors that aggravate menstrual cramps. Therefore, it is not advised to drink milk tea during menstrual cramps.
Is the incidence of postpartum depression high?
The incidence of postpartum depression is around 15%-30%, and it is a common psychiatric disorder among women after childbirth. This condition arises due to the change in social roles for women postpartum, as well as changes in hormones, psychological stress, emotional levels, and attention from family members, bringing a series of physical, emotional, and psychological changes. Typically, postpartum depression occurs within six weeks of childbirth and can last throughout the entire postpartum period, with some cases lasting even longer, up until the child starts school.
What is the best treatment for ectopic pregnancy?
In cases where an ectopic pregnancy is diagnosed, timely treatment is necessary. Generally, around 50 days into the pregnancy, there is a possibility of the ectopic pregnancy rupturing, so early treatment is crucial. If it is discovered before rupture, conservative treatment can be an option. However, if an ectopic rupture has already occurred, surgical treatment is required. The type of surgery depends on the specific situation; women who wish to preserve their fertility may undergo a salpingostomy, whereas those without fertility needs may undergo salpingectomy.
Can you still have a natural birth if the membranes rupture prematurely?
Whether a natural delivery is possible after premature rupture of membranes depends on the condition of the pregnant woman and the fetus. If the woman's pelvis is normal and there are no signs of intrauterine hypoxia in the baby, then a natural delivery can be conducted. If, during natural delivery, the baby shows signs of hypoxia or the woman's pelvic conditions are not favorable, a cesarean section should be performed promptly after the premature rupture of membranes. If delivery cannot be achieved naturally within 24 hours after the premature rupture of membranes, it is crucial to prevent infection.
Does endometritis cause abdominal pain?
When women suffer from endometritis, they often experience abdominal pain. Endometritis is generally caused by the disruption of the protective function of the female reproductive tract during childbirth or uterine cavity operations, leading to the invasion of pathogens into the reproductive tract and resulting in inflammation of the endometrial lining. Clinically, endometritis is characterized by congestive necrosis of the endometrial lining, with a large amount of purulent secretions in the vagina accompanied by an odor. Therefore, endometritis often involves toe bone pain under these circumstances, and it is important to promptly visit a hospital for examination and treatment.
Can ultrasound detect nuchal cord?
During the color ultrasound examination, it is possible to detect whether the fetus is experiencing umbilical cord entanglement around the neck. If the ultrasound shows a V-shaped echo around the fetal neck, it generally indicates that the umbilical cord is wrapped around once. If the echo is W-shaped, then the cord is wrapped twice. If the cord is wrapped multiple times, the echo will appear serrated. Additionally, the color ultrasound can also assess the blood flow around the umbilicus to determine the presence of umbilical cord entanglement. If cord entanglement is detected, it is recommended to have regular ultrasound check-ups at the hospital to monitor the fetus's safety in the uterus.
Can you exercise with the umbilical cord around the neck?
When a nuchal cord occurs, one should not have too much psychological burden, as it is a fairly common situation. The prognosis should be determined based on the specific circumstances of the nuchal cord, including the number of loops and the tightness of the loops. If the cord wraps around once or if there is a loose knot, appropriate activities can be undertaken. However, if the wrapping is tight, or if there are multiple loops, one should regularly visit the hospital for prenatal check-ups to understand the safety of the fetus in the womb. In such cases, it is necessary to reduce activities to avoid increasing the risk of nuchal cord complications, which could cause fetal hypoxia or even suffocation.
Does endometritis affect pregnancy?
When endometritis occurs, it affects a woman's ability to become pregnant normally. This is because endometritis causes abnormalities in a woman's menstrual cycle and vaginal discharge. If the endometrium is not actively treated, it can easily progress to chronic endometritis. Recurrent episodes can lead to adhesions, contractions, and narrowing of the uterine cavity, all of which can impact pregnancy. Even if fertilization occurs between the sperm and egg, forming a zygote, if the inflammation persists and is not well managed, it can also easily lead to miscarriage. Therefore, it is crucial to actively treat endometritis when it occurs.
Can I walk for an hour after meals if the umbilical cord is wrapped around the neck?
In cases where there is umbilical cord entanglement around the neck, as long as the baby's fetal heart rate and fetal movement checks are normal, the mother can normally go for a walk after meals. This condition will not affect the fetus. It is important to regularly visit the hospital for fetal heart monitoring and prenatal examinations, pay attention to observing changes in fetal movement inside the womb, and avoid doing overly heavy or intense exercises. If any abnormalities in fetal movement or heart rate are observed, it is necessary to go to the hospital for examination. When needed, oxygen intake and treatments to preserve the pregnancy might be required.