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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
Will vulvar lichen sclerosus affect pregnancy?
Vulvar lichen sclerosus is mainly caused by long-term infection and inflammatory stimulation in the perineal area, leading to changes in the local skin. It generally does not greatly affect pregnancy, and normal conception is possible. However, during pregnancy, it is important to maintain local cleanliness and hygiene, and try to avoid using medication for treatment. If treatment is needed, it must be carried out under the guidance of a doctor, using medication that has minimal impact on the baby. It is necessary to wash the vulva with clean water daily, and it’s important to enhance the body's immune resistance, strengthen nutrition, and promote the recovery of skin lesions.
Can premature birth be natural delivery?
Whether a vaginal delivery is possible in the case of preterm labor depends on the condition of the pregnant woman and the fetus, including the woman's birth canal, labor strength, the size and position of the fetus, among other factors. Generally, during a medical visit, a doctor will measure the woman's pelvis to roughly determine whether vaginal delivery is feasible. Women who experience preterm labor should go to the hospital for timely medical care and choose a hospital equipped for emergency services. If preterm delivery occurs, the baby's respiratory function may be relatively weak, necessitating the use of special equipment to assist breathing.
Can nuchal cord be corrected by lying prone?
Nuchal cord refers to a condition during pregnancy where the umbilical cord wraps around the fetus's neck or abdomen due to the baby's continuous movements and changes in position. Lying prone cannot correct a nuchal cord because the fetus can move freely within the womb. In some cases, the baby may even resolve the issue through its movements, so there is no need for excessive worry. It is only necessary to visit the hospital regularly for prenatal check-ups, follow the doctor's advice, and monitor the fetal heart rate. Generally, this does not cause any adverse effects.
Causes of Postpartum Depression
The main reasons for postpartum depression occur because, after childbirth, there is a sharp change in hormone levels in women, which often leads to the development of postpartum depression. Additionally, aside from hormonal changes, there are also psychological changes in women after childbirth. Women may struggle with poor adaptation postpartum, as well as a lack of clear role identification and acceptance, leading to contradictory emotions that they find difficult to manage under normal stress. This situation is prone to lead to depression. Moreover, women tend to be physically weaker after childbirth, experiencing fatigue and physical discomfort, which can also affect their emotional state. Furthermore, the lack of care from family members or the husband can make it more likely for postpartum depression to occur.
Is postpartum urticaria contagious?
Postpartum urticaria is not contagious. The occurrence of urticaria is mainly an allergic reaction to various factors such as certain foods, medications, plants, or infections. Clinically, it mainly manifests as dilation and increased permeability of small blood vessels in the skin and mucosa, resulting in skin rashes and redness. However, this condition is related to a decrease in the body's immune strength, making postpartum urticaria more likely to occur after childbirth. Postpartum urticaria has a certain hereditary nature. When postpartum urticaria occurs, one should not scratch it to prevent breaking the skin and causing secondary infections. Avoid using irritating liquids for cleansing or hot water for washing. When itching occurs, topical antipruritic agents can be applied. It is advisable to eat fresh vegetables and fruits in daily life and avoid spicy and irritating foods.
Can you eat bananas with threatened miscarriage?
When threatened miscarriage occurs, it is okay for pregnant women to eat bananas. Bananas contain a good amount of nutrients and are low in sodium. They are a very suitable fruit to eat during pregnancy as they help in preventing mental fatigue, moisturizing the lungs to stop coughing, and preventing constipation during pregnancy. Bananas are also easy to digest and absorb, providing many benefits when consumed during threatened miscarriage.
Can you eat chestnuts with a threatened miscarriage?
When experiencing signs of threatened miscarriage, pregnant women can eat chestnuts in moderation. Chestnuts are very nutritious, containing protein, amino acids, trace elements, and vitamins. These nutrients can enhance a woman's physical resistance and are beneficial for pregnancy maintenance, hence chestnuts can be consumed during a miscarriage. Additionally, it is crucial to rest in bed during a miscarriage and maintain emotional stability without being overly anxious. During this period, sexual activity is strictly forbidden. Attention should be paid to genital hygiene. Dietarily, it is advised to consume foods rich in protein and to avoid raw, spicy, and irritating foods.
Causes of endometritis
Endometritis can be divided into tuberculous endometritis and non-tuberculous endometritis, with the latter being more common in clinical settings. Non-tuberculous endometritis is often caused by various pathogenic infections. It commonly occurs during menstruation, after a miscarriage, or during childbirth due to bacterial infections. For instance, inadequate sterilization during surgery, sexual activity during menstruation, and the retention of placenta or membranes after childbirth can all facilitate ascending infections.
Umbilical cord around the neck ultrasound manifestations
The impact of umbilical cord entanglement on the fetus is quite significant. If the entanglement is excessive and tight, it can lead to fetal hypoxia. Generally, fetuses with the umbilical cord wrapped around the neck once or draped on the neck do not show clinical symptoms. However, if the entanglement is tight, it can jeopardize fetal health. During an ultrasound examination, echoes can be seen on the fetus's neck where the umbilical cord is wrapped, and distinct pressure marks may appear on the skin. A single wrap around the neck appears as a U-shape, two wraps appear as a W-shape, and three wraps as a serrated shape.
Does dysmenorrhea affect pregnancy?
Whether dysmenorrhea affects pregnancy cannot be generalized. Dysmenorrhea can be divided into primary dysmenorrhea, which is physiological, and secondary dysmenorrhea. Primary dysmenorrhea refers to cases where there are no pathological changes in the female reproductive organs, and the pain is solely due to uterine contractions during menstruation, commonly seen in adolescent girls. Moreover, conditions such as adenomyosis, severe uterine fibroids, and endometriosis can also cause pain and are associated with changes in the uterus, which can affect pregnancy. However, primary, functional dysmenorrhea generally does not impact the ability to conceive. Thus, whether dysmenorrhea affects pregnancy depends on the specific circumstances.