Tag: Obstetrics

bear

Pregnancy and Birth: Fetal Magnetic Resonance

Ultrasonography is the first choice for screening fetal structural malformations. Ultrasonography is non-invasive, fast, real-time, inexpensive and accurate, Compared with other complicated imaging examinations, ultrasound examination has its irreplaceable advantages. However, ultrasound examination also has its disadvantages: It is difficult to pass through the fetal skull, the visual field is small, the examination results are often not satisfactory when there are maternal obesity, maternal hysteromyoma, oligohydramnios, multiple births, etc. Moreover, ultrasound examination is affected by the fetal position and often requires a long time or multiple examinations. In addition, ultrasound diagnosis is more or less limited by the operator’s technical level. Fetal magnetic resonance imaging (MRI) is a very important supplementary method for obstetric ultrasound examination. In 1983, Smith et Read More …

bear

The Things of Pregnancy and Birth: The Tangle of Down’s Screening

Pregnancy is a happy event, But the joy will not last long, After receiving a circle of blessings, Next, we have to face a lot of entanglements. Which hospital to build a card for regular prenatal examination, which doctor to see, whether to give birth to oneself or cesarean section, whether to give birth to a boy or a girl, whether to be episiotomy. However, these entanglements are dwarfed by the entanglements of Down’s screening and amniocentesis. Don’t do Down’s screening struggle: what if the child is born with a Down’s syndrome baby (Tang Baobao)? After Down’s screening, it is also tangled: high-risk amniocentesis is very tangled, and low-risk is not without risk. Amniocentesis is tangled: if you don’t do Read More …

bear

Those things about giving birth to children during pregnancy: calcium supplement during pregnancy

Recently, when visiting the clinic, I am often asked the question of calcium supplement during pregnancy, and the answer is as follows: 1. Does every pregnant woman need calcium supplement after entering the middle and third trimester of pregnancy? Yes, most pregnant women need extra calcium. From a fertilized egg in the first trimester of pregnancy to a full-term child, A lot of calcium is needed to help children grow bones and teeth. According to dietary surveys, The daily calcium intake of Chinese women during pregnancy is about 300-400 mg, Even in Western women who consume more calcium, The average daily calcium intake during pregnancy is only about 800 mg, which is lower than the recommended daily calcium intake of Read More …

bear

Pregnancy and childbirth: Is how’s Sleeping Position More Suitable?

After entering the second and third trimester of pregnancy, Doctors often advise expectant mothers to lie on the left side when sleeping, As to why the left lateral position is required, Few people can say very clearly. In fact, it is suggested that the left decubitus position is based on the position of the large blood vessels of the human body. Our spine is located in the middle of the human body. The inferior vena cava is located on the right side of the spine, The abdominal aorta is located on the left side of the spine (except for a few eccentric people). In the second and third trimester of pregnancy, If you still take the supine position while sleeping, Read More …

bear

The Things of Pregnancy and Birth: How Should Children Be Born

Having children is a science, It is also a craft, As long as a physician can read well, You can cure the disease without hands, but obstetricians can’t do it well only by reading. Obstetricians should have a pair of skillful hands and touch them to know if they can be born. If they can’t be born, they can be born on the way to the operating room. As a result, the forceps can’t be pulled out and they have to operate. The joke is very big. In surgery, patients only need to lie on the operating table and undergo surgery passively. In internal medicine, it is OK to follow the doctor’s advice and take medicine. In obstetrics, giving birth Read More …

bear

Those things about pregnancy and childbirth: placenta previa

After receiving the ultrasound report, there are many things that scare expectant mothers, one of which is placenta previa. Can you give birth by yourself? Will it bleed? When will it bleed? Do you want to stay in bed? There is so much uncertainty, and each doctor’s statement is different, that expectant mothers do not know what to do. The incidence of placenta previa varies, It has been reported that when ultrasound is performed at 11-14 weeks of pregnancy, The proportion of placenta margin reaching or covering the cervical internal orifice was 42%, By 20-24 weeks, the proportion was 3.9%, At full term, the proportion dropped further to 1.9%. Therefore, There is no need to worry about finding that the Read More …

bear

The Things of Pregnancy and Birth: Obstetric Clinical Practice Recommended to Mothers-to-be

In order to let expectant mothers choose to be more confident in their hearts, sum up some recommendations for expectant mothers in my clinic during pregnancy and delivery for your reference. Most of the following recommendations have evidence-based medical evidence, and a few are my expert opinions. In the future, I will write corresponding articles to explain each recommendation according to the actual situation. 1. It is recommended to start oral administration of folic acid-containing multivitamins 2 months before pregnancy. 2. TORCH screening is not recommended routinely. TORCH screening is only recommended for some high-risk groups, preferably pre-pregnancy screening, and the second choice is early pregnancy screening. 3. Routine determination of progesterone level is not recommended to guide early pregnancy Read More …

bear

How to do insomnia during pregnancy? Avoid sleeping pills

When chatting with pregnant mothers, I often hear such complaints: “I used to sleep well, but since I became pregnant, my sleep has become very bad. I lie in bed tossing and turning for an hour or two, sometimes I can’t fall asleep until midnight. I finally fell asleep and dreamed. Do you think this is normal? This is very common, if I may say so. Three Common Causes of Insomnia during Pregnancy Some people think that, Insomnia during pregnancy may be a natural way to prepare you in advance, Because in the first few months after the baby is born, you will inevitably suffer from sleep deprivation in order to take care of him. From a scientific point of Read More …

bear

Pregnant folic acid, did you eat it right

Take folic acid from 3 months of pregnancy preparation to 3 months of early pregnancy, and take multivitamin after 3 months. Once I was on the night shift. Near midnight, a very handsome young man came to the window. He asked me stiffly: “Doctor (another person who mistook pharmacists for doctors, I can’t explain the difference between pharmacists and doctors to him in a word or two, so I can only call him), do you have XXX brand folic acid here?” ] I thought I heard wrong, so I asked him, “Do you want to buy XXX XXX or folic acid?” ] As a result, he told me with certainty: “I want folic acid, brand XXX XXX.” Under this circumstance, Read More …

bear

X-rays, taking medicine… I don’t know what to do if I do these things during pregnancy.

Many women of childbearing age, because some minor illness took medicine, or the unit organized physical examination, to take X-rays, after the date of menstruation should come to find their [big aunt] delayed. Go to the hospital for examination, was told that the unexpected pregnancy. This is really a pleasant and frightening news! Why are they afraid? It is because there will be a big problem bothering them: after taking medicine or taking X-rays in the early stage of pregnancy, can the baby still have it? X-rays or medicine taken in the first trimester of pregnancy will either lead to miscarriage or have no effect at all. Go to the hospital and ask the doctor. If he meets an irresponsible Read More …