Tag: Pregnancy

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The Things of Pregnancy and Birth: Abortion and Fetal Protection

After pregnancy, expectant mothers are most worried, confused, and recommended by professionals and laymen for the most. After more than 20 years of medical practice, I have seen too many strange stories, outrageous practices and brain-dead formulas in the aspect of abortion and fetus protection, which really makes people speechless. In order to let everyone have a correct understanding of abortion and abortion protection, let’s first tell you some basic facts about pregnancy and abortion: In the whole female population, the total abortion rate of clinical pregnancy is about 15%, if biochemical pregnancy is calculated, the total embryo loss rate is as high as 60-70%, and only about one third of all pregnant embryos can be converted into surviving newborns. Read More …

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Pregnancy and Birth: How to Correctly Interpret General Obstetric Ultrasound Reports

As indicated in the title, this is the interpretation of the general obstetric ultrasound report, which does not include [large malformation screening]. I will specially write popular science articles on three other hot ultrasound topics: [large malformation screening] [umbilical cord around neck] [low placenta], please pay attention. When visiting the outpatient department, many expectant mothers will have many problems and perplexities after each ultrasound examination: can the baby give birth naturally even if the biparietal diameter is relatively large? What about the baby’s short legs? Can placental aging not supplement calcium? …… In fact, doctors also face a lot of confusion, Ultrasound is the eye of an obstetrician, Now the resolution of ultrasonic machines is getting higher and higher. More Read More …

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The Things of Pregnancy and Birth: B-ultrasound [Large Deformity Screening]

After pregnancy, many B-ultrasound examinations have to be performed, of which the most important and most worrying one is [large malformation screening]. There will be many questions about [screening for large deformities]. Please listen to me carefully. [Large Deformity Screening] Check what? [Large malformation screening] is a popular term, and the standard term is [systematic prenatal ultrasound examination during the second trimester], and the English name corresponding to [large malformation screening] is Anomaly Scan. Ultrasound examination during the second trimester of pregnancy not only looks at the general conditions of fetal growth and development, placenta and amniotic fluid, but also carries out detailed examination on various organs and systems of the fetus in order to understand whether the fetus has Read More …

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Pregnancy and Birth: Down’s Screening

1. Which is more accurate, the early Tang Dynasty or the middle Tang Dynasty? As a screening tool, Neither the Early Tang Dynasty nor the Middle Tang Dynasty can be diagnosed. So it’s not accurate, There is no “accuracy”. Usually, [detection rate] and [false positive rate] are used to evaluate a certain screening method. High detection rate and low false positive rate are a good standard for screening methods. Judging from the current situation in China, The detection rate in the early Tang Dynasty is higher than that in the middle Tang Dynasty, and the false positive rate is lower than that in the middle Tang Dynasty. The detection rate in the early Tang Dynasty is about 85%, the false Read More …

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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 …

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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 …

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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 …

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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 …

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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 …

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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 …