Under what circumstances may abortion be needed? Incomplete cervical atresia: The cervix was originally closed, and usually it will not be opened until full term. Some people who open their mouths before term are called cervical atresia. For example, they have received treatment for precancerous lesions, partially removed their cervix, or had multiple abortions. For pregnant women with cervical atresia, cervical cerclage can be done after the first pregnancy 13 weeks, and the cerclage can be taken out after term. However, cerclage also has the risk of water breakthrough, and it is best to lie flat for a day or two after operation.
Prenatal bleeding: such as placenta previa, if the embryo implantation position is not good, the placenta blocks the cervix, and it is more likely to bleed when the uterus contracts.
Regular uterine contraction: sometimes it may be caused by infection, such as urinary tract infection, uterine infection, tissue inflammation, uterine contraction, etc.
Multiple pregnancy: If the uterus is compared to a water polo, if the water in it is too heavy or the ball is too tight, the uterus will contract easily, increasing the chance of premature delivery.
There was once a baby: the previous baby had a baby, and this baby doesn't necessarily need a baby, depending on whether the factors that caused the previous baby to have a baby have been eliminated. For example, a constitution prone to cervical atresia or uterine contraction may have had a fetus before, and this fetus should also have a fetus; However, if the last fetus has to be aborted or premature due to infection, there is no need to abort if the fetus excludes the infection factor.
More guardians of love! Be sure to know 10 at home during pregnancy. The three stages of safe pregnancy are the key stages of early pregnancy:
Director Wu Wenyi explained that the symptoms of early pregnancy abortion are mostly bleeding, and the common one is spotty bleeding on * * * * (if the amount of bleeding is too much, it may mean abortion). Because of the instability of embryo implantation, the main methods to place the fetus at this stage are taking lutein orally at home or using lutein gel. In an emergency, the doctor may also inject lutein in the hospital, which is often called "oil needle", which will hurt more. Lutein supplementation will not stop until the bleeding symptoms are relieved.
Usually the baby is born at home in the first three months of pregnancy. Oral lutein or * * * gel is common, so try to rest. There are two main kinds of lutein taken orally, one is paid by medical insurance, but the side effect is nausea and vomiting; Another kind of lutein at one's own expense has lower side effects and is not easy to vomit, but it costs about 70 yuan at one's own expense every day, and the expenses of various medical institutions are not necessarily the same; As for * * * gel, there are few side effects, but the disadvantage is that it costs about 200 ~ 300 yuan a day.
In a word, the main way to prevent pregnancy in early pregnancy is to supplement lutein, help the embryo to implant stably and thicken the endometrium.
In the second and third trimesters:
More guardians of love! 10 will key anti-abortion drugs have an impact on fetal safety? Antiabortion drugs generally have no effect on the safety of the fetus. There used to be an anti-abortion drug magnesium sulfate, and it was found that long-term use may make the fetus osteoporosis, so magnesium sulfate is no longer used as an anti-abortion drug.
How many weeks is the best abortion? Full-term 37 weeks, if the mother and fetus are stable at 37 weeks, it will be better to give birth; If not, you'd better settle down and give birth in 34 weeks. After 34 weeks, the fetal lungs are more mature and can breathe spontaneously after birth. If there are many complications, the doctor will give birth early according to the situation.
When must I "terminate my pregnancy"? "Termination of pregnancy" refers to the termination of pregnancy and pregnancy (the process in which the fetus stops developing and growing in the mother). If there are many weeks, you can give birth to the baby and let the neonatologist take over the care of the baby. Usually, when the mother or fetus is in danger, or the uterine environment is no longer suitable for the survival of the fetus, which is unfavorable for the mother and fetus to continue their pregnancy, the doctor will decide to "terminate the pregnancy".
Eclampsia: Symptoms such as blurred vision and epilepsy may occur. Once the blood pressure is too high and life-threatening, we must "terminate the pregnancy" and give birth to a child.
Fetal distress: If fetal heart sounds are monitored in the hospital and found to be unstable, the fetus may lack oxygen.
Growth retardation: If there are symptoms that need to have a fetus, it is useless to supplement the nutrition even if the fetus grows slowly. The doctor may increase the number of prenatal examinations and ultrasound photos, compare the ratio of pregnancy weeks to fetal weight, and observe for at least 3 weeks, but still can't catch up with the weight, and may have to give birth early.
Break water and determine uterine infection: amniotic membrane is actually as thin as plastic wrap. Once broken, bacteria can easily enter from the broken water, which may lead to infection. If there is abdominal pain and fever, it may indicate that there is infection in the broken water. If the infection is serious, but not yet produced, bacteria will enter the maternal blood vessels and circulate throughout the body, which may infect the mother and fetus with septicemia. We must not be careless. However, breaking water does not mean that there must be infection. Sometimes the water is broken, but the uterus is not infected. If the number of weeks of pregnancy is still not suitable for delivery, the doctor may ask the pregnant mother to go to the hospital to have a try. )
Early placental abruption is too serious: Too serious placental abruption will lead to unstable fetal heart sounds, and ultrasound also shows blood clots behind the placenta. In order to avoid the baby's lack of oxygen, it may be necessary to give birth early.
More guardians of love! I heard that eating fish often can prevent premature delivery. A study in Denmark pointed out that "eating fish often can prevent premature delivery. Director Wu Wenyi believes that this study may lack large-scale clinical trials, and the evidence is slightly insufficient. It cannot be inferred that eating fish will definitely prevent premature delivery. But eating fish usually doesn't do much harm, and DHA contained in it can help the growth and development of fetal retina and brain. If you are worried about the problem of heavy metals, you can eat them in moderation on the premise of a balanced diet.
Should I take anti-abortion drugs on time or after symptoms appear? Director Wu Wenyi said that if the doctor prescribed anti-abortion drugs, it is best to take them on time according to the doctor's instructions. If there are symptoms such as uterine contraction and bleeding, you should take the medicine for at least 2 or 3 days. When the condition is stable and the doctor can evaluate that you can stop taking the medicine, it is not recommended to stop taking the medicine yourself. According to the severity of the need to protect the fetus, the interval of taking medicine varies from person to person. For example, pregnant women with relatively stable conditions generally take anti-abortion drugs every 6 hours; If you still can't restrain the contractions, gradually take the medicine every 4 hours, even every 2 hours at the most intensive time.
Some pregnant women are very worried when they occasionally feel uterine contraction. In fact, they shrink occasionally, as long as they have more rest. If the rest is still not relieved, be sure to see a doctor. Pregnant women who have an abortion at home may have to have an abortion in hospital if they still can't suppress the symptoms such as uterine contraction after taking abortion drugs.
Sometimes the side effects of anti-abortion drugs are too uncomfortable, and pregnant mothers can also respond to doctors. Doctors will find a balance between "side effects of drugs on pregnant women" and "anti-abortion effect". After all, taking medicine too often may make pregnant women uncomfortable. However, if the interval between meals is too long, the ideal effect of fetal protection will not be achieved.
What should I pay attention to when I go home? Take more rest, take medicine on time, see a doctor regularly, do less work that requires more labor (if possible, you'd better let your family help you), dress loosely and comfortably, try to relax and decompress, don't lift heavy objects, try not to hold a treasure or put pressure on your stomach, travel less, and be careful not to slip. Once you feel uterine contraction, you should stay in bed; If you have taken anti-abortion drugs and have rested, the uterus continues to contract, regardless of whether the uterine contraction is regular or not, you should see a doctor.
More guardians of love! The key points of 10 that you must know when giving birth at home during pregnancy, and the problems you will encounter in your daily life. There are many common questions and knowledge about having children on the Internet. Is the following correct? We ask Mr. Peng Wei to answer:
Will you have an abortion if you hold your hand in the air?
On the whole, it's not that serious. However, if the abdominal pressure and abdominal pressure increase when the hand is in the air, it is not good for pregnant women who need abortion. Suggest that they try not to do too much action and try to slow down.
Do you lie on your side or flat when you rest?
Lying to the left is more conducive to blood circulation, but the comfort of pregnant women is still the main thing. In fact, sometimes you can lie to the left and sometimes you can lie to the right, and you can put a small pillow in the back. Lying flat may compress the inferior vena cava, which is not conducive to blood circulation. Although you can still lie flat sometimes, it is recommended not to lie flat completely.
I don't want to lie down for long. Can I sit down?
Pregnant women with babies at home can generally sit; However, if you are a pregnant woman who gave birth to a fetus in a hospital, you can't sit down if the amniotic fluid has broken, because sitting up will lead to more amniotic fluid flowing out.
The end of the bed should be higher, and the position of the hips should be higher than the head?
Pregnant women should generally raise the end of the bed when they break water; If there is no water cut off, generally speaking, the tires at the end of the bed need not be high. But once the water breaks, you must be hospitalized, so when you have a baby at home, the end of the bed can be kept at a normal straight angle.
As long as there is bleeding, you must be hospitalized to have a baby?
More guardians of love! What are the key points to pay attention to at home during pregnancy? The main thing is to relax and rest more, and follow the doctor's advice to pay attention to whether there are signs of premature delivery (redness, water breakthrough, uterine contraction law), but also to pay attention to whether the secretion is thickened and caked, or whether the secretion has an odor (possibly infection), and whether there is a fever. In addition, if you have symptoms of persistent low back pain, you should rest first. If rest can relieve the symptoms of low back pain, continue to observe; If the rest can't be relieved, you must see a doctor. Sometimes low back pain may also be a sign of premature delivery. Or if you have persistent diarrhea, it may induce uterine contraction. Be sure to seek medical advice as soon as possible to confirm the condition of the fetus. In addition, be careful not to squat at ordinary times to avoid increasing abdominal pressure.
How to ask for abortion leave? Teacher Peng Wei said that according to the provisions of the Lao Ji Law, if the abortion leave does not exceed 30 days in a year, the salary of these abortion leave will be paid at half of the salary.
If it is more than 30 days, it is recommended to coordinate with the employer, because there is no explicit provision in the labor law. The prenatal leave can be taken at most 1 year. Whether in the hospital or at home, it is the same rule. You don't have to have an abortion in hospital to take an abortion leave. However, a doctor's diagnosis certificate must be provided to the employer.
Lying for a long time is uncomfortable, what should I do? More guardians of love! Be sure to know the main points of 10 at home during pregnancy. What ideas can you have to kill time? Teacher Peng Wei said that in case the doctor told me to stay in bed as much as possible and I didn't know what to do, I could go to the website of Premature Infants Foundation to browse the knowledge of prenatal care, or invite relatives and friends to visit and chat with them more (if there is Dabao, it is best to ask them to help take care of it). You can also read books, newspapers and magazines, or watch TV movies, but watching horror movies is not recommended. Horror films tend to contract the uterus because of nervousness, and it is best to watch less tragedies. It is recommended to watch a movie with a light plot. You can also keep a diary, record your thoughts and words to your baby every day, or play with woolen clothes for your baby.
For pregnant women who need abortion, family companionship is very important. Pregnant women who have an abortion at home are often alone, so they are prone to feel lonely and depressed, uncertain about the success of abortion and paranoid. I suggest my husband go home from work as soon as possible to accompany his wife and give her enough psychological support. Pregnant women with religious beliefs can also seek religious spiritual support.
What should I pay attention to when taking a bath? Teacher Peng explained that there are four situations in taking a bath:
If the doctor says he must stay in bed completely, he is advised to help his wife bathe in bed.
The hospital gave birth to a child, and the doctor said that it was not necessary to stay in bed completely. When taking a bath in the bathroom, I suggest sitting and washing as much as possible (don't stand if possible), or asking my husband for help.
If you want to have a baby at home, it is recommended to take a bathroom to wash and ask your husband for help.
I had an abortion at home, but the situation was relatively stable. I don't need to take anti-abortion drugs recently, so I can take a bath by myself.
Be sure to know the main points of 10 at home during pregnancy. The success of having children at home is closely related to how much rest you have. Usually lie down and rest. If you feel uncomfortable, you can put a small pillow on your back, a pillow on your leg, or sit on the bed for a while. Don't rush back and forth too hard Travel less, and be careful not to slip when walking.
Try to relax, don't be too nervous, and don't be too melancholy.
Don't do hard housework, try to slow down your movements and pace of life. Ask your family to help share the housework and take care of Dabao.
4. You can't lift heavy objects, push your stomach or hold big babies.
5. Eat fruits and vegetables in moderation and drink plenty of water, and pay attention to a light and balanced diet.
6. If you can't defecate smoothly, don't defecate forcibly to avoid the possibility of bleeding due to increased abdominal pressure. You can wait until you want to go to the toilet, or ask a doctor to prescribe laxatives.
7. Pay attention to fetal movement. Usually you can record the time of your baby's fetal movement by yourself. If there is no fetal movement or there is too little fetal movement, the pregnant woman has already eaten, so she needs to see a doctor.
8. If there are signs of premature delivery (increased bleeding), water breakthrough, and regular uterine contraction, you should return to the clinic as soon as possible; If there are no special symptoms, you should return to the clinic regularly.
9. When the uterus contracts, if you can take anti-abortion drugs and rest, you can temporarily observe it first; If you can't feel safe after taking anti-abortion drugs, for example, your uterus contracts every 10 minutes, you must go back to the hospital.
10. The side effects of some anti-abortion drugs can cause hyperhidrosis, and clothes should be loose and comfortable. It is best to wear cotton sweat-absorbent clothes. If the clothes are wet, change them to avoid catching a cold.
More guardians of love! How to distinguish fetal movement from uterine contraction? The amplitude of uterine contraction is greater than fetal movement. When the uterus contracts, the whole lower abdomen will feel tight and hard, and there will be a feeling of tightness and pain, similar to menstrual pain; Fetal movement is just local tension.
From the perspective of Chinese medicine, why do you want to have an abortion? Not every pregnant woman needs an abortion. Dr. Shen said that the birth of new life and the connection between mother and fetus are all related to physique. There are two common reasons. One is because of the deficiency of qi and blood, congenital deficiency of essence and blood, most of the nutrition is provided to the fetus, and pregnant women are undernourished; The other is because new life and new body are conceived in the mother. Some mothers are physically sensitive and may treat the fetus in their bellies as foreign enemies, so there will be some rejection reactions, which may even lead to miscarriage.
What food should I eat less during prenatal examination? Can I eat spicy food?
Dr. Shen explained that Chinese medicine believes that "spicy fire" means that eating spicy food is easy to get angry, accelerating the generation of getting angry, or making acid reflux. From today's medical point of view, eating spicy food will accelerate metabolism and consume more oxygen, so eating too much spicy food will increase the oxygen consumption in the body and may affect the fetus. Therefore, from the concept of health and fetal protection, it is still necessary to eat less spicy food. Similarly, fried food is easy to get angry and should be eaten as little as possible.
Can I eat melons and fruits?
In the theory of traditional Chinese medicine, melon belongs to cold food. Can I eat them to protect my baby? Actually it varies from person to person. Watermelon, for example, will induce diuresis and help to dissipate heat. Some pregnant women get angry more easily. Eating watermelon just helps to maintain the balance between cold and heat in the body, and they will feel cool and comfortable after eating it. Some pregnant women tend to have loose bowels, but everyone may not (but most pregnant women have faster metabolism, and most of them are hot and easy to get angry. But even so, there are exceptions. )
If you are not sure what kind of physique you belong to, in fact, every natural food can be eaten in moderation, and a balanced diet is not too much. Eating hot and cold food occasionally may achieve a balance.
Can eating bananas slip tires?
There is a rumor on the Internet that "eating bananas will cause miscarriage", which is actually unfounded. Don't worry too much.
Can barley and hawthorn be eaten?
The function of coix seed and hawthorn is diuresis. It is not advisable to eat barley and hawthorn during pregnancy, which will promote uterine contraction. (However, not all foods that promote diuresis will promote uterine contraction. )
In addition, blood-activating herbs may also cause uterine contraction, such as safflower, so it is generally not recommended to take blood-activating herbs. However, this is only a general principle and may vary from person to person. A few people have special constitutions, and doctors may prescribe safflower, mainly based on doctors' prescriptions, so it is not appropriate to take medicine by themselves.
More guardians of love! During pregnancy, you must know the main points of 10. Can I blow air conditioning during pregnancy? If you feel hot, you can still turn on the air conditioner or use the electric fan, but neither the air conditioner nor the electric fan should blow directly at the pregnant woman, so as to avoid the invasion of wind evil and cause discomfort. When you feel a little cold, you should turn off the air conditioner or put on your coat.
Shen Yi Middle School
Education: China Institute of Medicine, China Medical University.
Experience: Director of the Department of Traditional Chinese Medicine, Kunming Campus, Linsen Department of Traditional Chinese Medicine, Taipei United Hospital.
Present position: Attending physician of Chinese Medicine Department of Linsen Kunming Hospital, Taipei United Hospital.
Wu Wenyi
Education: Master's degree, Institute of Clinical Medicine, National Taiwan Province University School of Medicine.
Experience: Resident, Chief Physician and Intern in Obstetrics and Gynecology Department of National Taiwan University Hospital.
He is currently the attending physician and ward director of the Department of Obstetrics and Gynecology of Yadong Memorial Hospital, the attending physician of the Department of Obstetrics and Gynecology of National Taiwan University Hospital, and the lecturer of the Department of Medicine of National Taiwan University Medical College.
a surname
Education: Nursing Department, Yuanpei University of Science and Technology
Experience: practical nurse, delivery room of Yadong Memorial Hospital.
Current position: Obstetrics and Health Teacher of Yadong Memorial Hospital.