See what the doctors who often participate in the rescue say?
Obstetricians may say: scar I evaluation of scarred uterus is very important. Scar pregnancy and dangerous placenta previa are very dangerous, and postpartum hemorrhage can be fatal;
Doctors who often participate in the rescue will say: Be sure to check for hypertension and diabetes. Pregnancy complications of these two diseases are very common and dangerous. The incidence of hyperthyroidism is not high, but hyperthyroidism crisis can also be fatal when giving birth.
And often wisdom teeth should be treated before pregnancy.
Let me give an example of hypertension:
When the two-child policy was just released, I treated a pregnant woman, who was also a literate person, an accountant and her husband was a local celebrity. The husband took his daughter to ride the Tibetan line for two years in a row. Both husband and daughter are in good health. Her husband also has many hardcore doctor friends. Therefore, she also thinks that she is healthy, and the two children successfully got pregnant in a few months. After 80 days of menopause, I went to Jianka and found that my blood pressure was ridiculously high, 270/ 160mmHg, so I had to have an induced labor operation under the maintenance of continuous intravenous medication. If she had assessed her blood pressure before getting pregnant and found out the reason, she wouldn't be so sad, but she was also lucky. If the evaluation is missed when the card is built, the consequence may be cerebrovascular accident during pregnancy.
Therefore, pre-pregnancy blood pressure assessment is simple, but very important. Mild hypertension can be controlled before pregnancy, and preparations should be made during pregnancy. If the blood pressure is too high, should you give up or suggest giving up? Two children are important, but the maternal life is more important.
Of course, for example, gestational diabetes and pregnancy-induced hypertension syndrome are all fatal in minutes, so it is very important to control blood pressure and blood sugar during pregnancy!
For a woman, pregnancy is absolutely very, very difficult. Why do many pregnant women have backache and leg numbness? There are still a lot of sore knees.
My wife has a backache every time she is pregnant, and it is very difficult to turn over. I always have to rub her waist and back to make her fall asleep slowly.
How to avoid or mitigate this situation?
Practice before and during pregnancy is very important. Many pregnant women only pay attention to rest and supplement nutrition, and how to choose the right day to get pregnant. They don't know that a good physique needs exercise. During pregnancy, especially in the later period, my stomach is getting bigger and bigger, my back aches, I have difficulty walking, and it is even more painful to go up the stairs. It's really hard to support with one hand
If you start to exercise your back muscles before pregnancy, it will make your back muscles healthier, more elastic and more powerful, and can better support the whole rapidly increasing weight (fetus).
Some women who have lumbar disc herniation or bulging before pregnancy, when the burden on the waist is gradually aggravated, the pain in the back and legs is obviously aggravated, or there is no symptom at first, and then there is pain and numbness in the back and legs. Although some of them have been relieved after delivery, some of them still have repeated symptoms of low back and leg pain and numbness.
Some people think that it is caused by lumbar anesthesia during caesarean section, but it is actually a misunderstanding. Of course, there are other reasons for postpartum backache, but the heavy waist burden during pregnancy is definitely a big factor!
High weight during pregnancy can also significantly aggravate arthritis or other chronic joint injuries, such as meniscus injury of knee joint or early osteoarthritis. Therefore, joint protection is also very important.
Good physique also plays a great role in freshmen, and it can be partly inherited.
I suggest that pregnant women exercise properly, strengthen their physique and prepare for the creation of new life. Of course, if there is a problem, both husband and wife should solve it together. Sometimes, giving a wife a massage can greatly alleviate her hard work and comfort her soul.
I wish the great pregnant mother good health and a healthy baby!
Diseases such as heart disease, viral hepatitis, diabetes and anemia will get worse after pregnancy.
1. Heart disease does not affect pregnancy, but the total circulating blood volume of pregnant women gradually increases from the sixth week, reaching the peak at the 32nd and 34th weeks, with an increase of about 30% and 45%. After that, it maintained a high level and returned to normal at the 26th week after delivery. The increase of total circulating blood volume leads to the increase of cardiac output and the acceleration of heart rate, which leads to the slight distortion of large cardiac vessels in the late stage, which is easy to cause heart failure and endanger the life of pregnant women with heart disease.
2. Viral hepatitis can aggravate the pregnancy reaction in early pregnancy, increase the incidence of pregnancy-induced hypertension in late pregnancy, and prone to postpartum hemorrhage during delivery. In severe hepatitis, DIC is often complicated, threatening the life of mother and baby, and the mortality rate of pregnant women is high.
Diabetes has a great influence on pregnant women. Pregnancy will aggravate the condition of diabetic patients, and it is also prone to hypoglycemia. Pregnant women are prone to ketoacidosis and have a higher probability of pregnancy-induced hypertension. The poor prognosis of pregnant women and perinatal infants increases the probability of premature rupture of membranes and premature delivery.
4. Anemia has a great influence on pregnant women. Pregnancy will aggravate the original anemia, and anemia will increase the pregnancy risk of pregnant women. Severe anemia can lead to anemia heart disease, hypertensive heart disease during pregnancy, postpartum hemorrhage, hemorrhagic shock, postpartum infection and other complications, endangering the life of pregnant women.
To sum up, it is very important to have a healthy body, a lovely baby, children and adults to adjust their bodies and spend pregnancy and childbirth smoothly.
Pregnancy is a great event for a woman and a great event for a family. Therefore, women who intend to get pregnant should adjust their bodies to the best condition, including the most important disease factors. In fact, no matter whether you were healthy before or not, you should consult such articles as long as you plan to get pregnant, so that if you feel unwell during pregnancy, you can feel it as soon as possible and intervene as soon as possible.
As we all know, you can't take drugs casually during pregnancy, because many drugs will pass through the placental barrier and be absorbed by the fetus, resulting in side effects, some will affect the development of the fetus, and some drugs will even lead to fetal malformation.
Therefore, before pregnancy, if you recuperate your body, you should reduce your medication after pregnancy to avoid unnecessary trouble.
First, anemia.
Second, infectious diseases or infectious diseases.
No matter what infectious diseases exist in the body, you should get pregnant after the infection is controlled, especially urinary tract infection. Because pregnancy may aggravate and affect the health of pregnant women, it is necessary to get pregnant after being completely cured.
In addition, measles, syphilis, AIDS, hepatitis and other infectious diseases are also the most common diseases that have a great impact on the fetus, so they are the basic items of pre-pregnancy examination.
Third, diabetes.
We know that. Gestational diabetes is easy to occur during pregnancy.
Therefore, whether it is a diabetic woman or a pregnant woman with diabetes after pregnancy, diabetes may be aggravated. If the symptoms are not well controlled, it will lead to fetal development problems.
Therefore, if diabetic women plan to get pregnant, they should control their blood sugar before family planning, and under the guidance of professional doctors, choose appropriate hypoglycemic drugs and continue to use them.
Fourth, high blood pressure.
Hypertension, like diabetes, is a chronic disease that needs long-term and regular comprehensive control. Pregnancy can also bring high blood pressure, even more severe eclampsia, endangering the health of pregnant women and fetuses.
Therefore, if there are lesbians with high blood pressure before pregnancy, we must strictly control high blood pressure before pregnancy. With pregnancy, you should also choose the appropriate antihypertensive drugs under the guidance of a doctor and take them regularly.
Fifth, heart disease.
Because the blood supply of pregnant women changes after pregnancy, especially the increase of physical load in the later period will increase the blood supply burden of the body.
Therefore, when a woman with heart disease plans to get pregnant, she must be evaluated by a professional doctor before she can get pregnant. At the same time, pay more attention to health problems after pregnancy.
Sixth, chronic kidney disease.
Chronic kidney disease is often not suitable for pregnancy, because pregnancy may aggravate the condition and increase the occurrence of hypertension, so this kind of disease should be evaluated by professional doctors before conception.
Seventh, hyperthyroidism.
Hyperthyroidism is called hyperthyroidism for short. This disease also occurs in women, and it is easy to aggravate symptoms during pregnancy.
Similarly, if it is not well controlled, it will be bad for both the fetus and the mother, and it may also cause fetal development problems, leading to weight loss of newborns. Therefore, it is best to control the condition under the guidance of a professional doctor before pregnancy.
Eighth, asthma.
In addition, if you have tuberculosis, especially active tuberculosis, you must completely control it before you get pregnant.
Ninth, other diseases.
Such as immune diseases, systemic lupus erythematosus and rheumatoid arthritis. You should also get pregnant under the guidance of a professional doctor and wait until your condition is stable. For another example, some patients with malignant diseases need to see if they can get pregnant under the guidance of a doctor.
In fact, for this problem, if the body has basic diseases before pregnancy, then it should be adjusted before pregnancy, and it cannot be said which is important and which can be ignored. For example, a seemingly simplest viral cold, because some antiviral drugs have teratogenic effects, so if you catch a cold before pregnancy, it is best not to rush to get pregnant, and wait until the cold is cured.
Therefore, it is best for women who plan to get pregnant to have a pre-pregnancy check-up six months before they want to get pregnant, and at the same time start to change their living habits and their nutritional status, so as to keep their physiological status in the best state before pregnancy. If you have a basic disease, you need to control your pregnancy under the guidance of a professional doctor.
Therefore, it must be reminded that no matter who has basic diseases, prenatal examination should be carried out regularly after pregnancy, not only to see whether the fetus is healthy, but also to monitor the health status of pregnant women.
As mothers, we will face challenges from embryonic development to delivery. In order to ensure the safety of pregnant women and fetuses, we must know this before pregnancy. What diseases will have adverse effects on them during pregnancy? After all, the birth of life is a "one-time molding", and it is impossible to "tear it down".
High-risk pregnancy means that women of childbearing age will have pregnancy complications during pregnancy, which will affect the health and life safety of mother and fetus.
The main diseases of high-risk pregnancy are: elderly primipara, pregnancy-induced hypertension, diabetes, anemia, malnutrition, heart failure, thyroid dysfunction, asthma, cholestasis syndrome, hepatitis B, virus infection (cytomegalovirus, herpes simplex virus, rubella virus, Toxoplasma gondii) and so on.
1, hypertension:
Pregnancy-induced hypertension syndrome may be caused by family history, obesity and hyperlipidemia, overnutrition during pregnancy, and of course anxiety and mental and emotional influences during pregnancy.
During pregnancy, the body is in a hypercoagulable state. High blood pressure, edema and proteinuria during pregnancy will induce the risk of preeclampsia, hypertensive crisis during pregnancy, even convulsion and intracranial hemorrhage. Once pregnant women have eclampsia, the most direct harm is the fetus, which leads to intrauterine hypoxia, intrauterine distress and life-threatening.
Therefore, when women of childbearing age have a family history of hypertension, or a history of hypertension and hyperlipidemia, they should contact obstetricians in time during the whole pregnancy and closely monitor the blood pressure dynamics so that doctors can intervene in time and handle it properly. Keep blood pressure at a safe level to avoid eclampsia.
2. Diabetes:
Gestational diabetes mellitus is also the most harmful pregnancy complication disease at present. According to statistics, the incidence of gestational diabetes has exceeded that of pregnancy-induced hypertension, with an average incidence of 15%-20%.
In addition to family history and past history of diabetes, the main reasons are related to high-calorie and high-carbohydrate diet during pregnancy, such as eating a lot of fruits and drinks.
During pregnancy, the endocrine system of pregnant women has undergone great changes. At the same time, insulin function is disordered, and blood sugar is high and unstable, which leads to hypercoagulability, hypertension, diabetic ketoacidosis, electrolyte disorder and metabolic acidosis. This naturally has a great impact on the fetus, making the fetus grow into a giant baby, respiratory distress, abnormal fetal development, and even brain damage.
3, anemia during pregnancy:
In the past, the incidence of anemia in pregnancy caused by malnutrition was the first. With the continuous improvement of people's living standards and the emphasis on prenatal and postnatal care, people pay more and more attention to nutrition in family pregnancy preparation. Therefore, the incidence of anemia during pregnancy has decreased.
However, the harm of anemia to children is long-term and extremely harmful, such as premature delivery and low birth weight, which leads to fetal neural tube development and hippocampal malformation. After the birth of a child, listening, recognition, learning and memory all have different degrees of influence. Therefore, China still attaches great importance to the elimination of maternal anemia.
The main causes of anemia in pregnancy are malnutrition, iron deficiency, folic acid and vitamin B 12 metabolic disorder.
Therefore, folic acid tablets should be taken orally during family pregnancy, before pregnancy and 3 months after pregnancy. At the same time, strengthen nutrition during pregnancy, eat a balanced diet and eat more animal livers, vegetables and fruits.
4. Other diseases:
Such as internal hemorrhoid and external hemorrhoid caused by constipation. During pregnancy, because venous reflux is blocked, constipation is easy, and internal hemorrhoids and external hemorrhoids occur at the same time. Serious will be a lot of bleeding.
The incidence of constipation during pregnancy is also high. Although the disease is not life-threatening temporarily or generally, it will become more and more serious in the third trimester of pregnancy, which will affect the rest during pregnancy and disturb the life, mood and endocrine function of pregnant women. Therefore, I will say more here.
The causes of constipation during pregnancy are mainly related to endocrine, such as excessive secretion of progesterone and somatostatin and decreased secretion of gastrin, which leads to delayed absorption and reabsorption of colon.
At the same time, due to the continuous enlargement of the uterus, the gastrointestinal tract is squeezed, the function is disordered, the intestinal peristalsis is forced to decrease, and the colon water is reabsorbed. So it will cause constipation. In addition, the blood vessels around the rectum are very rich, and long-term venous circulation is blocked, causing varicose veins and forming hemorrhoids is also natural.
So how to deal with constipation and hemorrhoids during pregnancy?
The first thing is to pay attention to the intake of dietary fiber and adequate drinking water. Green leafy vegetables are the main dietary fiber, which should be supplemented deliberately every day. In addition, the daily drinking water should be no less than 1500-2000ml.
Exercise properly after meals every day, walk slowly, massage the abdomen and promote intestinal peristalsis. At the same time, develop good defecation habits and defecate regularly, especially in the morning and 2 hours after meals. Never stop going to the toilet just because you are uncomfortable.
If constipation is serious, you can take soluble laxatives such as wheat cellulose granules and lactulose orally at the doctor's suggestion.
To sum up, the prevention of diseases during pregnancy is a major event, and there are many factors leading to diseases or aggravations during pregnancy, but these diseases are the main ones. Women of childbearing age and their families need to know about these diseases before pregnancy, or prevention is the main thing.
The following problems are easily aggravated after pregnancy:
1. Vaginitis: Vaginal environment changes and secretion increases during pregnancy, which is prone to vaginal inflammation.
2. Calcium deficiency: Calcium is a very important element in infant development. Many mothers will have leg cramps during pregnancy, which is caused by calcium deficiency.
3. Insomnia: Insomnia during pregnancy is also a problem for many pregnant mothers, especially in the second and third trimesters. Many pregnant mothers with insomnia may not get a good rest all night.
4. Anemia: During pregnancy, the blood of pregnant mothers is diluted, and the demand for iron and folic acid by mothers and fetuses will increase, so anemia during pregnancy is also very common. If you have anemia before pregnancy, it will get worse during pregnancy.
5. Dental caries: During the pre-pregnancy examination, if the pregnant mother has dental caries, the doctor suggests filling the teeth in advance. Due to the increased frequency of eating during pregnancy, if the teeth are inflamed, it will be more troublesome to treat, and you will also worry about uterine contraction caused by toothache.
6. Chloasma: Under the influence of hormonal changes, chloasma on the mother's face may be aggravated, which is very common during pregnancy. The chloasma on a mother's face will disappear naturally 2 years after giving birth to a baby 1 2, and some mothers may not recover satisfactorily.
7. Excessive weight gain: If the weight gain is too fast, it is not good for the pregnant mother and the fetus, which will increase the load on the mother's body and affect the delivery. Therefore, it is necessary to control the weight during pregnancy and let the weight grow within the normal range.
8. Heart load and kidney load: If the pregnant mother has poor heart function or renal insufficiency, the challenge to the body during pregnancy will be even greater.
Some diseases will be aggravated after pregnancy if they are not treated before pregnancy, and even affect fetal development and maternal safety.
A healthy body is a prerequisite for a successful pregnancy. Only by checking your physical condition before pregnancy and finding problems in time can you give birth to a healthy and high-quality baby.
Especially pregnant women with these diseases will get worse after pregnancy. It is recommended to recuperate before pregnancy and then try to get pregnant.
1. Heart disease needs to bear the burden of a new life after pregnancy, especially in the third trimester, which will make pregnant mothers feel at a loss.
I once had a patient who suffered from heart disease, but deliberately concealed his medical history, but accidentally exposed it while climbing stairs. After a short walk, he felt breathless and exhausted. The truth was revealed only after urgent questioning.
It's not that the doctor won't help you have a baby, but we should also see if our bodies can bear this sweet burden.
Because of this disease, with the increase of gestational age, there will be cardiac insufficiency, which will lead to abortion, premature delivery, stillbirth and even endanger life and health.
2. Prepregnancy diabetes, diabetes or gestational diabetes, if not properly controlled, will have an impact on the fetus, such as abortion, macrosomia and so on. , or cause pregnancy induced hypertension syndrome.
3. The woman suffering from tuberculosis suffers from tuberculosis, and the use of anti-tuberculosis drugs during pregnancy will also affect fetal development. It is recommended to get pregnant after being cured.
4. Anemia anemia will affect the mother's absorption of nutrients and make the already weak body weaker; Moreover, the fetus will compete for nutrition and aggravate the condition.
Severe anemia may also lead to fetal growth retardation, premature delivery or stillbirth; The pregnant woman suffers from anemia heart disease, heart failure, postpartum hemorrhage and infection.
5. Liver and kidney diseases, hypertension such as viral hepatitis, abnormal liver function, kidney diseases, etc. , will lead to pregnancy-induced hypertension syndrome, severe cases may lead to abortion, and even renal failure or uremia.
6. The change of hormone level after hyperthyroidism pregnancy may make the already disordered endocrine more disordered, affecting embryo development and maternal health.
Especially in patients with hyperthyroidism, symptoms tend to worsen during pregnancy, which requires continuous drug intervention, which is not conducive to the health of mother and baby.
7. Autoimmune diseases, such as anti-sperm antibodies, anti-phospholipid syndrome, anti-endometrial antibodies, systemic lupus erythematosus, etc. Especially lupus erythematosus is prone to fever, fatigue and other symptoms after pregnancy, and even infection due to decreased immunity.
Therefore, it is suggested that women of childbearing age with such diseases should control their condition before pregnancy, intervene and treat them in advance, and try to get pregnant after their condition is stable, so as to avoid the aggravation of their condition, affecting the fetus and even endangering their lives.
There is a high risk during pregnancy, and some potential diseases will have no symptoms or mild symptoms before pregnancy. But during pregnancy, because of the increase of blood volume and metabolism, the symptoms will be particularly serious. The following diseases must be included in the pre-pregnancy examination:
First, hyperthyroidism
Hyperthyroidism is very common in women. For people with mild symptoms, it is particularly easy to aggravate symptoms during pregnancy. Because this disease needs continuous medication, it must be treated even during pregnancy, otherwise it will be unfavorable to both the fetus and the mother, and may also lead to an increase in the probability of stillbirth or miscarriage.
In addition, the birth weight of newborns will be lower, and the chances of mothers suffering from toxemia and heart failure will also increase. Because there are different opinions about the effects of drugs on the fetus, experts suggest that it is best to control the condition before pregnancy.
Second, autoimmune diseases.
Lupus erythematosus is the most common autoimmune disease, and its function may be normal at ordinary times, so it will not show serious symptoms. Once pregnant, it is prone to fever, fatigue, drowsiness and other phenomena. Because this disease will invade many organs in the body, if it invades the kidneys, it will make the disease worse. If there are extensive vascular diseases, it will also be complicated with pre-eclampsia, or the amniotic membrane will be damaged due to decreased immunity, leading to premature water breakthrough. This autoimmune disease needs steroid drugs to control, but it is dangerous to use too much. It is suggested that women with this disease must control their condition before pregnancy.
Third, diabetes and hypertension.
For women with chronic diseases, special control is needed before pregnancy. Women with severe hypertension are at higher risk during pregnancy. In addition to continuing to gain weight, it will also increase the burden on the heart. Placenta and uterus will also suffer from insufficient blood flow due to high blood pressure, leading to fetal abortion or premature delivery. But patients with hypertension are not completely unable to get pregnant, but their blood pressure must be carefully controlled. As for diabetic patients, it is also necessary to regularly check whether there is urine glucose reaction, control blood sugar, and avoid problems of the fetus and itself after pregnancy.
Four. infectious disease
Rubella, chicken pox, syphilis, AIDS and other infectious diseases are also the most common diseases that have a greater impact on the fetus, and this is the basic item of pre-pregnancy examination.
1, rubella
If you are infected with rubella in the early pregnancy, there is a high probability that the fetus will be infected, and babies with various birth defects will be born, such as mental retardation, visual impairment, hearing impairment, congenital heart disease and so on. Because the validity period of German vaccine is about 10 years, Dr. Lin suggested that women who want to get pregnant should never neglect to check whether they still have antibodies again. As for vaccination, pregnancy should be avoided within 3 months.
2, chickenpox
The incidence of fetal malformation caused by varicella virus infection is the highest in the eighth and twentieth weeks of pregnancy, and the most dangerous in the first three months. Because chickenpox can lead to fetal malformations, including microcephaly, hand and foot dysplasia, congenital cataract, brain calcification and so on. There are also medical reports showing that it is closely related to mental retardation. Although the proportion of chicken pox causing deformity is 5%, we should be especially careful. It is best to know whether you have antibodies first. If not, you must avoid them during pregnancy.
3. What should I do if I find out the genetic disease before pregnancy?
Complete genetic counseling is an important item of pre-pregnancy examination. Once an abnormal phenomenon is found after screening, the probability of possible occurrence is usually explained to the couple first. At present, most rare diseases can be understood through genetic diagnosis. Actually, there is no need to worry too much. Even if people who may be the cause of rare diseases are found, artificial reproduction technology can be used to screen out people with normal genes for implantation at the fertilized egg stage, so as to achieve the purpose of prevention in advance.
4. Syphilis AIDS
Among infectious diseases, syphilis is one of the dangerous diseases that cause fetal infection. Pregnant women infected with syphilis will transmit Treponema pallidum to the fetus through the placenta at any stage of pregnancy, and the effects on the fetus include abortion, stillbirth, fetal edema, congenital syphilis and so on. Therefore, for women in high-risk groups, it is recommended that they be examined and treated before pregnancy.
V. Genetic diseases
There are many kinds of genetic diseases, and they are very complicated. Although modern medical technology has been able to input the genes on the chromosome into the chip, and then use a drop of blood for detection and comparison to pick out the genes that are prone to mutation, even so, it is still impossible to detect all the items. However, at least know in advance that the doctor can give appropriate advice and consultation and provide follow-up help. Women with signs of habitual abortion, or women with more than one history of congenital retardation or mental retardation in the family, must undergo chromosome examination.
1, thalassemia
The detection of genetic diseases usually focuses on the recessive part, which is the so-called rare disease. Because thalassemia is a blood disease with recessive gene inheritance, it is a common monogenic anemia. Most carriers have no symptoms, but if they are passed on to the fetus, fetal edema and death may occur, or long-term blood transfusion or bone marrow transplantation is needed after birth, otherwise they will die easily.
2. Spinal muscular dystrophy
Spinal muscular dystrophy (SMA) is also one of the common recessive genetic diseases with single gene abnormality. Although it will not affect intelligence, the motor neurons in the front foot of the spinal cord will gradually degenerate, leading to the gradual weakening and even atrophy of the baby's muscles. If it is confirmed by genetic diagnosis that both husband and wife are carriers, the fetus will have a 1/4 chance of becoming a serious patient of the disease, so doctors suggest prenatal diagnosis first.
Pregnancy ability test
According to the results of pre-pregnancy health examination after marriage, it was found that 26% of men had too little sperm or insufficient activity, which was about 10% higher than the previous year. Stress and long-term inappropriate living habits have caused more and more infertile couples in society. Therefore, it is suggested that the items of pre-pregnancy examination should also include the detection of pregnancy ability in order to achieve the concept of real eugenics and health care.
The later the marriageable age is, the pregnancy and childbearing age will be polarized, either getting pregnant too early or becoming an elderly woman. Therefore, when many people are preparing for pregnancy, they find that factors leading to infertility appear one after another, such as ovulation problems and uterine problems. So if you want to have a eugenic baby, of course, you should check whether you can conceive it. The items of pregnancy ability should include ovarian function, fallopian tube examination, male sperm examination, gynecological ultrasound and so on.
Cholelithiasis, I have encountered it in clinic. Two cases of cholelithiasis in the second trimester rolled in bed with pain, and finally had to choose. ...