Understanding Breech Presentation: Delivery Options and Hospital Recommendations
Abnormal fetal position Hello, doctor. My wife had normal deliveries for her first two pregnancies, but during the 31-week check-up of her third pregnancy, we found out that the baby is in an abnormal position. She is currently doing the knee-chest position exercises. If a cesare...
Dr. Zhang Kunmin Reply:
Hello, A-san: It is recommended to wait until 34 weeks to reassess your wife's condition and determine the fetal position. If the position is still not optimal, an external cephalic version may be attempted. In the case of a complete breech presentation, a vaginal delivery m...[Read More] Understanding Breech Presentation: Delivery Options and Hospital Recommendations
Impact of Low Amniotic Fluid Levels Near Due Date
The effects of decreased amniotic fluid? Dear Doctor, I am approaching my due date next week. In my recent ultrasound examination, it was found that there is almost no amniotic fluid left. Since the beginning of my pregnancy, the amniotic fluid levels have been adequate, but last...
Dr. Lü Lizheng Reply:
Dear A-mei, Hello. 1. Each physician has different criteria for assessing oligohydramnios. Doctor A may consider the amniotic fluid to be insufficient, while Doctor B may deem it normal. Generally, the depth of amniotic fluid is measured in four quadrants around the pregnant w...[Read More] Impact of Low Amniotic Fluid Levels Near Due Date
Understanding Uterine Issues: Irregular Periods and Pain Management
Uterine issues? Hello, my menstrual cycle is irregular. When it comes, it is heavy and accompanied by blood clots. The abdominal pain is one thing, but my lower back pain is so severe that I can’t stand or sit. I went to a well-known hospital, and after examination, the doctor sa...
Dr. Zhang Kunmin Reply:
Hello, Amei: The secondary medical consultation you mentioned actually involves different symptoms (1. irregular menstruation, dysmenorrhea, heavy menstrual flow, 2. prolonged menstruation). Therefore, the explanations from the examining physician may vary. Hormonal imbalance, en...[Read More] Understanding Uterine Issues: Irregular Periods and Pain Management
Understanding Fetal Head Size: Is C-Section Necessary for Delivery?
Fetal head circumference is large? My baby is currently 36 weeks and 5 days old. During yesterday's prenatal check-up, it was noted that the baby's head is large and round, measuring approximately 10 cm. I'm concerned that this might lead to a painful delivery and ...
Dr. Dong Yuhong Reply:
Hello: Whether a baby with a large and round head can be delivered vaginally depends on the assessment of the mother's birth canal. If the mother's pelvis is suitable for the baby's size, a vaginal delivery can be attempted; however, if the physician evaluates that...[Read More] Understanding Fetal Head Size: Is C-Section Necessary for Delivery?
Managing Frequent Urination During Pregnancy: Solutions and Insights
Frequent urination issues since childhood? I have had frequent urination since childhood, and it has worsened during my pregnancy, leading to urinary incontinence after about three months. Would a cesarean section help improve this condition? I am a 32-year-old woman who has expe...
Dr. Zhong Wenzhen Reply:
Hello, thank you for your inquiry. In response to your question and to provide some advice: the cause of unexplained urinary incontinence cannot be used to determine whether a cesarean section would be beneficial. It is recommended to consult a urologist. Wishing you safety and h...[Read More] Managing Frequent Urination During Pregnancy: Solutions and Insights
Understanding Recurrent Infection After C-Section: Causes and Diagnosis
Cesarean section wound recurrent infection? My sister's amniotic sac ruptured prematurely, leading to an early cesarean section. However, after the surgery, although there was no fever, the wound has been repeatedly infected. Despite the doctor treating it with antibiotics f...
Dr. Li Guanghan Reply:
Hello: 1. Any surgical procedure carries a risk of wound infection, and it may not always be possible to determine the exact cause. 2. If there is suspicion of an intra-abdominal lesion, imaging studies such as ultrasound or computed tomography (CT) may be necessary. Wishing you ...[Read More] Understanding Recurrent Infection After C-Section: Causes and Diagnosis
Is It Safe to Get the Flu Vaccine Before Pregnancy?
Vaccination Is it safe to receive the flu vaccine when preparing for pregnancy, and are there any potential side effects? Thank you.
Dr. Dong Yuhong Reply:
Pregnant women are a high-risk group for H1N1 influenza infection. According to the H1N1-related information from the Department of Health, pregnant women who receive the influenza vaccine have rates of cesarean sections, preterm births, congenital malformations, neurodevelopment...[Read More] Is It Safe to Get the Flu Vaccine Before Pregnancy?
Understanding Fetal Growth Restriction in Twin Pregnancies: Risks and Care
Fetal growth restriction Hello Doctor: I am currently 37 weeks pregnant with twins. One fetus measures 1700 grams and the other 1800 grams, indicating growth restriction. I have undergone many tests, all of which have come back normal, and no cause has been identified. Today, I a...
Dr. Li Guanghan Reply:
Dear Sir/Madam, Low birth weight infants typically require hospitalization in the neonatal intensive care unit (NICU) where they will be cared for by pediatric healthcare professionals. It is advisable to ask them any questions you may have. The more accurate information you obt...[Read More] Understanding Fetal Growth Restriction in Twin Pregnancies: Risks and Care
Considering C-Section: Pregnancy After Spinal Surgery at 32
Cesarean section Hello, I am 32 years old and plan to get pregnant next year. I underwent surgery for "spinal misalignment with intervertebral disc herniation" at Linkou Chang Gung Memorial Hospital on March 22, 2006, where six screws were placed, and it seems that one ...
Dr. Lü Lizheng Reply:
Dear Sylvia: Hello, in principle, a herniated disc surgery does not affect pregnancy, and there is no need for preterm delivery; you can also have a natural birth and are not necessarily required to have a cesarean section. It is recommended that after confirming your pregnancy, ...[Read More] Considering C-Section: Pregnancy After Spinal Surgery at 32
Ensuring Newborn Safety: Modern Delivery Techniques and Risks
Safety of Newborns (Forwarded from the Director's mailbox) Dear Director Yeh: Recently, I heard that many obstetricians are now using modern machines to suction the baby's head and pull it out, which is different from the traditional method where midwives pull the baby ...
Dr. Huang Jianxun Reply:
Dear Mr. Lu, According to Article 25 of the Midwifery Personnel Act, the duties of midwives are as follows: 1. Assisting in childbirth. 2. Conducting prenatal examinations and providing health guidance. 3. Conducting postpartum examinations and providing health guidance. 4. Prov...[Read More] Ensuring Newborn Safety: Modern Delivery Techniques and Risks
Understanding Endometriosis: Surgical Options and Risks Explained
Endometrial ectopic tumor I would like to ask: In 2001, I underwent surgery for an endometrioma (chocolate cyst) that was 12 cm in size, based on my doctor's recommendation. In 2004, I had another surgery for a similar cyst that was 7 cm. Now, I have been diagnosed with a ne...
Dr. Li Guanghan Reply:
Hello: 1. Whether an ovarian cyst requires surgery can be considered based on the following points: A: Is there any suspicion of malignancy? B: Are there any symptoms? C: Will it affect fertility? 2. Any surgical procedure carries the risk of adhesions. 3. An ovarian cyst develop...[Read More] Understanding Endometriosis: Surgical Options and Risks Explained
Severe Pubic Pain in Late Pregnancy: Impact on Natural Birth Options
Pelvic pain in late pregnancy to the point of being unable to walk? Hello, I am currently 38 weeks pregnant. Around 37 weeks, I experienced pubic symphysis pain, which I initially thought was within the normal range. However, it has since worsened to the point where I cannot turn...
Dr. Chen Changfu Reply:
In the late stages of pregnancy, due to the relaxation of the ligaments and joints, pubic symphysis separation can occur, leading to pain during movement. Pregnant women should move cautiously and slowly to reduce discomfort, which is also safer for those with a larger belly. Thi...[Read More] Severe Pubic Pain in Late Pregnancy: Impact on Natural Birth Options
Understanding C-Section Wound Issues: Pain, Hardness, and Healing
Issues related to cesarean section incisions? Hello, Doctor: I had a cesarean section on May 9th of this year (I had a horizontal incision, and the skin was closed with cosmetic staples). It has been nearly two months, but the incision site often feels uncomfortable. I would like...
Dr. Huang Jianxun Reply:
It is best to have the surgeon assess for any special conditions first, so that the subsequent physician can evaluate and manage the situation more effectively.[Read More] Understanding C-Section Wound Issues: Pain, Hardness, and Healing
Understanding Risks and Costs of Monoamniotic Twin Deliveries
Within the same amniotic cavity? Hello, Doctor. I am currently 19 weeks pregnant with identical twins in the same amniotic sac. During my consultation, my attending physician mentioned that this situation carries a high risk and that I will need a cesarean section at term. I woul...
Dr. Chen Changfu Reply:
You should consult your attending physician for appropriate answers regarding your pregnancy condition.[Read More] Understanding Risks and Costs of Monoamniotic Twin Deliveries
Understanding C-Section Wound Healing: When to Seek Further Care
Issues with Recovery from Cesarean Section Wounds Hello Doctor, I had a cesarean section last year for my first pregnancy. Initially, the wound did not heal well, and now almost a year has passed, but the incision site is still red and sometimes feels a bit prickly to the touch. ...
Dr. Chen Changfu Reply:
The healing process of the abdominal incision from a cesarean section may result in scar formation. Within 6 to 9 months, the scar may still appear red and may be accompanied by noticeable itching. Most scars will gradually fade in color and stop itching after 9 months to a year....[Read More] Understanding C-Section Wound Healing: When to Seek Further Care
Understanding Prolonged Menstrual Cycles: Causes and Concerns
The menstrual period lasted for 10 days before it ended? My menstrual cycle is approximately 25-27 days, but about two years ago, my period started to last nearly 10 days before it completely ended (previously it lasted about 6-7 days). The first 3-4 days are normal, but around t...
Dr. Yang Wangjun Reply:
Hello: (1) When menstruation occurs, the endometrium sheds in fragments. After the shedding, the spiral arteries in the affected area begin to bleed. At this time, the muscular layer of the small arteries constricts, platelets form a thrombus, coagulation factors are added to str...[Read More] Understanding Prolonged Menstrual Cycles: Causes and Concerns
Managing High Leak Amniotic Fluid at 37 Weeks: What to Expect
At 37 weeks of pregnancy, if the amniotic sac has ruptured, the cervix is dilated to 3 centimeters, and the fetal head has descended, but labor has not progressed, it is important to consult with your healthcare provider. They may recommend monitoring the situation closely, as th...
Dr. Chen Changfu Reply:
Pregnant at 37 weeks, you are considered full-term. As long as the fetal position is normal and there is suspected rupture of membranes, even in the absence of labor pains, it may be appropriate to administer a suitable amount of uterotonics to induce regular contractions (common...[Read More] Managing High Leak Amniotic Fluid at 37 Weeks: What to Expect
Managing Fast Heart Rate and Acid Reflux During Late Pregnancy
Isn't the heart rate too fast? I am currently 35 weeks pregnant, and I have been experiencing gastroesophageal reflux lately. I feel uncomfortable whenever I lie down. Is this normal? I did not have this issue during my first pregnancy. How can I improve this? Additionally, ...
Dr. Huang Jianxun Reply:
As the weeks of pregnancy progress, the gastrointestinal tract may be easily compressed by the uterus, so it is recommended to eat smaller, more frequent meals. If experiencing severe discomfort from gastroesophageal reflux, please seek medical attention to determine if medicatio...[Read More] Managing Fast Heart Rate and Acid Reflux During Late Pregnancy
Understanding Fetal Hydronephrosis: Concerns and Delivery Options
Fetal hydronephrosis Doctor: Hello! I am currently 37 weeks pregnant. At around 34 weeks, the doctor informed me that the fetus has hydronephrosis... the right kidney is swollen, while the left kidney is normal. After three weeks, it is still in a state of swelling (the ultrasoun...
Dr. Huang Jianxun Reply:
Dear Chagi, Hello. In principle, only the physician who is actually treating you can provide detailed answers to your series of questions. Please communicate with your obstetrician to address your concerns. Good doctor-patient communication will help you feel at ease, and it wil...[Read More] Understanding Fetal Hydronephrosis: Concerns and Delivery Options
Understanding Prolonged Menstrual Cycles: Causes and Solutions
For the past ten years, my menstrual period has lasted fourteen days each time? Hello Doctor, I have a few questions: 1. It has been over nine years since my youngest friend was born. 2. However, for the first three to five days of my menstrual period, the flow seems normal, ...
Dr. Chen Changfu Reply:
I apologize, but the physician has performed a hysteroscopy and confirmed the diagnosis. Please refer to the physician's recommendations. I have no better suggestions. Oral contraceptives can suppress ovulation to achieve contraception and also help regulate menstrual cycles...[Read More] Understanding Prolonged Menstrual Cycles: Causes and Solutions