Can You Have Surgery in Early Pregnancy? Risks and Considerations
Is it safe to perform surgery during early pregnancy? I was originally scheduled for surgery on Thursday, November 23rd, to remove a benign fibroadenoma from my right breast, which is about 3 centimeters in size. It is a minor procedure performed under local anesthesia. However, ...
Dr. Li Guanghan Reply:
Hello: The risks of local anesthesia to the fetus are minimal. If there is a lump in the breast, how can we be certain it is benign and not breast cancer without excision and pathological examination? The urgency and importance of the situation should be very clear. Please discus...[Read More] Can You Have Surgery in Early Pregnancy? Risks and Considerations
Is My 28-Week Fetus Weighing 936g Normal or Too Small?
At 28 weeks of pregnancy, the fetus weighs only 936 grams? Hello, doctor: I would like to ask. Yesterday, during my prenatal check-up at 28 weeks, the doctor said the fetal weight is approximately 936 grams, which is within the normal range. However, when I got home and checked t...
Dr. Li Guanghan Reply:
Hello: The following statistical data is for your reference: If we have 100 fetuses at 28 weeks of gestation sorted by weight from smallest to largest, the weight of the 90th percentile is approximately 1764 grams, the 75th percentile is approximately 1449 grams, the 50th percent...[Read More] Is My 28-Week Fetus Weighing 936g Normal or Too Small?
Impact of Chest X-Ray and Herbal Supplements on Early Pregnancy
If a chest X-ray (large film) was taken before knowing about the pregnancy, what impact could it have on the fetus? Hello, doctor: I apologize for bothering you again. I was informed on the 14th that I am five weeks and three days pregnant. However, during my health check on Octo...
Dr. Li Guanghan Reply:
Hello: I'm sorry, I don't understand traditional Chinese medicine. Please consult the Department of Traditional Chinese Medicine. Thank you! Hsinchu City Hospital, Department of Obstetrics and Gynecology.[Read More] Impact of Chest X-Ray and Herbal Supplements on Early Pregnancy
Optimal Management of Prolonged Fetal Heart Rate Deceleration During Labor
Production Process (Forwarded from the Director's Mailbox) In the case of prolonged fetal heart rate deceleration during labor, is it better to accelerate labor with artificial rupture of membranes, or is it preferable to perform a cesarean section to expedite the delivery o...
Dr. Huang Jianxun Reply:
Hello: 1. It depends on various circumstances at the time. 2. Whether there is fetal heart distress. 3. How the labor is progressing, etc. Sincerely, Dr. Huang Chien-Hsun, Obstetrics and Gynecology.[Read More] Optimal Management of Prolonged Fetal Heart Rate Deceleration During Labor
Impact of Chest X-Ray Before Knowing Pregnancy on Fetal Health
If a chest X-ray (large film) was taken before knowing about the pregnancy, what impact could it have on the fetus? Hello Doctor: I just found out yesterday that I am five weeks pregnant. However, I am very concerned about one thing: I had a chest X-ray (large film) during a comp...
Dr. Li Guanghan Reply:
Hello: If November 14th is the 5th week, then the possible ovulation date would be October 24th. Fertilization had not occurred by October 17th, so please do not worry excessively. Hsinchu City Hospital, Department of Obstetrics and Gynecology.[Read More] Impact of Chest X-Ray Before Knowing Pregnancy on Fetal Health
Understanding Irregular Periods and Pregnancy Testing After Miscarriages
Pregnancy test Hello, I would like to ask: In my first year of marriage, I had two induced abortions (both due to unavoidable circumstances), and the fetuses were both under 10 weeks. In the following year, I intermittently took traditional Chinese medicine due to my desire to co...
Dr. Zhang Yongxuan Reply:
Are you experiencing increased vaginal discharge? The pelvic congestion and lower abdominal pain when lifting heavy objects may indicate inflammation of the uterus or pelvic cavity, which could likely be a result of a previous abortion. Additionally, your prolonged menstrual peri...[Read More] Understanding Irregular Periods and Pregnancy Testing After Miscarriages
Understanding Fetal Size Discrepancies: Ultrasound and Conception Dates
Ultrasound Fetal Size and Conception Date Hello Doctor: I am certain that the dates of my last two menstrual cycles before becoming pregnant were April 3 and May 2. My husband and I had intercourse from April 7 to 9, and from April 21 to 23, as well as daily from May 13 to May 16...
Dr. Li Guanghan Reply:
Hello: The gestational age is calculated from the first day of the last menstrual period, while the ultrasound gestational age is determined by measuring the size of the fetus via ultrasound. In your case, the latter is 2 weeks greater than the former, and if you are certain abou...[Read More] Understanding Fetal Size Discrepancies: Ultrasound and Conception Dates
Understanding Discrepancies in Fetal Size and Last Menstrual Period Dates
Ultrasound Fetal Size and Conception Date -2 Thank you, doctor, for your previous response to my question (as follows)!!! However, I don't understand why the doctor who performed the high-level ultrasound insists that I must have misremembered or intentionally provided him w...
Dr. Li Guanghan Reply:
Hello: In this regard, my response remains the same as last time. Therefore, I will not reply again. Thank you. Hsinchu City Hospital, Department of Obstetrics and Gynecology.[Read More] Understanding Discrepancies in Fetal Size and Last Menstrual Period Dates
Common Concerns During Early Pregnancy: Bleeding and Testing Options
Pregnancy-related questions? Hello Dr. Huang, 1. I experienced bleeding during the early stages of my pregnancy, specifically between weeks 7 to 10, but it has since normalized. Now at 13 weeks, I occasionally notice a small amount of brown discharge that does not persist and re...
Dr. Huang Jianxun Reply:
Hello: Please be aware of any signs of miscarriage. For advanced maternal age, the Department of Health generally recommends undergoing amniocentesis. It is important to assess the appropriate timing and risks before the procedure. Sincerely, Dr. Huang Chien-Hsun, Obstetrics and ...[Read More] Common Concerns During Early Pregnancy: Bleeding and Testing Options
Managing Discomfort During Pregnancy: Common Concerns and Solutions
Pregnancy discomfort issues Hello Doctor: 1. I am currently 11 weeks pregnant and have been experiencing frequent lower back discomfort. Sometimes, after walking just a short distance, my abdomen feels sore (but not painful). Is this a normal phenomenon? 2. Due to morning sick...
Dr. Li Guanghan Reply:
Hello: 1. Lower back pain during pregnancy is common, but whether it is physiological or caused by other issues needs to be evaluated. 2. If there is a decrease in weight during pregnancy, an assessment should be conducted to determine if antiemetic medication is needed to improv...[Read More] Managing Discomfort During Pregnancy: Common Concerns and Solutions
Impact of X-rays on Pregnancy and Future Fertility: What Parents Should Know
Effects of X-rays Hello, we know that pregnant women should avoid X-rays. If a husband undergoes an X-ray (with his lower body covered) and then has intercourse with his wife, will the sperm that was exposed to X-rays cause abnormalities in the fertilized fetus? Additionally, wil...
Dr. Li Guanghan Reply:
Hello: 1. Excessive radiation exposure in males can indeed lead to genetic or chromosomal abnormalities in sperm, potentially affecting the health of future generations. However, if you are only undergoing routine X-ray examinations, there is no need for excessive concern. 2. Ple...[Read More] Impact of X-rays on Pregnancy and Future Fertility: What Parents Should Know
Impact of Shingles on Fetal Development in Early Pregnancy
Shingles Hello doctor, may I ask if contracting shingles in the early stages of pregnancy will affect the fetus? Thank you.
Dr. Zhong Wenzhen Reply:
The impact of a shingles infection during early pregnancy on the fetus is minimal; however, the occurrence of genital herpes at the time of full-term delivery poses a higher risk of neonatal infection.[Read More] Impact of Shingles on Fetal Development in Early Pregnancy
Can Birth Asphyxia Lead to Cerebral Palsy in Newborns?
Cerebral Palsy (Forwarded from the Director's mailbox) Does hypoxic asphyxia during the delivery process lead to cerebral palsy in the fetus? Thank you for clarifying.
Dr. Huang Jianxun Reply:
Hello: There are many causes of cerebral palsy. According to research reports, MRI examinations of infants' brains have shown that 22% have localized arterial obstruction, 14% have abnormalities in brain structure development, and 12% have periventricular white matter abnorm...[Read More] Can Birth Asphyxia Lead to Cerebral Palsy in Newborns?
Effective Pain Relief Strategies for Pregnant Women with Severe Back Pain
Pregnancy I would like to ask the doctor: What methods are available to alleviate severe back pain in pregnant women? Would topical sprays like muscle relaxants be too stimulating? After transdermal absorption, could they have adverse effects on the fetus? Additionally, can pain ...
Dr. Zhong Wenzhen Reply:
1. Pregnant women experiencing back pain are advised to consult a rehabilitation specialist or a traditional Chinese medicine acupuncture clinic. 2. The difference between transdermal medications and oral medications lies in the fact that transdermal medications do not undergo ...[Read More] Effective Pain Relief Strategies for Pregnant Women with Severe Back Pain
Dealing with Pinworm Infection During Pregnancy: Safe Remedies
It seems that I have contracted pinworms during pregnancy? Hello Dr. Huang: I am about three months pregnant, but recently I have been experiencing itching around my anus (which occurs at any time). I really suspect that I might have contracted something from my older son (since ...
Dr. Huang Jianxun Reply:
Lack of Risk of Adverse Birth Outcomes After Deworming in Pregnant Women. Gyorkos TW, Larocque R, Casapia M, Gotuzzo E. From the *Division of Clinical Epidemiology, Department of Medicine, McGill University Health Centre, and the Department of Epidemiology and Biostatistics, McGi...[Read More] Dealing with Pinworm Infection During Pregnancy: Safe Remedies
Is My Baby's Size Normal at 25 Weeks Pregnant?
Fetus is slightly larger? I am currently 25 weeks and 2 days pregnant. Today, I went for a prenatal check-up, and the doctor mentioned that the fetus is a bit large, weighing 950 grams. Is this really abnormal? My weight has increased from 48 kg to 52 kg during this pregnancy, ye...
Dr. Li Guanghan Reply:
Hello: 1. The average weight at 26 weeks of gestation is approximately 921 grams, and at 27 weeks of gestation, it is about 1076 grams. A weight of 950 grams is only slightly above the average for 26 weeks, which is just one week more than your current gestational age and is not ...[Read More] Is My Baby's Size Normal at 25 Weeks Pregnant?
Is Stilnox Safe Before Pregnancy for Insomnia and Depression?
Taking Stilnox before pregnancy? I am a patient with depression and have been suffering from chronic insomnia for three years. I have tried many treatment methods, but none have been effective. I have completely stopped taking antidepressants and take one Stilnox (Zolpidem) befor...
Dr. Li Guanghan Reply:
Hello: If your period is late, you should take a pregnancy test immediately. If you are pregnant, you should promptly consult a psychiatrist to switch all medications to those that are safe for use during pregnancy. There is no need to worry too much. Hsinchu City Hospital, Depar...[Read More] Is Stilnox Safe Before Pregnancy for Insomnia and Depression?
Caffeine Consumption During Pregnancy: Risks and Recommendations
The effects of caffeine on pregnant women? Hello, I am currently 2 months pregnant. Before pregnancy, I used to have a cup of coffee every day, but reports say that caffeine is harmful to the fetus, so now I only have a little on weekends when I can't resist. What exactly is...
Dr. Li Guanghan Reply:
Hello: Research has shown that excessive caffeine intake can lead to miscarriage, preterm birth, reduced uterine blood flow, and low fetal birth weight. It is advisable to avoid excessive consumption, and abstaining from caffeine altogether is certainly beneficial. Hsinchu City H...[Read More] Caffeine Consumption During Pregnancy: Risks and Recommendations
Understanding Ectopic Pregnancy: Symptoms, Risks, and Next Steps
I am very afraid that it might be an ectopic pregnancy? Last month, my period started around the 10th and ended early in the month. Recently, I've been experiencing some unusual symptoms, so I bought a pregnancy test and it showed positive. This past Monday, I went to the ob...
Dr. Li Guanghan Reply:
Hello: If the last menstrual period was on July 10, then August 12 would indicate a gestational age of 4 weeks and 5 days. Generally, if the pregnancy has exceeded 5 weeks and no gestational sac is visible in the uterus on ultrasound, then an ectopic pregnancy should be suspected...[Read More] Understanding Ectopic Pregnancy: Symptoms, Risks, and Next Steps
Can Induction of Labor Be Considered for Fetal Heart Calcification?
Is induction of labor possible? Hello, I would like to ask a question. I am currently 23 weeks pregnant, and the fetus has ventricular calcification, which is suspected to be caused by taking psychiatric medication. If I decide to terminate the pregnancy, would that violate the M...
Dr. Li Guanghan Reply:
Hello: 1. Inducing labor due to significant fetal abnormalities before the legal gestational age is not illegal. However, whether your fetus has significant abnormalities must be determined by your obstetrician. 2. None of us are perfect, so why can't we accept some imperfec...[Read More] Can Induction of Labor Be Considered for Fetal Heart Calcification?