Fetus, Obstetrics and Gynecology FAQ - Page 40

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Understanding High-Level Ultrasound for Down Syndrome Screening

Maternal blood screening for Down syndrome? Hello, doctor. The obstetrician recommended that I go to Linkou Chang Gung Memorial Hospital for a high-level ultrasound. However, regarding the increased risk of neural tube defects, the doctor mentioned that the fetus's spine app...


Dr. Li Guanghan Reply:
Hello: The probability of neural tube defects is higher in maternal blood screening. A detailed ultrasound examination showed no abnormalities. If you are still concerned, you may consider undergoing amniocentesis, but please be aware that this procedure carries a risk of miscarr...

[Read More] Understanding High-Level Ultrasound for Down Syndrome Screening


Using Vitamin A Skincare During Early Pregnancy: Risks and Concerns

In the early stages of pregnancy, I applied skincare products containing vitamin A? Dear Doctor: The Department of Health has classified topical retinoic acid (A acid) as a prescription medication that requires a doctor's prescription for use. However, why are there some cos...


Dr. Li Guanghan Reply:
Hello: Excessive intake of vitamin A during pregnancy does indeed pose a risk of teratogenic effects. However, it is difficult to determine the exact amount of topical application that constitutes an overdose. If you are concerned, you can stop using it now and continue with your...

[Read More] Using Vitamin A Skincare During Early Pregnancy: Risks and Concerns


Is It Safe to Soak in Hot Springs and Get the Flu Shot During Pregnancy?

Is it safe to take hot baths and get a flu shot during pregnancy? Hello Doctor: I received the flu vaccine around the fifth week of my pregnancy and also went to a hot spring. Will this have any impact on the fetus?


Dr. Li Guanghan Reply:
Hello: Current research shows that the influenza vaccine can be administered during pregnancy. It is not advisable to take hot baths during pregnancy (especially in the early stages), as exposure to excessively high temperatures can be detrimental to embryonic development. Hsinch...

[Read More] Is It Safe to Soak in Hot Springs and Get the Flu Shot During Pregnancy?


Is Vitamin A Safe During Pregnancy? Risks and Recommendations

Is it safe to supplement with vitamin A during pregnancy? (Forwarded from the Director's mailbox) There are reports from websites citing American research indicating that excessive consumption of vitamin A by pregnant women can adversely affect fetal development. Dr. Chang G...


Dr. Li Guanghan Reply:
Hello: 1. Excessive vitamin A does indeed pose a risk of teratogenic effects. 2. Pregnant women require 6,800 International Units of vitamin A daily, which can be found in liver, milk, butter, egg yolks, and cod liver oil. 3. Insufficient vitamin A in pregnant women may lead to v...

[Read More] Is Vitamin A Safe During Pregnancy? Risks and Recommendations


Effects of Antihistamines and Allergy Medications on Fetal Development

Does the antihistamine Periactin and allergy medications have an effect on the fetus? Doctor, my wife is 28 weeks pregnant and often experiences nasal congestion, runny nose, and sneezing. The obstetrician mentioned it might be allergies and prescribed the following medications: ...


Dr. Chen Nengjin Reply:
At 28 weeks of pregnancy, the embryo has already developed significantly, and short-term low-dose antihistamines are unlikely to affect the fetus. It is believed that your gynecologist made this decision after careful consideration.

[Read More] Effects of Antihistamines and Allergy Medications on Fetal Development


Choosing the Right Path: Pregnancy Concerns After Weight Gain

How should I choose? Hello Doctor: Since I gave birth, I have been unable to lose weight. My child is now 2 years old, and I would like to have another child, but I am currently overweight and worried that having another baby might affect my fertility. If I were to get pregnant n...


Dr. Xu Junzheng Reply:
If the starting weight during pregnancy is higher, it is generally sufficient to monitor weight gain during the pregnancy, as this typically does not affect the mother or the fetus. Thank you!

[Read More] Choosing the Right Path: Pregnancy Concerns After Weight Gain


Understanding Artificial Insemination Amidst Cervical Fungal Infections

Artificial insemination Background Facts: The wife has been suffering from chronic fungal infections and inflammation of the cervix since 2001, with symptoms fluctuating over time. Last year, a severe erosion was discovered during an examination. Although there was some improveme...


Dr. Xu Junzheng Reply:
1. If a hysterosalpingography has been performed, artificial insemination may be considered. 2. Generally speaking, there is no direct relationship between the two. 3. Cryotherapy is not recommended. 4. The risk of miscarriage is very low, and it usually does not cause fetal dise...

[Read More] Understanding Artificial Insemination Amidst Cervical Fungal Infections


When Did I Really Conceive: October 15 or October 25?

What is the exact day of a miscarriage? I underwent artificial insemination on October 15th, had intercourse on the evening of October 25th, and tested positive for pregnancy on October 29th. On November 9th, I visited an obstetrician, and the embryo was measured at 4.5 weeks, wi...


Dr. Lü Lizheng Reply:
Hello: 1. According to the examination results on November 9, the embryo is only 4 weeks and 5 days old. This gestational age is calculated from the first day of the last menstrual period to the date of the examination. Therefore, if we calculate from the date of conception to ...

[Read More] When Did I Really Conceive: October 15 or October 25?


Effects of Scented Products on Fetal Development: What Pregnant Women Should Know

Pregnancy-related issues? Hello Dr. Chuang, I am currently 8 weeks pregnant. If I inhale the chemical scents emitted from a liquid incense burner every night, will it affect the growth of the fetus and potentially lead to "birth defects" or "brain issues"? I...


Dr. Zhuang Zhijian Reply:
Currently, there are no reports on this matter.

[Read More] Effects of Scented Products on Fetal Development: What Pregnant Women Should Know


Is It Safe to Wear High Heels During Early Pregnancy?

Pregnancy Hello Doctor, I am currently about 3 weeks pregnant. A couple of days ago, I wore shoes with about a 2-inch heel and walked around for over an hour. After returning home, I experienced mild abdominal pain for nearly half an hour, but there were no other symptoms. I am v...


Dr. Li Guanghan Reply:
Hello: Throughout the entire pregnancy, it is recommended to wear loose, comfortable flat shoes. Hsinchu City Hospital, Department of Obstetrics and Gynecology.

[Read More] Is It Safe to Wear High Heels During Early Pregnancy?


Understanding Pregnancy Challenges with Unicornuate Uterus: Key Concerns

What are the pregnancy issues associated with a unicornuate uterus? Hello Dr. Lu, I have a unicornuate uterus (with only the left fallopian tube, which is patent). After much effort, I naturally conceived over two months ago, but there was no heartbeat detected by the 9th week,...


Dr. Lü Lizheng Reply:
Hello: 1. The absence of a heartbeat is caused by embryonic atrophy, which is an issue related to the embryo itself and will not affect future pregnancies. 2. A unicornuate uterus is more prone to preterm birth, but the rate of fetal anomalies is similar to that of the general po...

[Read More] Understanding Pregnancy Challenges with Unicornuate Uterus: Key Concerns


Understanding Uterine Polyps: Surgery, Risks, and Fertility Concerns

Uterine polyp Hello, I previously underwent an ultrasound examination at the first hospital, where it was discovered that I had a polyp in my uterus and that my cervix was scraped. The doctor recommended surgery to address the issue before planning for pregnancy, but also mention...


Dr. Li Guanghan Reply:
Hello: If a hysteroscopy confirms that there are polyps in the uterine cavity and this is the only possible cause of your abnormal bleeding, then surgical removal may be considered; this is not a major surgery and is unlikely to cause significant adhesions. Hsinchu City Hospital,...

[Read More] Understanding Uterine Polyps: Surgery, Risks, and Fertility Concerns


Impact of Car Accidents on Pregnant Women: Risks and Symptoms

Issues Arising from Car Accidents Involving Pregnant Women Hello Doctor: I have a few questions to ask you. Thank you! My wife is 28 weeks pregnant. In September, she was involved in a car accident and subsequently developed the following symptoms: preeclampsia, hypertension, ges...


Dr. Li Guanghan Reply:
Hello: 1. The formal name for gestational hypertension is preeclampsia. The exact cause is currently unknown, but theories regarding its development are often related to poor vascular health. There is likely little direct correlation with automobile collisions. 2. If a pregnant w...

[Read More] Impact of Car Accidents on Pregnant Women: Risks and Symptoms


Safe Vitamin A Intake for Pregnant Women: Guidelines and Risks

Nutritional supplements for pregnant women? Hello: I would like to ask about the recommended daily limit for vitamin A in prenatal supplements. Is it true, as reported in recent newspapers and magazines, that prenatal supplements should not contain vitamin A? What are the potenti...


Dr. Li Guanghan Reply:
Hello: If your diet is balanced during pregnancy, there is really no need to take any supplements; however, if you feel more secure taking something and are concerned about vitamin overdose, it is recommended to take "Shin Po Na Duo" once a day, as it has been used for ...

[Read More] Safe Vitamin A Intake for Pregnant Women: Guidelines and Risks


Understanding Ovarian Cysts During Early Pregnancy: Key Questions Answered

Ovarian teratoma Dear Dr. Lu, My last menstrual period was on September 20. Since I was trying to conceive, my period did not come in October, so I took a home pregnancy test, which came back positive. The next day, I went to the obstetrics and gynecology department for an exami...


Dr. Lü Lizheng Reply:
1. Could this be a false pregnancy? Why can't we see the embryo yet, but there are symptoms of morning sickness? [The embryo at six weeks is still too small; abdominal ultrasound may not be able to detect it. A transvaginal ultrasound can be used, and it can usually be seen ...

[Read More] Understanding Ovarian Cysts During Early Pregnancy: Key Questions Answered


Understanding Uterine Contraction Issues After Childbirth: Concerns and Care

Regarding uterine contractions during labor? Hello, Doctor: After my wife gave birth, according to the attending physician (it was a natural delivery, and I was present), my wife experienced poor uterine contraction postpartum, leading to continuous bleeding. The doctor used a lo...


Dr. Li Guanghan Reply:
Hello: 1. Any pregnancy and delivery carry risks. Poor uterine contraction after childbirth can lead to postpartum hemorrhage, which is a condition that may recur in subsequent pregnancies. Therefore, if there is a next pregnancy, it is advisable to start prenatal care at a major...

[Read More] Understanding Uterine Contraction Issues After Childbirth: Concerns and Care


Is It Safe to Use Capsaicin Patches During Pregnancy for Swollen Feet?

Is it safe to use chili pepper bamboo vinegar patches during pregnancy? My sister is over four months pregnant and has been using a capsaicin patch on the soles of her feet to relieve swelling and discomfort caused by edema. However, after consulting with pharmacists at a drugsto...


Dr. Li Guanghan Reply:
Hello: Pregnancy edema is often caused by the compression of the inferior vena cava by the uterus, and it typically resolves after delivery. Before giving birth, you can promote venous return by placing a small pillow under your feet while sleeping and wearing compression stockin...

[Read More] Is It Safe to Use Capsaicin Patches During Pregnancy for Swollen Feet?


Pregnancy with Uterine Fibroids: Risks, Changes, and Management Options

Pregnancy with Uterine Fibroids Hello: Previously, my wife was diagnosed with a 10x7 cm uterine fibroid growing towards the back of the uterus. Some doctors suggested that she should undergo surgery to remove it before trying to conceive, while others believed that there is a ris...


Dr. Li Guanghan Reply:
Hello: 1. There is a 1/3 chance that the fibroid will increase in size, a 1/3 chance that it will remain the same size, and a 1/3 chance that it will decrease in size. 2. There is no significant risk to life; most cases can be delivered vaginally, and only a small number may requ...

[Read More] Pregnancy with Uterine Fibroids: Risks, Changes, and Management Options


Impact of Computer Use on Pregnant Women: Safety Tips and Dietary Concerns

What are the effects of computers on pregnant women, and how should they be considered? Is it harmful for pregnant women to use a computer, and could it affect the fetus? Also, during the early stages of pregnancy, around ten weeks, is it advisable to avoid consuming ginseng chic...


Dr. Li Guanghan Reply:
Hello: Currently, there are no reports indicating that computers have adverse effects on pregnancy. However, since all electrical devices emit electromagnetic waves, which are a form of energy, it is advisable to minimize their use when possible. There are claims that Job's ...

[Read More] Impact of Computer Use on Pregnant Women: Safety Tips and Dietary Concerns


Understanding Ovarian Rupture: Symptoms, Causes, and Concerns for Women

Oocyte rupture I ovulated on September 27th, and on October 3rd, I started feeling unwell with dizziness, headaches, nausea, fatigue, and weakness. Therefore, I went to see a doctor on October 6th. The doctor said that my egg had ruptured. I don't understand why an egg, whic...


Dr. Lü Lizheng Reply:
The doctor said that my egg has ruptured. I can't understand why an egg, which is supposed to only live for a day, would rupture seven days later. Isn't it the fertilized egg that ruptures? [Personally, I also find this diagnosis a bit strange. It could possibly be the ...

[Read More] Understanding Ovarian Rupture: Symptoms, Causes, and Concerns for Women


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