Understanding Early Rupture of Membranes: Key Concerns for Expecting Mothers
Issues Related to Premature Rupture of Membranes Hello Dr. Chen, I have several questions for you, and I appreciate your help. Thank you! Recently, during my second pregnancy at 5 weeks, I experienced some bleeding. After resting for a few days and taking medication to suppor...
Dr. Chen Changfu Reply:
There are many questions! Please refer to the following responses: 1. Cervical cerclage surgery is performed on pregnant women who have a history of second-trimester miscarriage and have been diagnosed with cervical incompetence. Based on your medical history, please discuss wi...[Read More] Understanding Early Rupture of Membranes: Key Concerns for Expecting Mothers
Understanding Left-Sided Implantation: Risks and Health of Your Pregnancy
Embryo implantation is偏左? Hello Doctor, I am currently in the early stages of pregnancy, entering the sixth week. However, my embryo is implanted on the left side, which has caused brown discharge/bleeding (not fresh blood) during the pregnancy. During the examination, it was men...
Dr. Zhong Wenzhen Reply:
Hello, Miss: Thank you for your inquiry. Here are my responses to your questions and some suggestions: 1. The pregnant uterus functions like a natural greenhouse, with no distinction between up and down or left and right. 2. The source of bleeding comes from blood vessels, whic...[Read More] Understanding Left-Sided Implantation: Risks and Health of Your Pregnancy
Impact of Enlarged Placenta on Fetal Development and Pregnancy Safety
Placenta previa My sister-in-law is currently 27 weeks pregnant and experienced some bleeding a few days ago. She is currently hospitalized for bed rest. At 25 weeks, the baby weighed over 700 grams, but after being hospitalized, the doctor mentioned that the baby hasn't gro...
Dr. Lü Lizheng Reply:
Dear Qí, 1. Regarding the size of the placenta: The placenta grows rapidly during the early and mid-stages of pregnancy, which can make it appear larger in proportion. Based on personal experience, a seemingly large placenta is likely just an illusion and should still be within ...[Read More] Impact of Enlarged Placenta on Fetal Development and Pregnancy Safety
Understanding Low Fetal Weight in Twin Pregnancies: Risks and Remedies
Low fetal weight Hello, doctor. I am currently 34 weeks pregnant with twins. The measured fetal weights are only 1300g and 1400g, which are considered underweight. However, I have undergone placental function tests, and the healthcare provider mentioned that contractions and feta...
Dr. Lü Lizheng Reply:
Dear Mimi, Common reasons for low fetal weight include the following: First, there may be measurement errors in ultrasound assessments, which do not necessarily indicate that the fetal weight is truly low. It is advisable to have multiple measurements taken at different hospit...[Read More] Understanding Low Fetal Weight in Twin Pregnancies: Risks and Remedies
Understanding the Different Types of Prenatal Education Methods
Prenatal education Prenatal education can be categorized into several types.
Dr. Yang Wangjun Reply:
Hello: Some believe that from the moment of implantation, which occurs 5 to 7 days after fertilization, the embryo is closely connected to the mother. It can sense all changes in the mother, including emotions, diet, exercise, and thoughts. This has led to the development of vari...[Read More] Understanding the Different Types of Prenatal Education Methods
Post-Miscarriage Pregnancy Testing: Understanding Your Cycle and Symptoms
Pregnancy test after a miscarriage? You were previously pregnant for 17 weeks and underwent a medical induction on June 11. Two weeks later, you began having sexual intercourse with your boyfriend without using protection, and he did not ejaculate inside you. Now, almost a month ...
Dr. Chen Changfu Reply:
At 17 weeks of pregnancy, after a medically induced abortion, the time until ovulation resumes varies from person to person and cannot be predicted. If there is no subsequent pregnancy, menstruation is expected to return within 1-2 months after the miscarriage. The presence of ye...[Read More] Post-Miscarriage Pregnancy Testing: Understanding Your Cycle and Symptoms
Choosing Between a Specialty Clinic and a Hospital for Delivery: What to Consider
Is it better to give birth in a hospital or at an obstetrics and gynecology clinic? Hello, I am currently about 18 weeks pregnant and am temporarily receiving prenatal care at a nearby obstetrics and gynecology clinic, which is about a 20-minute drive from my home (it also has pe...
Dr. Cai Yonglong Reply:
Dear Dr. Tsai Yong-long of the Department of Obstetrics and Gynecology at Tainan Hospital, Ministry of Health and Welfare: It is indeed safer to give birth in a large hospital, as the equipment and personnel cannot be compared to those of a general clinic (such as operating room...[Read More] Choosing Between a Specialty Clinic and a Hospital for Delivery: What to Consider
Can You Get Pregnant While Taking Inderal for Hyperthyroidism?
Medication Consultation You have hyperthyroidism and are taking Inderal (10 mg) three times a day. Is it safe to become pregnant? Will it affect the fetus? Thank you.
Dr. Zhang Yongxuan Reply:
1. Inderal (10 mg), which is propranolol, is a beta-adrenergic blocker that is effective in treating arrhythmias. 2. Since 1965, this class of medications (beta-blocking agents) has been used alone or in combination with antithyroid drugs in pregnant women with hyperthyroidism, ...[Read More] Can You Get Pregnant While Taking Inderal for Hyperthyroidism?
Postpartum Belly Issues: Understanding Symptoms and When to Seek Help
Postpartum abdominal issues? Two days after a natural delivery, I noticed a balloon-like bulge just above my navel (about the size of a five-dollar coin). The nurse and doctor both advised me to wait until after my confinement period to see an internist for an X-ray. This is my t...
Dr. Chen Changfu Reply:
Slight bleeding in the late postpartum period is lochia resulting from the healing process of the placental implantation site in the endometrium, not menstruation following ovulation. Most cases do not require treatment and will improve naturally. A balloon-like protrusion above ...[Read More] Postpartum Belly Issues: Understanding Symptoms and When to Seek Help
Understanding Post-Miscarriage Bleeding and Recovery Concerns
What are the issues related to lochia after a miscarriage? Hello Doctor: I experienced a tightening sensation in my uterus and lower abdominal pain at 14 weeks of pregnancy, and I went to the emergency room on July 8. Upon arrival at the hospital, I had just experienced a rupture...
Dr. Chen Changfu Reply:
The duration of lochia after a miscarriage at a later gestational age can be longer, potentially lasting 4-5 weeks. After a miscarriage on July 8, the heavier bleeding on August 8 is likely due to the healing process of the placental implantation site in the uterine lining, rathe...[Read More] Understanding Post-Miscarriage Bleeding and Recovery Concerns
Is My 21-Week Baby's Weight Normal? Understanding Fetal Growth
Regarding the weight of a 21-week-old baby? Hello Doctor: I am currently 21 weeks and 3 days pregnant, and my baby's weight is 399 grams. I would like to ask if this weight is too low for the baby. According to the health handbook, the weight for 21 to 24 weeks is approximat...
Dr. Zhong Wenzhen Reply:
Hello, Miss: Thank you for your inquiry. I would like to address your questions and provide the following suggestions: 1. If the fetal weight is too low, consider the following two points: a. The gestational age may be inaccurate. b. Pathological fetal growth restrictio...[Read More] Is My 21-Week Baby's Weight Normal? Understanding Fetal Growth
Understanding Fetal Movement: When to Expect It in Your Pregnancy
Fetal movement is typically felt around 18 weeks of gestation? Hello, Doctor: I am currently 18 weeks pregnant with my third child. I clearly remember feeling fetal movement at 15 weeks during my second pregnancy, but I have not felt any movement yet with this third pregnancy at ...
Dr. Yang Wangjun Reply:
Hello: Regarding your question, here are the responses: (1) According to textbooks, first-time mothers may feel fetal movement as early as 18 weeks, while those who have had previous pregnancies may notice it as early as 16 weeks. However, in clinical practice, most pregnant wome...[Read More] Understanding Fetal Movement: When to Expect It in Your Pregnancy
Concerns About Ectopic Pregnancy, Chocolate Cysts, and Ovulation Issues
Concerns about ectopic pregnancy, accuracy of pregnancy tests, chocolate cysts, and corpus luteum cysts? Six years ago, I was pregnant and underwent a medical abortion at six weeks due to financial pressures when I was younger. After the procedure, my menstrual cycles became irre...
Dr. Huang Jianxun Reply:
Dear Miss: Determining whether it is an ectopic pregnancy may sometimes require a period of monitoring. I recommend that you closely follow up with a trusted obstetrician-gynecologist, who will appropriately explain your condition. Wishing you safety and health. Sincerely, Dr. Hu...[Read More] Concerns About Ectopic Pregnancy, Chocolate Cysts, and Ovulation Issues
Unrecognized Miscarriage: Understanding Symptoms and Future Impacts
Unrecognized miscarriage Doctor Yang, last month I passed a blood clot that was as large as my palm. Could this be related to the placenta since I haven't taken a pregnancy test and I'm unsure if I'm pregnant? Is it possible that I had a miscarriage without knowing...
Dr. Yang Wangjun Reply:
Hello: (1) In all pregnancies, approximately 15-40% end in natural miscarriage. Among all natural miscarriages, about 8% are considered missed miscarriages, which typically occur around the time when the expected menstrual period would have arrived. (2) In early miscarriages, the...[Read More] Unrecognized Miscarriage: Understanding Symptoms and Future Impacts
Does Using Placenta-Based Night Cream Affect Male Fetus During Pregnancy?
There is no conclusive evidence to suggest that applying placental extract facial cream to the abdomen has any impact on a fetus, regardless of gender. However, it is always advisable for pregnant individuals to consult with their healthcare provider before using any topical prod...
Dr. Zhuang Zhijian Reply:
Hello, thank you for your inquiry. I would like to respond to your question and provide some related advice as follows: Generally speaking, during pregnancy, it is recommended to avoid using medications unless absolutely necessary for treatment. Even topical applications should b...[Read More] Does Using Placenta-Based Night Cream Affect Male Fetus During Pregnancy?
Understanding Fetal Growth Rates at 17 Weeks of Pregnancy
The growth rate of the fetus during pregnancy? Dear Dr. Chen, I would like to ask about my wife, who is currently about 17 weeks pregnant with a due date of October 24. She usually does not take any supplements. However, during her recent prenatal check-up, the baby's measu...
Dr. Chen Fuhao Reply:
A-Feng: Hello! Regarding the questions you raised, they can be divided into two parts: the fetus and the mother. Fetal Part: The average birth weight of a full-term newborn is approximately 3000 to 3600 grams, depending on factors such as race, socioeconomic status, parental si...[Read More] Understanding Fetal Growth Rates at 17 Weeks of Pregnancy
When is the Best Time to Take a Pregnancy Test for Accuracy?
When is the best time to take a pregnancy test for accurate results? When is the best time to take a pregnancy test for accurate results? The last time I tested was when I felt some breast tenderness, but the result was negative. I've heard that it's more accurate to te...
Dr. Zhang Yongxuan Reply:
The correct time to take a pregnancy test should be within 7 days after the expected date of the next menstrual period. If pregnant, the level of HCG in urine will be >= 25 mIU/ml; if not pregnant, HCG will either be undetectable or < 25 mIU/ml. It is advisable to retest af...[Read More] When is the Best Time to Take a Pregnancy Test for Accuracy?
Should I Opt for a C-Section? Weighing Risks for My Third Pregnancy
Should surgery be performed? I am 36 years old and pregnant with my third child. My first child was delivered via emergency cesarean section due to cord entanglement, and my second child was also delivered via emergency cesarean section due to placenta previa and complete cervica...
Dr. Li Guanghan Reply:
Hello: In our country, if the first two pregnancies are delivered via cesarean section, the third pregnancy will mostly also be delivered by cesarean section, although some may opt for a vaginal delivery. Each method has its own advantages and risks; you should discuss this in de...[Read More] Should I Opt for a C-Section? Weighing Risks for My Third Pregnancy
Understanding Menstrual Irregularities and Sexual Health After Childbirth
Sexual function or menopausal symptoms? Hello Dr. Tsao, I am 33 years old, and I had my first child at 29. My husband and I have not been using contraception, but we have not been able to conceive again, so I would like to ask a few questions: 1. After giving birth to my first ...
Dr. Cao Guotao Reply:
Hello! In response to your questions, I will answer them one by one. A dilation and curettage (D&C) procedure generally does not affect future pregnancies. Considering your age of 33 and the fact that you still have menstrual periods, it is unlikely that you are in menopause....[Read More] Understanding Menstrual Irregularities and Sexual Health After Childbirth
Does Traditional Chinese Medicine Affect Egg and Sperm Quality for Pregnancy?
Does taking traditional Chinese medicine during the preparation for pregnancy affect the quality of eggs and sperm? My questions are as follows: 1. I have a six-year-old daughter, and due to pressure from family members, I am considering having a second child, preferably a boy. R...
Dr. Zhong Wenzhen Reply:
Hello, Lori: Regarding the second question, the answer is definitely not to treat your physician as a god. As an obstetrician-gynecologist, it is impossible to be completely error-free. We can assess for conditions like a cleft lip, but sometimes it is not visible or clear. When...[Read More] Does Traditional Chinese Medicine Affect Egg and Sperm Quality for Pregnancy?