Do I Need a Second Test for Gestational Diabetes with 141 mg/dl?
Gestational diabetes mellitus The initial test for gestational diabetes showed a blood glucose level of 141 mg/dL. Should I undergo a second test? Thank you.
Dr. Zhang Kunmin Reply:
Hello, the recommended follow-up for results above 140 is to conduct a further test with 100 grams. Although most pregnant women who have slightly elevated results typically do not have issues upon further testing, since this examination is non-invasive, it is still advisable to ...[Read More] Do I Need a Second Test for Gestational Diabetes with 141 mg/dl?
Understanding Neural Tube Defects and Fetal Movement: Key Insights for Expecting Parents
Neural tube defects and fetal movement? Hello, Doctor. I would like to inquire about neural tube defects. Previously, I underwent the fourth marker screening (for Down syndrome), and this index was abnormal, leading to a referral to Mackay Memorial Hospital for an ultrasound on J...
Dr. Liu Yuhong Reply:
1. "What checks should I perform or what conditions should I monitor in my baby at birth to detect and treat issues early?" This is the responsibility of your obstetrician during prenatal care! Of course, due to the limitations of contemporary medical technology, many c...[Read More] Understanding Neural Tube Defects and Fetal Movement: Key Insights for Expecting Parents
Can Pregnant Women Clean Cat Litter? Safety Tips for Pet Owners
Pet issues Hello Doctor: Pregnant women should avoid cleaning cat litter due to the risk of toxoplasmosis, but my cat has never been outdoors and does not eat raw food. Can I clean the cat litter in this case? I also have a pet guinea pig that does not go outside; is it harmful f...
Dr. Liu Yuhong Reply:
The hosts of Toxoplasma gondii are not limited to cats; warm-blooded animals such as rodents, birds, and humans can also be infected. The primary transmission route of Toxoplasma is through the oral route. Therefore, if a pregnant woman has pets, she should take the following pre...[Read More] Can Pregnant Women Clean Cat Litter? Safety Tips for Pet Owners
Can Pregnant Women with Hepatitis C Have a Cesarean Section?
Cesarean section If a pregnant woman has hepatitis C, can she have a cesarean section? Thank you.
Dr. Liu Yuhong Reply:
Pregnant women with chronic hepatitis B or C do not have their mode of delivery (vaginal birth or cesarean section) affected by their condition. As for pregnant women with chronic hepatitis C who choose cesarean delivery, current medical research has not reached a definitive conc...[Read More] Can Pregnant Women with Hepatitis C Have a Cesarean Section?
How Many Acetaminophen Tablets Can Pregnant Women Take Daily?
It is important to consult a healthcare professional regarding the use of pain medication during pregnancy. The safety and dosage of pain relievers can vary based on the specific medication and individual circumstances. Always seek medical advice before taking any medication whil...
Dr. Liu Yuhong Reply:
If there are no drug allergies or liver function abnormalities, the maximum dosage of acetaminophen for adults is 4 grams per day (8 tablets of 500 milligrams each).[Read More] How Many Acetaminophen Tablets Can Pregnant Women Take Daily?
Understanding Amniocentesis: Risks and Alternatives Explained
Amniocentesis Is there any risk associated with amniocentesis? Is it possible to forgo the procedure? Thank you.
Dr. Zhang Kunmin Reply:
Hello, the amniocentesis has its indications, which your obstetrician will discuss with you. This procedure is invasive and literature indicates there is approximately a 0.5% risk of miscarriage or other complications. Generally, the performing physician will proceed with caution...[Read More] Understanding Amniocentesis: Risks and Alternatives Explained
Concerns About Pregnancy After IVF: Is Abdominal Distension Normal?
Pregnancy issues I have a question: After artificial insemination, I became pregnant, but there’s a problem (with my second pregnancy). My last menstrual period was on December 26, I underwent artificial insemination on January 8, and I tested positive for pregnancy on January 23...
Dr. Zhang Kunmin Reply:
Hello, the symptoms you are experiencing may be due to early pregnancy nausea combined with the side effects of progesterone. It is advisable to consult a physician for an ultrasound examination and consider medication to manage the symptoms. Eating smaller, more frequent meals a...[Read More] Concerns About Pregnancy After IVF: Is Abdominal Distension Normal?
Impact of Pesticides on Pregnant Women Living Near Rice Fields
Regarding health care issues related to the living environment during pregnancy? Hello Dr. Chang, I would like to ask you about the effects on pregnant women living near rice fields during the pesticide spraying periods. Does long-term residence next to rice fields, where pestici...
Dr. Zhang Yongxuan Reply:
1. There will be an impact; the first trimester of pregnancy (the first three months) is especially important. 2. During pesticide spraying, it is advisable to avoid exposure or take protective measures. 3. Regarding drinking water, it is best to use filtered water, such as rev...[Read More] Impact of Pesticides on Pregnant Women Living Near Rice Fields
Impact of Pesticides on Pregnant Women Living Near Rice Fields
Regarding health care issues related to the living environment during pregnancy? Dear Dr. Chang, I would like to inquire about the potential effects on pregnant women living near rice fields during pesticide spraying periods. Does long-term residence next to rice fields, where p...
Dr. Zhang Kunmin Reply:
Hello, the use of pesticides in fields, orchards, and greenhouses by pregnant women can potentially affect fetal development. Particularly, some women lack knowledge in this area and may spray pesticides outdoors in summer while wearing short sleeves and shorts, without masks or ...[Read More] Impact of Pesticides on Pregnant Women Living Near Rice Fields
Is It Safe to Take Nature Made Fish Oil During Pregnancy?
Is there any concern about accidentally taking Lecithin fish oil? Hello Doctor: I am a pregnant woman who is over 31 weeks along. Recently, I went to Costco to purchase calcium and fish oil, and I consulted with the pharmacist present, so I have been taking the products with peac...
Dr. Chen Changfu Reply:
During pregnancy, it is generally understood that any medication should be avoided unless it is necessary and effective, in order to prevent adverse effects on the fetus. Pregnant women should not consume excessive amounts of fish oil, which is rich in fat-soluble vitamins. After...[Read More] Is It Safe to Take Nature Made Fish Oil During Pregnancy?
Understanding Emergency Care Protocols in Obstetrics: A Patient's Concerns
Medical issues Dr. Yang: Hello! I would like to ask the following questions: Can a nurse perform a vaginal examination on a patient without a doctor's order? When a pregnant woman experiences bleeding, is it necessary for a doctor to perform a vaginal examination? If a pregn...
Dr. Yang Wangjun Reply:
Hello: Based on your description, this pregnant woman's condition appears to be preterm labor. The vaginal bleeding is likely the show during labor. Typically, if antepartum hemorrhage is ruled out and the woman is in labor, the labor and delivery nurse (midwife) will perfor...[Read More] Understanding Emergency Care Protocols in Obstetrics: A Patient's Concerns
Understanding Alpha Thalassemia: Why It’s Often Overlooked in Prenatal Care
Alpha thalassemia (forwarded from the director's mailbox) Why is it that during prenatal check-ups, both partners have anemia, yet the hospital only tests for beta-thalassemia and informs them that it is merely iron deficiency anemia? As a result, when the mother becomes pre...
Dr. Dong Yuhong Reply:
Hello: Iron deficiency anemia is mostly caused by dietary intake issues or blood loss. Thalassemia is related to genetics; if both parents are carriers of the same type of thalassemia, there is a chance that the fetus may suffer from severe thalassemia. Therefore, during prenatal...[Read More] Understanding Alpha Thalassemia: Why It’s Often Overlooked in Prenatal Care
Can You Swim with Someone Who Has Oral Herpes? Risks Explained
I'm sorry, but I need specific content to translate. Please provide the text you would like me to Can I swim with someone who has oral herpes? Is there a risk of getting infected in the genital area? Thank you, doctor!
Dr. Zhang Kunmin Reply:
Hello, the inquirer: 1. Disease Description Herpes simplex is a viral infectious disease caused by the herpes simplex virus type 1 (HSV-1) and type 2 (HSV-2). After infection, there may be localized primary lesions, and there is a possibility of recurrence after healing. If the ...[Read More] Can You Swim with Someone Who Has Oral Herpes? Risks Explained
Anesthesia Concerns for Pregnant Women Undergoing Surgery
Anesthesia concerns during surgery in pregnant women? Hello Doctor: I am currently about five months pregnant, and the pain from my periodontal disease has become increasingly unbearable. My dentist has recommended that I undergo surgery as soon as possible. Recently, while chatt...
Dr. Dong Yuhong Reply:
Hello: Appendicitis and other surgeries during pregnancy can be performed under spinal anesthesia, allowing the pregnant woman to remain awake during the procedure, unlike general anesthesia. If a pregnant woman requires surgery, her attending physician will discuss the anesthesi...[Read More] Anesthesia Concerns for Pregnant Women Undergoing Surgery
Understanding Folic Acid Dosage During Early Pregnancy: Key Questions Answered
Folic acid dosage during pregnancy? Dear Doctor, I would like to ask a few questions. I have been taking folic acid since the early stages of my pregnancy, starting from around ten weeks. Currently, I am eleven weeks along and taking "Haclicon Prenatal Folic Acid Tablets&qu...
Dr. Dong Yuhong Reply:
Hello: During pregnancy, it is advisable to choose supplements such as "Haclicon Prenatal Folic Acid Tablets" that are approved by the Department of Health and to follow the recommended dosage. A dosage of 400 mcg or 800 mcg is acceptable. If the pregnant woman has unde...[Read More] Understanding Folic Acid Dosage During Early Pregnancy: Key Questions Answered
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 Labor Signs: When to Stay in the Hospital for Delivery
Should I be admitted to the hospital for labor if there are signs of impending delivery? Hello Director Zhang: I am currently 40 weeks and 3 days pregnant. Recently, I have experienced a significant increase in discharge and regular contractions, which have become unbearable, pro...
Dr. Zhang Kunmin Reply:
Hello Ms. Wu: Whether a pregnant woman needs to be admitted for labor is not solely based on the degree of cervical dilation. It is essential to consider other factors such as the frequency of contractions, the descent and station of the fetal head, and the thickness of the cervi...[Read More] Understanding Labor Signs: When to Stay in the Hospital for Delivery
Understanding Viral Warts: Causes, Symptoms, and Surgical Options
Viral warts What is viral warts? Under what circumstances do infections occur and when is surgery needed?
Dr. Dong Yuhong Reply:
Hello: The following is an excerpt from the CDC website: Genital warts are characterized by lesions located on the skin and mucous membranes. They appear as linear or broad-based papillary protrusions, resembling condylomata acuminata, with fleshy growths and locally keratinized ...[Read More] Understanding Viral Warts: Causes, Symptoms, and Surgical Options
Experiencing Abdominal Pain During Intercourse in Pregnancy: What to Know
Abdominal pain during intercourse during pregnancy? Hello doctor, I am 25 weeks pregnant. Recently, my husband and I resumed sexual activity after a long time, but I have noticed that shortly after we start, I experience abdominal pain, similar to menstrual cramps. I have to stop...
Dr. Chen Changfu Reply:
Unless there are signs of preterm labor, sexual intercourse during pregnancy is generally permissible. It may cause occasional, temporary contractions of the uterus, leading to lower abdominal pain or pelvic congestion in the pregnant woman. However, these symptoms typically impr...[Read More] Experiencing Abdominal Pain During Intercourse in Pregnancy: What to Know
Impact of Insecticide Exposure During Pregnancy on Fetal Health
Pregnancy Is there an impact on the fetus if a pregnant woman accidentally inhales insecticide? It was only for a short duration and not a large amount, thank you.
Dr. Dong Yuhong Reply:
Hello: During pregnancy, it is advisable to avoid substances such as pesticides that may affect the fetus. Since pesticides come in various classifications, it may be beneficial to consult experts in genetics and toxicology. Thank you.[Read More] Impact of Insecticide Exposure During Pregnancy on Fetal Health