How to do a good job of safe fetal work for mothers who have miscarriage or premature birth
In traditional culture, it also attaches great importance to the safety of the fetus. The ancient sayings said,pregnantDo not move the bed, or nail the wall, cut things, and be careful not to be slapped on the shoulder, so as not to move the fetus or cause deformities. Modern medicine believes that complete bed rest is also beneficial and harmless. In addition, modern obstetricians believe that the purpose of fetal security is to preserve the fetus in a healthy and perfect way, but when the fetus has signs of developmental delay or malformation, or the environment of the external incubator is more favorable to the fetus than the intrauterine environment (such as the early water breaking uterus has been purulent and inflamed), the fetus will never be blindly installed or forcibly left behind. Radioimmunoassay in nuclear medicine can be used to detect human chorionic gonadotropin and estriol, plus ultrasound series tracking, amniocentesis amniocentesis analysis, fetal monitor placental function test, and many instruments can be used to understand the condition of the fetus and the degree of development and growth.
Modern obstetrics should be more active and proactive in assisting the normal development and growth of the fetus and monitoring the health of the fetus.
Generally fetal death occurs in:pregnantIf the fetus weighs less than 28 weeks, or the fetus weighs less than 1,000 grams, it is called miscarriage. The spontaneous abortion rate can be as high as 10%~15%, and 80% of them are caused by imperfect fertilized eggs. The other 15% are maternal factors such as systemic diseases (infectious diseases, endocrine imbalances, cardiovascular or renal diseases), protein and vitamin insufficiency, blood group incompatibility, drug abuse, uterine factors (e.g. tumor, abnormal position, congenital anomalies, adhesions, cervical insufficiency or uterine restriction) and luteal insufficiency. Of course, the object of fetal safety is limited to miscarriage caused by maternal factors, and among them, the early "luteal insufficiency" and the middle stage "cervical insufficiency" are the most important.
prematureIt meanspregnantThose with a birth weight of less than 2500 grams before 38 weeks. Preterm birth occurs due to early water breakage in 1/5, and other obstetric comorbidities such as toxemia, multiple births, placenta previa, abnormal sub-luminal conditions, and sexual intercourse (prostaglandins in semen stimulate uterine contractions). Because of the perinatal mortality and morbidity rate, 3/4 isprematureor low body weight. Therefore, the purpose of the fetus is to place the fetus as far as possible until it reaches maturity.The adverse reactions of tocolytic drugs are greater, especially in large doses, pregnant women will be uncomfortable, including nausea, vomiting, gastrointestinal discomfort, headache, dizziness, low blood pressure, facial flushing, etc. At the same time, it is still very important to monitor the health of the fetus by using biochemical testing of estriol or fetal sound monitoring. The obstetrician is always at risk of dying if the fetus remains in the womb.
Whether it is a miscarriage or premature birth, it is important to trust the doctor and cooperate with the doctor's treatment, especially the following things:
①pregnantBleeding within 3 months, doing ultrasound to judge the development of the embryo is the most important thing, some people think that ultrasound is harmful to the fetus and even kills the fetus, then it is too unfounded.
(2) Fetal injections, especially in the early 3 months, the supply of natural progesterone will not only not cause malformations, but will not cause bleeding due to progesterone supplementation, thus preventing organ disorders and ensuring the health of the fetus.
(3) Complete bed rest without leaving the bed, so that the food comes to the extent that the urine and urine are also solved at the bedside, is the correct way to maintain the fetus. As for sexual intercourse in the first trimester, in addition to touching the uterus, it can also cause uterine spasms during orgasm. Prostaglandins in semen can also cause uterine contractions, so they should be prohibited.