"He tried very hard to stay in my belly, didn't expect to meet like this, it was too early, so sad..." In August 2020, Ms. Ye, who was 9 weeks pregnant, stopped having a second fetus, and she wanted to have a second child, very much.
Why does my baby always stay?
In August 2020, after the second fetal stop and uterine evacuation, Ms. Ye found that her menstrual volume was significantly reduced compared with before, and the 35-year-old at the time understood that she could not be in a hurry now, first adjust and improve her menstrual state, and maybe be able to conceive her second child again.
With the idea of trying it out, Ms. Ye found Dr. Zhou Wei at Hunan Women's and Children's Hospital. When she learned that Ms. Ye had two fetal stops and a history of clearing the uterine cavity, Zhou Wei realized that Ms. Ye may have uterine adhesions, so she suggested that Ms. Ye assess the uterine cavity through three-dimensional color ultrasound on the 20th day of her next menstruation.
As Zhou Wei speculated, Ms. Ye's color ultrasound results suggested: the endometrial phonogram changed, and the uterine cavity adhesions were suspected.
"The uterus is like a 'palace' that gives birth to new life, and the endometrium is the 'soil' where the fertilized egg takes root. Uterine cavity adhesion means that not only the normal 'palace' form is lost, but also the 'soil' that can be used for embryos to implant," Zhou Wei told Ms. Ye.
If Ms. Ye still wants to conceive a second child, if necessary, she needs to do uterine adhesion separation surgery, and Ms. Ye, who has just undergone two fetal stops, decided to adjust her menstruation and physical condition first before considering the matter of conceiving a second child.
In the streets and alleys, we can always see small advertisements for abortion, which give us the illusion that abortion is not risky and very simple. The truth is that miscarriage may be accompanied by a series of complications and sequelae such as uterine adhesions, infertility, recurrent miscarriages, gynecological inflammation, etc. "For female friends who have had fetal arrest, after the miscarriage, it is recommended to first take contraception, adjust for three to six months, and then choose to become pregnant after the body is adjusted to the best state." Zhou Wei reminded.
All-round protection,
The mother prepares a second child
After half a year of conditioning, Ms. Ye, who increased her menstrual flow and recovered her physical condition, decided to prepare for a second child again. Zhou Wei also tailored a complete set of pregnancy preparation plans for Ms. Ye according to her situation.
With Ms. Ye's consent, Chen Chan, director of the Gynecology Department of Hunan Women and Children's Hospital, performed a hysteroscopy for Ms. Ye and separated the adhesion of the uterine cavity, so that the normal "palace" form could be reconstructed and the "soil" for embryo implantation was re-revealed.
At this time, the second stick of pregnancy came to Zhou Wei, she needed to help Ms. Ye to become pregnant within 3-6 months after the operation, if she was not pregnant for more than half a year, the possibility of Ms. Ye's uterine cavity adhesion again would increase.
After the operation, when Ms. Ye's menstrual period after the uterine adhesion isolation, Zhou Wei decided to use traditional Chinese medicine orally with acupuncture to strengthen the spleen and kidney, raise the nest and help the membrane, promote the growth of Ms. Ye's follicles and lining, and let Ms. Ye get pregnant smoothly.
In less than a month, Ms. Ye successfully conceived her second child, but at this time, Ms. Ye was worried that there was still a risk of stoppage. At this time, the pregnancy preparation plan formulated by Zhou Wei came to the last link: targeted fetal protection until the third month of pregnancy, through NT.
While prescribing Ms. Ye oral + acupuncture point patches to fix the kidney and fetus, Zhou Wei also instructed Ms. Ye to regularly monitor HCG and check B ultrasound.
However, the results of the first B ultrasound examination made Ms. Ye's heart rise again, and when she saw the B ultrasound results that read "consider uterine effusion (5mm)", her heart was very anxious.
After reading the report, Zhou Wei told Ms. Ye: "Because of the history of uterine adhesions, the conditions of the intima are worse, and there may be manifestations of embryo implantation instability and uterine effusion, and it is recommended to continue oral Chinese medicine + acupuncture point patches for follow-up and then recheck the color ultrasound." ”
The second B super, the third B super everything went smoothly... Ms. Ye finally surpassed the previous two months of fetal arrest, passed NT, and finally successfully "graduated".
Dr. Wei Zhou Popularized
The uterus is like a "palace" for new life, and the endometrium is the "soil" where the fertilized egg takes root. Uterine cavity adhesion means that not only the normal "palace" form is lost, but also the "soil" that can be used for the embryo to implant.
The following conditions must be vigilant against the possibility of uterine adhesions:
1. The amount of menstruation is getting less and less or even the condition of amenorrhea;
2. Periodic lower abdominal pain during menstruation;
3. Recurrent first-trimester miscarriage, secondary infertility, etc.
▲This article was reviewed by Zhou Wei, deputy chief physician of the Department of Traditional Chinese Medicine gynecology of Hunan Women and Children's Hospital
(Source: Huasheng Online correspondent Tao Weijuan)