The mother of the second child was diagnosed with a high-grade lesion of the cervix when she was pregnant! Doctor: This must be done

After the woman becomes pregnant

Cervical cancer screening turned out to be unusual

It is also a high-grade lesion of the cervix

What should I do?

Case

Both moms are sick with different surgical options

A Ying (pseudonym), a 32-year-old mother of two children, became pregnant unexpectedly

When the card is built at the Municipal Maternal and Child Health Hospital at the 9th week of pregnancy

Doctors screened him for cervical cancer and found something unusual

Subsequently, a colposcopic biopsy is performed at the Cervical Disease Clinic

The result is a high-grade lesion of the cervix

Every 10 weeks thereafter

Ah Yingdu went for assessment and follow-up

Throughout the pregnancy, the lesion did not worsen further, and finally Ah Ying gave birth to the next healthy child through Shun. After 42 days postpartum evaluation and biopsy, it was still a high-grade lesion, so doctors performed cervical cone surgery. The danger was eliminated, and Ah Ying gradually recovered her health.

Coincidentally

Another mom

Problems were also detected during pregnancy

38-year-old Li Li (pseudonym)

It is her fifth pregnancy

There had been two previous births and two miscarriages

After letting go of the third child

She chose to regenerate one

However, due to the lack of detailed examination before pregnancy, a polyp the size of a soybean grain was found in the early stage of pregnancy, and with the increase of the pregnant month, the polyp also slowly became larger, and later grew into a "tongue", and there was repeated vaginal bleeding. In the second trimester, Li Li underwent polyp removal surgery at the obstetrics department of the Municipal Hospital of Traditional Chinese Medicine.

analyse

If these conditions occur, surgery must be done in time

See here

Many people definitely want to know

At the time of pregnancy

What conditions must be done in a timely manner

Under what circumstances can surgery be postponed?

Li Qing, director of the Women's Health Department of the Municipal Maternal and Child Health Hospital, said

Gynecological diseases during pregnancy are mainly infectious diseases such as vaginal inflammation, as well as HPV infection, cervical precancerous lesions and even cervical cancer, accounting for 1.5/100,000 to 12/100,000 of the total number of pregnancies. Vaginitis complicated during pregnancy requires prompt treatment.

Li Qing explained that during pregnancy, the human body is in a state of immunosuppression, immunity is reduced, coupled with the increase of estrogen and progesterone, the vaginal microecological environment changes, so it is easy to induce vaginitis. Vaginal inflammation needs to be treated in time, otherwise it is easy to cause complications such as premature rupture of membranes, chorioamnionitis, preterm birth, fetal intrauterine development disorders, and miscarriage.

Li Qing said

If The mother is concomitant with HPV infection and precancerous lesions

Treatment is generally not given

Especially precancerous lesions or high-risk infections

However, close supervision is required

To prevent it from turning into cervical cancer

Qian Lina, director of the obstetrics department of the Municipal Hospital of Traditional Chinese Medicine, said

To talk about cervical diseases during pregnancy, it has to be said that cervical vegetations, that is, some abnormal hyperplasia of the cervical epithelium, including polyps, atypical hyperplasia, and even precancerous lesions, cervical cancer, etc. Polyps are a type of chronic cervicitis that is likely to enlarge rapidly during pregnancy due to changes in estrogen and progesterone, at which point it may need to be removed in the second trimester.

Not all polyps should be removed in the second trimester, and it is necessary to judge according to the condition of the pregnant woman and the impact on pregnancy. Moreover, polyps and malignant tumors should be further differentiated, and pathological examinations need to be carried out after removal to confirm, if it is a submucosal fibroid, it is easy to cause miscarriage due to bleeding during pregnancy.

remind

Preconception screening do not neglect unintended pregnancies should also be checked

The two directors reminded

Prevention of cervical diseases during pregnancy

The best way to do this is preconception screening

Includes preconception gynaecological examination and cervical cancer screening

"Unplanned pregnancies are not uncommon, and to prevent unintended pregnancies, it is recommended that women of childbearing age undergo cervical and breast cancer screening once a year." Qian Lina said.

Li Qing said: "We usually ask pregnant women in Jianka whether they have done cervical screening in the past year, and most of the population still has not done it."

If you have an unintended pregnancy, screening should be done as early as possible after pregnancy. Because the relevant tests are non-essential items, many pregnant women and their families will choose to ignore them for various reasons, "It is best not to do this." "Through cytology and HPV examination, if abnormal cells are found, we usually recommend colposcopic biopsies to pregnant women." ”

Li Qing reminded that the colposcopy during pregnancy needs to be performed by an experienced colposcopy doctor, otherwise it may cause misdiagnosis or unnecessary biopsy to cause bleeding and cause panic in pregnant women and trigger miscarriage. "In addition, if there is vaginal bleeding, swill secretion, etc. during pregnancy, you should see a doctor in time." These may indicate the risk of cervical lesions. ”

interpretation

Some precancerous lesions resolve after pregnancy ends

Precancerous lesions are harmful to the human body

Why can it be postponed

Or even don't do it?

Qian Lina said

In fact, there is no need to worry too much about cervical cytology abnormalities during pregnancy. People over 50 years old are high-incidence of cervical cancer, and the incidence of pregnancy and cervical cancer is only 1 in 1000 to 10000, so the probability of pregnant women suffering from cervical cancer is not high. In addition, pregnancy does not accelerate the progression of cancerous and precancerous lesions, in contrast, about 86% of low-grade precancerous lesions in people with precancerous lesions found during pregnancy will resolve after the end of pregnancy, and about 50%-70% of high-grade precancerous lesions will resolve after the end of pregnancy.

Produced by The New Media Center of Xiamen Daily

Reporter: Kuang Wei Correspondent: Chen Feng Zhong Tingting

Editor: Lu Tingwen Duty Editor-in-Chief: Lin Yanzhen

Xiamen Evening News original works, without authorization, shall not be reproduced, violators will be investigated!

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