The more you protect, the more peaceful you are? Wrong, the tire protection should also be appropriate!

The article is reproduced from: Fertility Center of Yichang Central Hospital

Expert introduction: Professor Ye Hong, second-level chief physician, master tutor, visiting scholar to the United States

Director of the Department of Obstetrics and Gynecology, Director of the Department of Obstetrics and Gynecology, Director of the Department of Obstetrics and Gynecology, director of the Reproductive Center of the First Clinical Medical College of China Three Gorges University & Yichang Central People's Hospital. Member of the Standing Committee of the Obstetrics and Gynecology Branch of the Chinese Endoscopic Association, Vice Chairman of the Reproductive Medicine Branch of the Hubei Medical Association, and Vice Chairman of the Hubei Women Physicians Association. The current chairman of the Obstetrics and Gynecology Branch of Yichang Medical Association is the director of Yichang Obstetrics and Gynecology Quality Control Center. He was awarded the title of "Ye Hong Famous Doctor Studio" by Yichang Municipal Government and "Municipal Management Expert" by Yichang Municipal Government.

He has extensive experience in the diagnosis and treatment of obstetrics and gynecology diseases, female reproductive endocrine diseases and infertility, and specializes in uterine and laparoscopic surgery and various assisted reproductive fertility techniques. He has successively led the departments of obstetrics, reproductive medicine and gynecology of the hospital to obtain the "Hubei Provincial Clinical Key Specialties", and led the department to obtain the 48th place in the national scientific and technological volume and value in 2018. He has published more than 60 academic papers in authoritative journals at home and abroad, including many SCI records. As the first person in charge, he has won a number of provincial and municipal scientific and technological progress awards, won a number of national and provincial scientific research projects, and edited two professional papers in Chinese and English.

With the improvement of people's health awareness, "fetal protection" has gradually become a hot topic.

As soon as some moms become pregnant, they start to check progesterone, HCG, estradiol in the hospital, or even check it every other day. After finding out the results, I repeatedly inquired on the Internet, and once I found that a little indicator was not normal, I felt that my pregnancy had problems and needed to "protect the fetus". In addition, some abnormal medical factors prompt patients to enter the "fetal protection" circle, which also makes it difficult to extricate themselves and fall into it.

Getting pregnant, which should be a very happy thing, makes people anxious and worried.

In fact, "fetal preservation" is not a conventional treatment plan in medicine, but a new term produced in the current medical environment, which is a subjective desire of patients, hoping to protect the fetus through drug treatment, make it develop healthily, and avoid spontaneous abortion.

However, is "fetal protection" really as some people think that the more you protect the more peaceful, everyone should "protect the fetus"?

Wrong! Not all moms have to "keep the baby"!

Which moms need to "protect the fetus"?

Mothers who are naturally pregnant without any discomfort do not need to protect the fetus, but only need to supplement folic acid in the first trimester.

Moms who have symptoms of threatened miscarriage such as a small amount of vaginal bleeding and vague pain in the lower abdomen due to exertion do not need to keep the fetus, they only need to rest properly.

However, if the abdominal pain worsens and the vaginable bleeding increases, it is necessary to go to the regular hospital for treatment in time.

Mothers who have a history of spontaneous abortion or fetal arrest should not rush to save the fetus. Many moms will do a lot of tests and use various drugs because they are worried about spontaneous abortion. But in fact, these drugs do not really protect the healthy development of the fetus.

Spontaneous abortion, especially early spontaneous abortion, a large part of which is that the embryo itself has problems, can not survive and miscarriage, and it is meaningless to reluctantly "protect the fetus" medication. In addition, infection in the first trimester, sexual life in the first trimester, exertion, etc. can also lead to spontaneous miscarriage.

Therefore, patients with only one history of spontaneous abortion or fetal arrest do not need to do "all" abortion-related tests, nor do they need to use too many so-called "fetal protection drugs".

Moms with recurrent miscarriages don't need to be too anxious.

Mainland China usually refers to 3 or more pregnancy losses before 28 weeks of gestation as recurrent miscarriages. The causes of recurrent miscarriage are complex, including genetic factors, anatomical factors, endocrine factors, infectious factors, etc., and the causes of abortion vary during different pregnancies.

Even if you have a recurrent miscarriage, you must choose appropriate examination and treatment under the comprehensive analysis of the doctor, do not be too anxious, and do not use drugs indiscriminately.

In short, mothers must not "superstitiously" protect the fetus. Only some cases where the diagnosis is relatively clear, there are drug indications, and there is evidence-based medical evidence support can be taken to standardize fetal protection, carry out targeted examination and symptomatic treatment, and avoid blind medication!

Finally, what should women pay attention to after pregnancy?

Keep your mood comfortable and emotionally stable.

Use medication with caution. Pregnant women should avoid contact with radiation and toxic substances, do not smoke and drink alcohol, and prevent viral disease infections.

Pay attention to diet. Pregnant women need to supplement enough protein, vitamins, minerals, eat more green leafy vegetables, beans, eggs, kelp, seaweed and other foods with more iron, and supplement folic acid according to medical advice.

Pay attention to personal hygiene. Pregnant women need to bathe frequently, change their clothes frequently, and scrub their nipples frequently.

Pay attention to clothing, be generous, warm and warm.

Exercise appropriately. Many people think that after pregnancy, they should try not to exercise, otherwise they will be prone to miscarriage. In fact, the fetus is not as fragile as we think, and proper exercise will not only not lead to miscarriage, but also promote blood circulation in pregnant women.

Temperance in sexual life. For pregnant women with a history of spontaneous abortion, sexual life should be avoided within 3 months of pregnancy and after 7 months, and sexual life should be strictly prohibited for people with habitual abortion.

Regular prenatal check-ups. Prenatal care is very important, pregnant women should start regular prenatal care in the second trimester of pregnancy, in order to timely detect and deal with abnormalities in pregnancy and ensure the healthy development of the fetus.