Experts interviewed:
Chen Suwen is the director of the Family Planning Department of Beijing Obstetrics and Gynecology Hospital affiliated to Capital Medical University
Li Changdong is the deputy director of the Family Planning Department of Beijing Obstetrics and Gynecology Hospital affiliated to Capital Medical University
(Health Times reporter Tian Ru) Many people think that the family planning department is Sheung Wan and abortion, in fact, the family planning department refers to planned childbirth, helping everyone to protect themselves when contraception is prepared, so that they can successfully conceive and give birth when they are ready to become pregnant.
Infertility starts with going to a family planning department
Protect future fertility
China is a country with a high rate of abortion, with an average of more than 8 million to 10 million cases of abortion per year, and what is more noteworthy is that in economically more developed areas and large cities, the rate of repeated abortion is as high as more than 50%.
A consequent phenomenon is that there is now an increase in the number of infertile women. "An important cause of infertility is induced abortion, especially recurrent abortion." Chen Suwen, director of the family planning department of Beijing Maternity Hospital, said that in the impression of many people, there is a pregnancy problem, and everyone goes to see the infertility department, in fact, the source of many women's problems is in the family planning department.
"Under the existing technology, complications after abortion are inevitable, which may not only lead to short-term complications such as uterine perforation, bleeding, infection, uterine cavity adhesions, menstrual irregularities, amenorrhea, etc., but also lead to adverse fertility effects such as secondary infertility, habitual abortion, premature birth, and fetal death in the long run." Director Chen Suwen suggested that after the abortion, the patient should go to the hospital for at least two follow-up examinations, one at two weeks after the abortion, and one after the abortion and after the first menstrual menstrual period. This can detect and track the recovery of abortion workers in a timely manner and protect fertility.
For example, patients with adhesions to the uterine cavity after abortion, if they do not menstruate for several months after abortion, and do not come to review, they may not be treated in time, and then do surgery when the condition is serious, which not only increases the difficulty of surgery, but also may lose fertility.
If you follow up on time, by looking at the ability to recover menstruation, you can judge how ovulatory ability is, you can also understand the repair of the endometrium, if you can not restore normal menstruation, endometrial problems, may be the doctor will have to intervene in time to deal with it, early detection of infertility, is the protection of future fertility.
Picket the reasons behind infertility
Allow patients to avoid blind pregnancy
Fetal cessation refers to the cessation of development of embryos in the first trimester of pregnancy for some reason. At present, the incidence of fetal cessation is increasing year by year, mostly due to embryonic problems and the survival of the fittest. However, multiple fetal cessations require the cause.
"This requires our family planning department to check the cause." For fetal cessation patients, we will leave the embryo specimens when doing surgery, analyze and judge, find the cause, review after surgery, find out whether it is a lover's semen problem, or a female reproductive organ abnormality, or a thyroid problem, etc., if not, and then judge whether it is related to genetic problems. Otherwise, blindly letting the patient get pregnant again will only increase the patient's pain. Director Chen Suwen said.
"We can find a lot of other problems in the specimens." Director Chen Suwen said that sometimes the things we surgically scrape out have blister-like changes, which is a disease related to pregnancy, and it is necessary to send the specimen to the pathology department in time for examination. If it is left unattended, it is likely to turn into a malignant mole, or even chorionic carcinoma, which is life-threatening.
Multiple methods take what you need
Make-up contraceptive classes for women
Although more and more women are gradually realizing the importance of contraception, there are still many women in China who lack contraceptive knowledge, and the channels for obtaining relevant knowledge and information are also insufficient, and most of them are non-professional channels. Many women have unexpected pregnancies again soon after abortion, resulting in a high rate of abortion and repeated abortion in China.
Some people treat abortion as contraception, some people use oral emergency contraception to prevent contraception, some people think that contraception can be achieved without menstruation after childbirth, and some people think that contraception is foolproof during the safe period... Experts point out that none of these are the right forms of contraception.
"If you tell me that you've been using safe contraception and you haven't been pregnant for three or five years, you don't have to have a baby." Director Li Changdong explained that accidents may also occur during the safety period, and if you have not been pregnant for three or five years, there will definitely be problems.
The World Health Organization defines contraceptive methods with a contraceptive effect of more than 99% as "highly effective", divided into short-acting and long-acting contraceptives, and the most commonly used are combined oral contraceptives, copper- or progestin-containing intrauterine devices. Among them, the combination oral contraceptive pill suitable for young women, with its contraceptive effect of more than 99%, many additional health benefits and completely autonomous use, has become one of the most used contraceptive methods for women in many developed countries in Europe and the United States. For women who have already had children and have no recent birth plans, an IUD may be a more suitable contraceptive option.
Exclude all risk factors
Pave the way for a second-child couple
Many women are caesarean section when giving birth to the first child, and when preparing to have a second child, it is recommended to evaluate the scars of the uterus before preparing for the second child, otherwise the scar pregnancy is extremely dangerous for the mother.
Li Changdong introduced, first assess the size and scope of the scar, as well as the depth, if the scar is not very large, the thickness of the base layer is more than 0.5 cm, you can rest assured that you are pregnant, but also pay attention to regular obstetric examinations.
If the defect is large, it must be surgically repaired. This is because the scar state is not good, the base layer is particularly thin, and the embryo is easy to grow at the scar; Even if the embryo is pregnant in the uterine cavity, as the placenta enlarges, the base layer of the uterus becomes thinner and thinner, and it is easy for the uterus to rupture. If the inspection finds that the defect is very large, the B ultrasound finds that there is no base layer, and the slurry layer is left and must be repaired. Surgical repair includes hysteroscopy and laparoscopy. This minimally invasive procedure removes the scar, re-sutures it, and when the scar is healed, contraception is given for about a year before becoming pregnant.
There are also some women after the abortion of menstrual volume becomes less, ready to become pregnant again, must check to see whether the uterine lining is damaged, or uterine cavity adhesions, if not treated in time, pregnancy is easy to occur placental implantation, resulting in maternal bleeding, and even sometimes need to remove the uterus.