The uterus is an important place for women to bred life and is the cradle before the baby is born. However, many expectant mothers have problems with the uterus during pregnancy. What should be done at this time? Will not affect the baby's healthy growth, will not have a bad impact on normal delivery, this process, how to go care?
Question 1: Uterine long leiomyoma
Dispel doubts: 30% to 50% of women over the age of 30 have the possibility of suffering from uterine fibroids. Usually, the problems that arise during pregnancy are different depending on the size of the fibroids and their growth position.
Experts suggest that in the early stages of pregnancy, if the size of fibroids is more than 5 cm, we must be aware of the risk of miscarriage and premature birth. In addition, if the fibroids grow in the vicinity of the placenta, we must pay close attention to observe the normal placental function. Whether you use natural labor or cesarean section during delivery is determined by observing the position and size of uterine fibroids after 37 weeks of pregnancy. If uterine fibroids grow in the uterine cervix will affect the delivery, at this time, cesarean section surgery should be taken in order to make the child a successful birth.
In addition, the uterus with fibroids is likely to have a bleeding condition due to the inability to contract well during childbirth. Most uterine fibroids will automatically become smaller after delivery, so it is not necessary to perform surgery immediately but regular follow-up is required.
Question 2: Polyps in the cervix
Doubt: The cervical canal polyps are blister-like soft substances that appear in the neck of the cervix and can usually be found only by gynaecological examination. Although it will not cause too much trouble for pregnancy, it will easily cause local infection.
Expert advice: After gynecological examination or after sexual intercourse with husband and wife, pay attention to whether there are bleeding symptoms. If the polyp breaks partially, it may cause the bacteria to enter and cause infection. If the polyp is small, it will generally not affect the fetus and will not affect normal delivery. However, since the cervical canal polyp is an inflammation, postpartum still needs active treatment, and cervical polyps are also prone to recurrence. Therefore, regular inspections should be conducted.
Question 3: Cervical insufficiency
Doubt: The greatest danger of this disease is that in the absence of symptoms, the uterus is open, leading to miscarriage or premature birth. Therefore, it is important to remember to receive prenatal care on time.
Experts suggest that if the B-ultrasound is diagnosed and the cervix is ​​shortened and the uterus is open, surgery should be performed immediately to tighten the uterus. This is a simple operation that has no effect on the fetus and generally requires hospitalization. To prevent infection after surgery, the vagina can be washed with antibiotic granules. After 37 weeks of pregnancy, the ligature can be removed and normal delivery can be performed.
In general, cervical incompetence does not affect postpartum physical recovery, but it is best not to put on the ring to prevent shedding.
Question 4: Uterine malformation
Doubt: The normal uterus is oval, like an inverted pear. However, there are uterine arches or the inside is divided into two halves, these are called uterine malformations, clinically rare.
Experts suggest: uterine malformation will make the fetus grow smaller, so pay special attention to the occurrence of premature birth or miscarriage. If the uterus can be fully expanded during pregnancy, generally not much problem occurs. Mothers with uterine malformations are prone to fetal malposition. At this time, cesarean section may be considered. If the fetus is normal, natural delivery can also be used.
In general, uterine abnormalities have no effect on postpartum recovery as long as pregnancy and delivery are successfully passed.
Question 5: Early Cervical Canceration
Doubt: Nearly all expectant mothers will undergo cervical cancer screening during their first prenatal visit. If cancer is found early and handled properly, almost all patients can be cured. If cervical cancer tends to be detected during screening, doctors will usually perform cytological examinations and colposcopy again to confirm the precancerous epithelial cell cancer of the uterine cervix, which will then need to be observed for some time.
Experts suggest: Cervical cancer will not develop with the progress of pregnancy, nor will it affect the fetus. Usually after the diagnosis of cervical cancer, in most cases also to observe, severe surgical resection. After a conical resection, the cervix tube will become shorter, so be wary of miscarriage or premature birth. Do not do strenuous exercise after surgery, should be resting in bed.
In addition, it needs to be reminded that whether it is in the pre-cancerous stage or the initial stage of cervical cancer, one month after birth needs to be reviewed, and then confirm the development of the disease to adjust the treatment measures.
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