Preventing pregnancy complications

Pregnancy complications can affect the health of both mother and baby. Therefore, regular prenatal checkups and monitoring the baby's health from the time it is in the womb will help detect abnormalities and reduce the risk of miscarriage, infection, preeclampsia, ectopic pregnancy, etc.

Doctors at Tien Yen District Health Center perform surgery on a pregnant woman with an ectopic pregnancy. Photo: Tien Yen District Health Center.

Last May, doctors at the Obstetrics and Gynecology Department (Tien Yen District Health Center) successfully treated a case of ectopic pregnancy, where the fetus had grown to a large size, equivalent to a gestational age of over 8 weeks.

The patient, Ms. PTT (32 years old, residing in Nam Son commune, Ba Che district), was admitted to the hospital due to fatigue, lower abdominal pain, and nausea. After examination and taking her medical history, the doctor noted: a soft abdomen, a clean vagina, no blood, and a two-month delay in menstruation, which she did not seek medical attention for because she had used emergency contraceptive pills.

Through examination and paraclinical tests, the ultrasound revealed an ectopic pregnancy. The embryo's length was consistent with a gestational age of over 8 weeks, with a fetal heartbeat. The ectopic pregnancy was tense and could rupture at any time, so emergency surgery was indicated. After nearly an hour of surgery, the entire pregnancy was removed from the uterine horn. The patient's health stabilized after 3 days of treatment; the surgical wound was dry, she was able to move well, and was able to eat and drink.

Dr. Le Thu Hoai, Head of the Obstetrics and Gynecology - Reproductive Health Care Department (Tien Yen Medical Center), said: “Ectopic pregnancy is a case where a fertilized egg implants and develops outside the uterus. This is the leading cause of death among obstetric complications in the first three months of pregnancy. Therefore, women should absolutely not miss the first important prenatal check-up, which is when their period is about 2 to 4 weeks late, to confirm their pregnancy status and detect dangerous abnormalities such as ectopic pregnancy early. If ectopic pregnancy is detected early, it can be treated medically, avoiding surgery and limiting complications. If the patient does not meet the criteria for medical treatment, they will undergo laparoscopic surgery.”

Doctors at Quang Ninh Obstetrics and Pediatrics Hospital provide reproductive health advice to women.

To prevent pregnancy complications, women should visit reputable medical facilities for check-ups before becoming pregnant and inform their doctor in advance of any health issues they may have had during previous pregnancies. During pregnancy, expectant mothers should plan for early prenatal check-ups and management. This allows doctors to accurately assess the health of both mother and fetus, predict and prepare for childbirth, and prevent potential risks during labor.

Accordingly, pregnant women must have at least four prenatal checkups during their pregnancy. The first checkup is in the first trimester; the second in the second trimester; and the next two in the third trimester. In addition to these four checkups, mothers should see a doctor at any time if they experience any unusual symptoms, such as abdominal pain, bleeding, vaginal discharge, swelling, headache, dizziness, blurred vision, etc.

During prenatal checkups, pregnant women may also need health checks through tests such as: complete blood count, blood chemistry, immunology (HIV, hepatitis B), urine tests, ultrasound, obstetric monitoring, etc.; monitoring of maternal weight, measurement of maternal heart rate, fetal heart rate, maternal blood pressure, uterine height and abdominal circumference to monitor fetal development and health.

Vaccinations for pregnant women at Quang Ninh Obstetrics and Pediatrics Hospital.

In recent times, the provincial health sector has strengthened the work of prenatal examination and management according to regulations by improving the quality of healthcare from the provincial level to the grassroots level; proactively developing plans to ensure that pregnant mothers can choose appropriate and safe places to give birth; implementing comprehensive essential care (cesarean section and blood transfusion), prioritizing the management of obstetric emergencies to reduce maternal and neonatal mortality.

In addition, it is necessary to strengthen the examination and care of mothers and newborns in the first week and 42 days after birth. Proactive detection and early intervention of pathological cases in mothers and fetuses during pregnancy, standardization of essential care skills during and after childbirth at all levels; and regular maintenance of emergency obstetric surgery at all levels…

Van Anh

Source: https://baoquangninh.vn/phong-tranh-bien-chung-thai-ky-3360058.html