What to do if uterine fibroids develop during pregnancy?

    　Question 1: Uterus Fibroids

　　Answer: Over 30 years old female Among women, 30% to 50% of people are likely to suffer from uterine fibroids. Usually, the problems that arise during pregnancy vary depending on the size of the fibroids and their growth location.

　　Expert advice: In the early stages of pregnancy, if the size of fibroids is detected to be more than 5 cm, beware of miscarriage and miscarriage. premature birth danger. In addition, if fibroids grow near the placenta, you should pay close attention to observe whether the function of the placenta is normal. Whether to use natural delivery or cesarean section during delivery should be decided after 37 weeks of pregnancy by observing the location and size of uterine fibroids. If uterine fibroids grow in the cervix, it will affect delivery. At this time, a cesarean section should be performed to ensure a smooth birth of the child.

　　In addition, a uterus with fibroids is likely to experience bleeding during delivery because it cannot contract well. Most uterine fibroids Postpartum They will automatically become smaller, so there is no need to perform surgical removal immediately, but regular follow-up is required.

　　Question 2: Polyps appear in the cervical canal

　　Answer: Cervical polyps are bubble-like soft substances that appear in the cervix of the uterus. They usually only pass through Gynecology It can only be discovered by inspection. Although it won't cause much problems during pregnancy, it can easily cause local infection.

　　Expert advice: After a gynecological examination or after sexual intercourse, pay attention to whether there are bleeding symptoms. If the polyp is bleeding and damaged, bacteria may enter and cause infection. If the polyp is small, it usually won’t fetus It will not affect normal delivery. However, since cervical polyps are a kind of inflammation, they still need active treatment after delivery, and cervical polyps can easily recur, so they should be checked regularly.

　　Problem 3: Cervical insufficiency

　　Answer: This kind of disease The greatest danger is that the uterine opening opens without symptoms, leading to miscarriage or premature birth. Therefore, remember to receive prenatal check-ups on time.

　　Expert advice: If diagnosed by B-ultrasound, the cervix becomes shorter and the uterine opening opens, surgery should be performed immediately to tighten the uterine opening. This is a simple surgery that has no effect on the fetus and generally requires hospitalization. To prevent infection after surgery, you can use antibiotic granules to clean the vagina. After 37 weeks of pregnancy, the ligature can be removed and normal delivery can occur.

　　Generally speaking, cervical insufficiency will not affect postpartum physical recovery, but it is best not to use the IUD to prevent it from falling off.

　　Question 4: Uterine malformation

　　Answer: A normal uterus is oval-shaped, like an inverted pear. However, there are also cases where the uterus is arched or the inner side is divided into two halves. These are called uterine malformations and are generally rare clinically.

　　Expert advice: Uterine malformations will reduce the growth space of the fetus, so pay special attention to the occurrence of premature birth or miscarriage. If the uterus can be fully expanded during pregnancy, there will generally be no major problems. Expectant mothers with uterine malformations are prone to malposition of the fetus. At this time, cesarean section may be considered. If the fetus is normal, natural delivery can also be used.

　　Generally speaking, as long as the pregnancy and delivery period go smoothly, uterine malformations have no impact on postpartum recovery.

　　Question 5: Early cervical cancer

　　Answer: Almost all expectant mothers will be tested for cervical cancer during their first prenatal visit. If cancer is detected early and treated appropriately, almost all patients can be cured. If a tendency for cervical cancer is found during screening, doctors usually perform cytology and colposcopy again to confirm the canceration of pre-cancerous epithelial cells in the cervix, and then need to maintain a period of observation.

　　Expert advice: Cervical cancer will not develop as pregnancy progresses, nor will it affect the fetus. Usually after cervical cancer is diagnosed, observation is required in most cases, and surgical removal is required in severe cases. After conization, the cervical canal will become shorter, so beware of miscarriage or premature birth. Do not do strenuous exercise after surgery, and stay in bed for rest.

　　In addition, it should be reminded that whether it is in the pre-cancerous stage or early stage of cervical cancer, a reexamination is required one month after delivery to reconfirm the development of the disease and adjust treatment measures.