Big S has been on the hot search again these days, but it is a sad news: The 41-year-old Big S has recently announced that the fetal heartbeat cannot be monitored during the birth check because of the embryonic development of the third child. And accept the doctor's recommendation to choose to terminate the pregnancy.
Seeing this news, it is estimated that many pregnant mothers will also have a tight stomach: Okay, why did the embryo stop? How can this situation be avoided?
In fact, in obstetrics clinical, fetal abortion is very common. Of the pregnancies that can be diagnosed, about 15% will have miscarriage, and in the early pregnancy, fetal abortion is one of the main causes of miscarriage in pregnant women.
Why does "fetus stop"?
The occurrence of fetal arrest will be affected by many factors, and the specific pathogenesis and mechanism of action have not yet been clarified. However, it is certain that fetal arrest is closely related to the following factors:
1. Chromosome abnormalities: The number and structure of embryonic chromosomes may cause fetal abortion. About 50% of abortions are Because the embryo's chromosomes are abnormal.
The abnormalities of chromosomes are mostly related to the age of the pregnant mother. Generally, the older women are, the more likely they are to have chromosomal abnormalities. Therefore, if you want to reduce the occurrence of fetal arrest, you should get pregnant as soon as possible~
2. Endocrine factors: Insufficiency of the corpus luteum and hypothyroidism of the expectant mother may affect the normal development of the embryo. In the first trimester, the placenta is not fully established, and the development of the fetus depends on the progesterone secreted by the corpus luteum. If the corpus luteum is insufficiency, it will affect the secretion of the corpus luteum. The embryo's "malnutrition" will lead to abnormal growth or even growth stop. Fetal abortion occurred.
3. Torsion of the umbilical cord: The umbilical cord wraps around the neck or limbs in the early embryo,It may cut off the blood supply and oxygen supply of the fetus, causing the fetal heartbeat to stop, which is the occurrence of fetal arrest.
4. Disease factors: Intrauterine herpes simplex virus infection, toxoplasma infection, severe anemia in pregnant women, malnutrition, chronic nephritis, high blood pressure and other diseases may cause fetal abortion.
5. Environmental factors: Exposure to harmful chemical substances and physical factors, such as radiation, noise, high temperature, heavy metals and certain teratogenic drugs, may cause abortion. So be careful during pregnancy and take precautions.
6. Bad lifestyle habits: Bad lifestyle habits such as smoking, drinking, staying up all night can cause fetal abortion, so after pregnancy, for the health of your baby, you should change your previous bad habits!
7. Maternal factors: In addition to the age of expectant mothers mentioned above, fetal arrest is also related to the number of pregnancy, intrauterine environment, and blood type distribution. In addition, excessive mental stress is also one of the important factors that cause embryos to stop developing, so it is very necessary to learn to relax yourself during pregnancy and maintain a good mood!
How to confirm "fetal abortion"?
When the embryo stops developing, can pregnant mothers perceive themselves?
Actually, every pregnant mother feels different. Fetal abortion occurs. Some pregnant women will gradually reduce or disappear early pregnancy symptoms such as nausea, vomiting, chest distension, and drowsiness. Some pregnant women will see red, and some pregnant women will have no symptoms during the whole process. They will not find out until they go to the obstetrics for B overtime. .
Therefore, many mothers who have experienced fetal abortion will feel sad: "People who have not experienced it will not understand what it means to be without warning and sudden despair."
clinically,The doctor will confirm by b-ultrasound. If the transvaginal ultrasound examination meets the following conditions, it is necessary to suspect that the embryo has stopped developing:
① No embryo buds are seen when the average gestational sac diameter is ≥25mm.
②There was no fetal heart beat when the head-to-hip diameter ≥7mm.
③The gestational sac without yolk sac, there is still no embryo and fetal heart after 2 weeks.
④ Gestational sac with yolk sac, no embryo and fetal heart beat after 11 days or more.
⑤At 6 weeks and above, there is still no gestational sac, or the gestational sac is deformed and withered.
In addition, if pregnant women's blood HCG (human chorionic gonadotropin) has been insufficiently secreted, it may also be a manifestation of chorionic epithelial decline, and there is a risk of fetal arrest.
Due to differences in instruments and doctors in different hospitals, if the fetal heart rate is not found at an earlier gestational week, it is recommended to wait one or two weeks for the re-examination to confirm whether it is because the gestational week is still early, or go to another hospital for re-examination once. If you still only see the fetal sac and no fetal buds, or have the fetal buds, but still can't see the fetal heart, or the fetal sac is withered, it means that the fetal abortion has indeed occurred.
What should I do after the fetus is stopped?
A part of embryos will be naturally excreted from the mother's body after they are stopped, which is a "natural abortion". And some embryos failed to discharge, or pregnant women did not have any abnormal symptoms such as bleeding or stomach pains, and it was discovered that the embryos had stopped developing during the birth check.
If embryos that have stopped developing remain in the uterus for a long time, they may adhere to the uterus, and then develop coagulation abnormalities and infections . Therefore, if the embryo fails to be discharged from the mother's body naturally after incubation, an artificial abortion is usually required.
Going to a regular hospital for uterine evacuation, usually does not damage the uterus and will not affect the next pregnancy.
I need to remind everyone that there are many reasons for fetal abortion, but in general,A simple abortion is actually a result of "natural selection, survival of the fittest". There is no need to do a lot of inspections to find out the real cause, because it is likely that money and time were spent, and no clear results were obtained in the end.
However, if the fetal abortion occurs repeatedly 2 or more times, it is necessary to explain the medical history with the doctor before the operation, and save the embryos during the evacuation for subsequent embryo chromosome examination.
After the fetus is stopped, what should I pay attention to in the next pregnancy?
As mentioned earlier, if it is simply an abortion, then the probability is a random event and it will not have any impact on the next pregnancy. During pregnancy, stay away from bad environment and drugs, maintain good work and rest habits and eating habits, and adjust your body to a healthy state.
If two or more fetal arrests have occurred, then a embryo chromosome check is required. After all, about half of all fetal arrests are caused by chromosomal abnormalities. Therefore, it is necessary to do embryo chromosome examination in this case.
If the result shows that the embryo does have chromosomal abnormalities, then continue to do the chromosome examination of both husband and wife; if the results show that the embryo has no abnormal chromosomes, both husband and wife need to do immune function, endocrine function, reproductive tract infection, abnormal uterus, sperm quality Further inspections in other aspects, to find the real cause of fetal abortion, and treat symptomatically. After all the indicators are normal, prepare for pregnancy normally.
Kangaroo has something to say
The process of pregnancy is actually a process of natural selection. There are many incidents inside and outside, and sometimes it is even like a bet. Therefore, if you encounter fetal abortion, mothers-to-be should not be overly sad, cheer up, adjust their body and mood, and look forward to the arrival of a healthy baby.
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