Abstract: Some pregnant women think that early abortion is to stay in bed. To this end, doctors say that proper daily activities will not lead to abortion. On the contrary, long-term bed rest is harmful to their health. In serious cases, it may even lead to postpartum pulmonary embolism and maternal death.
Video: Can Antitocics Hurt the Fetus? Media source: Sina parenting
Aying got married when she was 25 years old. After her marriage, she actively started her plan of "creating people". Unfortunately, a year later, there was still no good news for Ah Ying. Later, after a period of ovulation induction treatment, injection and medication, Aying finally became pregnant. Because there was no special discomfort after pregnancy, she still went to work as usual. When she was nearly three months pregnant, she found some brown blood stains on the used toilet paper when she finished the bathroom one day. She was shocked: Could it be that climbing the mountain yesterday hurt the fetus? She immediately went to the hospital for examination. As a result, B ultrasound showed that the embryo had been stopped for two weeks. The impact of this abortion on Aying is undoubtedly huge, and she even thinks that it was her careless action that led to the unfortunate abortion.
Doctor's comment: In fact, proper daily activities will not lead to abortion.
Embryo development is like planting trees. When seedlings are transplanted into new soil, they must grow new roots, and then the trunk will sprout new buds and sprout new branches; The more the roots grow and the deeper they are rooted, the stronger the branches will grow. Even if it is windy or rainy, the trees will not fall down easily. Placental cells are like tree roots, and embryos are like tree buds. Only when placental cells grow to a sufficient depth and width to the uterine wall and absorb sufficient nutrients, can embryos thrive. As long as the placental cells take root deep enough and firmly enough, even if it is windy, rainy, and strenuous activities will not lead to abortion.
If the tree root does not grow, even if there is no wind and rain, the tree will also wither. Therefore, if the placental cells do not grow well, even if they lie in bed all day, the embryo will still develop poorly, and eventually stop developing, leading to abortion. I once saw a young woman who was accidentally pregnant in clinical practice. In order to have an abortion, she deliberately moved violently and kept jumping from the bed, but finally failed to shake out the embryo.
Now that we have reached this point, we can only rise to the difficulties. Fortunately, after a year of repeated conditioning and treatment, Aying became pregnant again. This time, the whole family did not dare to neglect any more, and immediately sent Ah Ying to the hospital for fetal protection treatment. Since then, the family also urged her to lie in bed and not walk around. Later, Ah Ying even had to urinate in bed. At 8 weeks of gestation, B-ultrasound showed fetal heart beat, but the embryonic development was about one week smaller than the actual gestational week. As a result, the family felt that Aying should continue to stay in the hospital and stay in bed to protect the baby. By the 12th week of pregnancy, Aying felt that her pregnancy reaction had suddenly disappeared, her breasts had stopped growing, and her appetite seemed to be very good. She immediately had a B-ultrasound examination, but found that there was no fetal heart beat. Ah Ying is about to collapse: she has been so careful to stay in bed to protect her baby this time. Why can't she keep the baby?
Doctor's comment: Because there are many reasons for miscarriage, whether a pregnant woman needs to stay in bed during abortion should be determined according to different circumstances. When the following situations occur, pregnant women should avoid or reduce activities: ① pregnant women with threatened abortion have vaginal bleeding, especially red blood or pain in the lower abdomen; ② Late abortion or premature delivery due to abnormal uterine anatomy (such as cervical incompetence, uterine malformation, etc.); ③ Pregnant women had cervical cerclage for various reasons; ④ Placenta previa hemorrhage in pregnant women; ⑤ Although there was no vaginal bleeding in the pregnant women, ultrasound examination found that there was hematoma under the villus or fetal membrane.
Some pregnant women begin to stay in bed once they are pregnant, or even stay in bed for a long time. In fact, it is unnecessary and not good, but sometimes it is bad for their health.
First, it affects the digestive function. Originally, after pregnancy, due to pregnancy reaction, placental hormone inhibition of digestive function, and increased uterine compression, pregnant women will have nausea, vomiting, anorexia, decreased digestion, constipation and other symptoms. After long-term bed rest, these conditions will become worse, especially for some pregnant women who are not accustomed to defecating in bed, the frequency of defecation will be significantly reduced after bed rest, making constipation worse.
Secondly, long-term lying in bed makes the whole body blood circulation of pregnant women become slow, the body resistance decreases, and the blood is easy to coagulate in the microcirculation, forming thrombus. The most common is the deep vein thrombosis of the lower limbs and pelvic cavity, which can even cause postpartum pulmonary embolism in serious cases, which can lead to maternal death. Especially for pregnant women with habitual abortion due to prethrombotic state, long-term bed rest increases the possibility of placental microcirculation thrombosis, which is adverse to fetal protection.
Finally, due to the long-term lack of exercise, pregnant women may have disuse atrophy of lower limb muscles, resulting in postpartum lower limb weakness and walking difficulties.
The cause of Aying's miscarriage has not yet been found out, and the root cause problem cannot be solved, even if she stays in bed for a long time to protect her baby.
After several setbacks, the Aying couple came to our specialist clinic for a comprehensive examination. It was found that the blood coagulation system of Ain was in a hypercoagulable state, the so-called prethrombotic state. Therefore, we adopted anticoagulant treatment in the process of her third pregnancy in the next year. At the same time, we also actively persuaded Ah Ying to abandon her false idea of keeping her in bed and encourage her to eliminate her worries, get up and exercise according to her usual lifestyle, as long as she avoids strenuous exercise. As a result, Aying passed the whole pregnancy safely and gave birth to a healthy baby in full term.
