A woman was found to have syphilis three months into her pregnancy and was worried about whether to have a baby

A woman was found to have syphilis three months into her pregnancy. She was confused about whether to have a baby or not! There are millions of children with congenital disabilities in our country every year. Pre-pregnancy and pregnancy check-ups are very important!

29-year-old Xiao Su regrets it very much. If she had had a pre-pregnancy check-up three months ago, she would not be in such a dilemma now. A week ago, she went to the Obstetrics and Gynecology Hospital of Zhejiang University School of Medicine for a check-up. While receiving the good news of pregnancy, she also learned that she had syphilis.

"It is a pity. If she could have carried out some necessary examinations before pregnancy, she would not have been so passive." Director Hu Wensheng, director of the Provincial Obstetrics and Gynecology Hospital, particularly emphasized the importance of pre-pregnancy examinations.

There are millions of children with congenital disabilities in our country every year

Xiao Su has been very entangled recently and has been thinking about whether to have children for a long time. She was more than 3 months pregnant and also infected with syphilis. Before that, she had no idea about the disease.

“Her situation is really troublesome. If you want to keep the fetus, you must do mother-to-child blockade of syphilis. However, this blockade is not 100% successful. The future baby may be infected with syphilis. "The risk." Director Hu said that she felt very sorry for patients like Xiao Su. If Xiao Su had some awareness of pre-pregnancy check-ups, she would not be so passive.

Our country has one of the highest rates of birth defects in the world. 3% of newborns have birth defects. About 200,000 to 300,000 children with visible congenital malformations are born every year, and they only appear months or years after birth. Out of defects, as many as 800,000 to 1.2 million children are born with disabilities. Birth defects and genetic diseases have become major problems threatening the health of our children and affecting the quality of the population.

In fact, many birth defects can be prevented in time before pregnancy, such as syphilis and other infectious diseases. Because of the cancellation of pre-pregnancy check-ups, many newlyweds have no awareness of pre-pregnancy check-ups, and Xiao Su and his wife are one of them. If you want to have a healthy and lively baby, you must pay attention to pre-pregnancy health care.

Four types of examinations should be done before pregnancy

Director Hu summarized that couples who are preparing to become pregnant should mainly do four types of examinations.

The first is pre-pregnancy genetic counseling, which can explain the family health status of the couple to a specialist so that the risks of some hereditary or familial diseases can be discovered in time.

Secondly, some infectious diseases need to be ruled out, such as syphilis; and for some people who like to keep pets, it is best to get checked for viral infections such as Toxoplasma gondii.

Third, it is best for the woman to have an oral examination, because if oral diseases occur during pregnancy, the incidence of low-birth-weight babies and premature babies will increase.

Finally, the woman needs to have her physical condition checked to see if she has any systemic diseases, such as diabetes, hypertension, etc. Patients with these diseases must first control their diseases.

"If all indicators are normal, you can prepare for pregnancy. Generally, you can take some folic acid in the first three months of pregnancy to prevent the occurrence of neural tube defects and other diseases." Director Hu said.

Please follow your doctor’s advice for prenatal screening during pregnancy

After all indicators are normal before pregnancy, you should not take it lightly after pregnancy. It is best to do some necessary screening under the guidance of a doctor. check. Recently, everyone has heard more about amniocentesis, but not everyone needs this kind of examination.

“Amniocentesis is an invasive prenatal diagnosis, and we do not encourage everyone to do it.” Director Hu said that currently 80% of pregnant women in the province will receive mid-trimester screening, and only After the examination finds problems, the doctor will recommend the expectant mother to undergo amniocentesis based on the situation.

The Provincial Obstetrics and Gynecology Hospital has carried out early pregnancy screening as early as 2005. The so-called early pregnancy screening is screening between 11 and 13 (+6) weeks of pregnancy. Generally, only maternal blood and B-ultrasound examinations are required. "Screening in the first trimester can detect problems earlier than in the second trimester. However, at present, there are only a few professional hospitals in the province that can perform such examinations." Director Hu said that screening and diagnosis after pregnancy can Help expectant mothers discover chromosomal diseases, single-gene diseases and malformations caused by various environmental factors, such as congenital dementia, hemophilia, congenital heart disease, cleft lip and palate, etc.

For B-ultrasound examinations, Director Hu also made a reminder. Generally, expectant mothers are recommended to have B-ultrasound examinations during the entire pregnancy: the first time is in the first trimester, that is, 11 to 13 (+6) weeks, the purpose is to detect fatal malformations such as anencephaly and conduct early pregnancy screening for Down syndrome. The second time is in the second trimester, that is, between 22 and 26 weeks, and is intended to detect some serious heart malformations, cleft lip and palate, etc. The third time is around 32 weeks of pregnancy, mainly to understand the development of the placenta and fetus and prepare for delivery.

"Of course, the number of times is not absolute. If abnormalities are found, the number of inspections needs to be increased." Director Hu said.

Although for some people, it is not easy to conceive a baby, and it is even more difficult to give birth to a healthy baby after pregnancy, Director Hu suggested that everyone should not worry too much. If abnormalities are found, don't put too much psychological burden on them. Doctors will use different prenatal diagnosis methods according to the situation to try their best to help expectant mothers have healthy babies.

Ms. Chen: I am 42 years old and have high blood pressure. Although the blood pressure index is a bit high, I personally feel fine. Can I get pregnant?

Hu Wensheng: Be cautious and get a proper examination before pregnancy. A 42-year-old woman is already an advanced maternal age and has the risk of childbirth. In addition, she is a patient with high blood pressure and is a high-risk obstetric group. Blood pressure must be well controlled before pregnancy. Even if all the indicators in the pre-pregnancy examination are normal, you must pay high attention to it after pregnancy. Because once gestational hypertension occurs, it will cause great harm to your baby and yourself.

Netizen Yudian: I was pregnant for the first time last year, and the baby turned out to be a hygroma. Now that I am preparing to get pregnant, I would like to ask, are the chances of getting this disease high next time?

Hu Wensheng: Part of the cause of fetal hygroma is related to chromosomal abnormalities. Before preparing to get pregnant again, it is best to have a pre-pregnancy check-up, including the chromosomal status of both spouses. If both are normal, you can prepare for pregnancy. The chance of it happening again is still relatively small.

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