Why stay in bed to protect the baby?

Cervical incompetence is treated, and there is absolutely no need to stay in bed throughout pregnancy.

Xu Ruo experienced threatened abortion, cervical incompetence, threatened premature delivery and other pregnancy complications during the whole pregnancy, and finally gave birth to a baby safely, which can be described as going through hardships.

Throughout the whole pregnancy process, in fact, the main reason why she had to stay in bed for a long time during pregnancy was cervical incompetence. However, cervical incompetence is treated, and there is absolutely no need to stay in bed throughout pregnancy.

What is cervical incompetence?

The so-called cervical incompetence means that in the second and third trimester of pregnancy, without uterine contraction, due to anatomical or functional defects, the cervix continues to expand and expand, which eventually leads to the embryo or fetus not growing to full term and being delivered from the uterine cavity prematurely. Cervical incompetence is one of the main causes of abortion and premature delivery in the second and third trimester of pregnancy.

Why is there cervical incompetence?

Cervical incompetence, also known as cervical atresia and cervical relaxation, is mostly caused by congenital cervical dysplasia or cervical injury caused by trauma. In fact, the cervix has no real sphincter, and 85% of it is connective tissue. Connective tissue is mainly composed of collagen fibers, which have strong elasticity and serve as the sphincter of pregnancy cervix.

Understand the uterus

The uterus is the place where the fetus grows and develops. For the fetus, the uterus is like a small house, which can protect the fetus from external interference and infringement. The uterus is divided into two parts: the uterine body and the cervix. The upper part of the uterus is wide, called the uterine body, and the lower part of the uterus is narrow and cylindrical, called the cervix. The narrowest part between the uterine body and the cervix is called isthmus. The length of uterine isthmus before pregnancy is about 65438±0cm. After pregnancy, with the enlargement of the uterus, the isthmus gradually stretches and becomes longer, reaching 10 cm at the end of pregnancy, forming the lower uterine segment.

Understand the cervix

In the second and third trimester of pregnancy, the formation of the lower uterus is to meet the needs of fetal growth and development, and also to prepare for the delivery of the fetus from the uterine cavity. At this time, the pressure on the cervix is obviously increased. The cervix is spindle-shaped and about 2.5 ~ 3.0 cm long. The cervix is the exit of the fetus from the uterine cavity. For the fetus, it is like a door, which is closed during the whole pregnancy, to prevent the invasion and infection of vaginal bacteria, and to ensure the healthy development of the fetus in the uterus until mature delivery. After full-term delivery, with the strengthening of uterine contraction, the long cervix gradually shortens until it disappears completely, and the cervix gradually opens to 10 cm, so that the fetus enters the vagina from the uterine cavity and finally gives birth.

Experts remind:

If pregnant mommy is born with cervical dysplasia, then her cervical collagen fiber content is low and the elasticity of the cervix is relatively poor. After pregnancy, with the increase of gestational age, the uterus gradually increases, especially after the isthmus of the uterus is stretched and expanded to form the lower part of the uterus in the middle pregnancy, the pressure on the cervix increases, and the gravity of the amniotic sac and the fetus gradually shortens the cervix, and the cervix quietly opens, without full-term pregnancy, uterine contraction and abdominal pain, and then late abortion and premature delivery occur.

Diagnosis of cervical incompetence

Medical/medical records

Have a clear history of cervical injury or a history of repeated spontaneous abortion or premature delivery in the second and third trimester of pregnancy; Abortion mostly occurred in the same gestational week, and there was no obvious abdominal pain or uterine contraction. The delivery process is progressing rapidly. Before the onset, pregnant mommy occasionally feels pelvic pressure and vaginal mucus secretion increases.

physical examination

There was no obvious uterine contraction and abdominal pain in the second and third trimester of pregnancy, but the cervical canal was shortened, softened and disappeared, and the internal opening of the cervix was opened more than 2 cm. Sometimes, the fetal sac has stretched out of the cervix.

accessory examination

Transvaginal ultrasound examination is a reliable method to diagnose cervical incompetence at present. Cervical changes can be continuously monitored every two weeks from the fourth week of pregnancy to the sixth week of pregnancy. During normal pregnancy, the length of the cervix and the width of the cervix are relatively stable. After 30 weeks of pregnancy, the cervix began to shorten gradually, and the cervix gradually opened after full-term contraction. In patients with cervical insufficiency, cervical shortening or cervical opening will occur from pregnancy 18 ~ 22 weeks.

Treatment of cervical incompetence

◎ Patients suspected of cervical incompetence have threatened abortion and threatened premature delivery, so they should stay in bed, reduce their activities and regularly monitor the length of the cervix; If the diagnosis of cervical incompetence is clear, cervical cerclage should be performed as soon as possible.

◎ If the diagnosis of cervical incompetence is confirmed before pregnancy and early pregnancy, preventive cervical cerclage can be performed before the cervical changes in 13 ~ 16 weeks, or the cervical changes can be closely monitored. If necessary, cervical cerclage can be performed 2-3 weeks before the last pregnancy abortion of pregnant mommy.

◎ For pregnant mommy who first found cervical incompetence, emergency cervical cerclage is feasible when B-ultrasound monitoring found that the cervix is shortened, the inner cervix is opened, or the outer cervix is opened, and there is no fetal membrane bulging.

How to nurse after cervical cerclage?

There may be risks such as vaginal bleeding, infection and premature rupture of membranes after cervical cerclage, which leads to the failure of fetal protection. You should stay in bed, raise your hips when necessary, keep your stool unobstructed, prevent coughing, prevent abdominal pressure from increasing, and give inhibitory drugs when you contract. B-ultrasound was performed every 3 weeks after operation to check the contraction and expansion of cervix; Those who plan vaginal delivery can have their stitches removed at 37 ~ 38 weeks of pregnancy, and those who have indications for cesarean section can have their stitches removed during cesarean section.

After cervical cerclage, the pregnant mother's condition tends to be stable, so she can exercise properly to prepare for a natural delivery in the future. Cervical tension increased in the third trimester of pregnancy. If premature rupture of membranes, obvious contractions, excessive vaginal bleeding and signs of infection occur, stitches should be removed in time to avoid the risk of cervical laceration. Therefore, pregnant mothers with cervical insufficiency, especially those who have had cervical cerclage, should strengthen their monitoring in the near delivery period, shorten the time of prenatal examination and ensure the safety of mother and baby.

It is a traditional folk practice to protect the fetus in bed. Of course, some obstetricians have made such suggestions. Because pregnancy is not easy, the first thing many people can think of is how to keep the fetus.

Under what circumstances is it recommended to stay in bed to protect the fetus? 1, pregnant women with a history of premature delivery or habitual abortion;

2. Pregnant women who are diagnosed with placenta previa or have pregnancy-induced hypertension syndrome or prenatal pregnancy;

3. Pregnant women who have cervical insufficiency or have had cervical cerclage before.

What role does bed rest have in protecting the fetus? Evidence-based medicine believes that it is useless for the fetus and pregnant women to stay in bed.

First of all, if the embryo has chromosome problems, the possibility of staying in bed is almost zero; Secondly, if cervical incompetence leads to premature delivery, cervical cerclage should be done around 14 ~ 16 weeks of pregnancy; Pregnancy-induced hypertension should also be actively treated.

As for placenta previa, the main consideration is to replenish blood and stop bleeding for pregnant women and reduce exercise and stimulation. Therefore, it is also temperate to protect the fetus in bed. I'm not asking you to stay in bed for 24 hours, but it's wrong.

What side effects does bed abortion have? 1, Depression during pregnancy: Because there are fewer opportunities to communicate with people in bed for a long time, and because of anxiety and anxiety about the fetus, this will induce depression during pregnancy.

2. Increased risk of venous embolism: The hypercoagulability of pregnant mothers during pregnancy will lead to an increased risk of venous embolism in pregnant women.

3. Due to the reduction of exercise caused by bed rest and the lack of vitamin D supplementation in the sun, pregnant women are prone to bone calcium deficiency, osteoporosis, hypotonia and muscle atrophy.

How to correctly protect the fetus in bed? Although there is no evidence that bed rest has any direct effect on fetal protection, there are still many obstetricians who still have such suggestions.

In order to protect the fetus in bed, it is not necessary for pregnant women to stay in bed all the time. In fact, the normal uterus is in a forward flexion position, and when the pregnant mother is in a standing position, the uterus is in a semi-recumbent position. So from a physiological point of view, there is not much scientific explanation. Pregnant women should get up and take a walk in moderation, as long as they don't do heavy work and go out to bask in the sun.

Secondly, even to protect the baby in bed, you should lie on the left side, but you can't stay on the left side for too long. But always turn over in bed, so as to prevent and reduce the formation of thrombosis.

During pregnancy, pregnant women are often advised to stay in bed, and some expectant mothers even spend the whole pregnancy in bed, but is this really helpful?

1. Why stay in bed?

If the following situations occur, the doctor may recommend bed rest: baby growth problems, hypertension or pre-eclampsia, vaginal bleeding before placenta, premature delivery, incomplete cervix, threatened abortion and other problems. They hope to reduce the risk of premature delivery or pregnancy complications by relaxing the parturient. Today, during pregnancy, almost 65,438+0 out of every 5 women have limited activities or need bed rest.

However, no research can prove that bed rest is really beneficial to solve the above problems. Bed rest will not reduce the risk of pregnancy complications or premature delivery.

Although many doctors understand that there is no evidence to support the benefits of staying in bed, they still recommend it. After all, they think staying in bed won't hurt. Unfortunately, studies have found that bed rest does bring some risks. Including: blood clots, depression and anxiety, family pressure and financial anxiety, especially when you stop working, the baby is underweight, the postpartum recovery is slow, and the bones and muscles are weak. Studies have shown that the more strict women stay in bed, the more serious these side effects seem to be.

Therefore, the study suggests that pregnant women, even pregnant women with some pregnancy complications, had better work and rest normally instead of staying in bed. There is evidence that physical activity during pregnancy can reduce the risk of low birth weight and preeclampsia.

2. What if the doctor stipulates bed rest?

You can question the doctor's advice, and the doctor will be willing to explain why. You need to know the answers to the following questions:

(1) Why stay in bed?

(2) How to determine the degree of bed rest and stay in bed all day? Stay in bed occasionally?

(3) Is it really necessary to stay in bed? Are there any other options?

(4) What are the benefits of bed rest for yourself and the fetus?

(5) Do the advantages outweigh the disadvantages?

(6) What about the scientific research on bed rest now?

(7) What are the potential problems of bed rest for yourself and the fetus?

3. Suggestions on bed rest

If you and the doctor agree to stay in bed, you can think more about it. The concept of bed rest is too vague. You need to know exactly what the doctor wants and communicate with him:

How long do I need to stay in bed?

(2) Do I need to stay in bed all the time? Can you work?

(3) Can I get up and take a shower?

(4) Can I do the daily housework or look after the children?

(5) Do I need to avoid lifting anything heavy?

(6) Is there any specific posture on the bed?

(7) Can we have sex? If so, what is the frequency?

Bed rest is difficult, boring and stressful for both body and mind. You need to adjust yourself:

(1) Plan your day. Living according to the plan can break the boredom, get dressed in the morning, make a task list and plan the activities of the day, such as reading books, watching movies or playing word games.

(2) follow the doctor's advice. You need to maintain muscle strength and move your legs to reduce the risk of blood clots.

(3) Support from others. You need the help of family and friends, meet visitors, and keep in touch through cell phones, emails and text messages.

(4) Dietary balance. More fiber, more water. Reduce the risk of constipation.

(5) learn new things. For example, learn a new language, take science and technology courses, and learn to draw.

After a woman is pregnant, she definitely wants her child to develop healthily, so there are prenatal examinations at every stage. As an auxiliary tool, prenatal examination can find some problems well, but pregnant mothers have a misunderstanding that prenatal examination is normal, and it is definitely normal for children to come out. There is no such advanced equipment yet, but pregnant mothers should not worry too much.

Early pregnancy is the most worrying stage for pregnant mothers, because the fetal heart is unstable and it is easy to have threatened abortion. The causes of threatened abortion may be embryonic development problems, placental function problems, and endocrine disorders caused by pregnant mothers' own diseases and excessive tension.

If it is an embryo problem, from the perspective of eugenics, this is the quasi-side of nature's survival of the fittest, and doctors will give reasonable suggestions according to the development of the fetus.

About 30% of fertilized eggs will have spontaneous abortion after implantation, accounting for about 80% in the first trimester, most of which are due to embryo/fetal chromosome abnormalities accounting for 50-60%. Therefore, pregnant mothers should consult a doctor, and the cause of threatened abortion determines whether to protect the fetus.

Under what circumstances does pregnant mother stay in bed to protect the fetus?

The misunderstanding of protecting the fetus in bed

First, stay in bed all the time

The old man at home said that putting a baby in bed always makes you like to drink Lazar in bed. Isn't this a vegetable? It has been reported that a mother forced her daughter to stay in bed for half a year, then her calf muscles atrophied, she had difficulty walking and committed suicide. Clinical studies have confirmed that it is useless to protect the fetus in bed, because if the embryo chromosome is abnormal, no matter how you protect it.

Second, trust the exclusive secret recipe on the street, not the doctor.

Many people have found out fetal chromosomal abnormalities, so it is meaningless to protect the fetus. However, many pregnant mothers don't believe it. If they don't take some medicine, they will feel guilty and feel that they have not worked hard for this child. Even if it doesn't make sense, they will eat some exclusive secret recipes of charlatans, but many doctors say which drugs are useless and will have side effects on their health. Pregnant mothers still do this.

Third, you should always have a miscarriage prevention needle and take a miscarriage prevention medicine.

Many pregnant mothers feel that they have not miscarried without taking medicine or injections. At the strong request of pregnant women, doctors have to prescribe some progesterone or an oral progesterone, but few pregnant mothers will ask the doctor what else to eat, or what behavior is better for the fetus without taking medicine.

Abortion used to be like this. The patient asked the doctor, and the doctor prescribed a good prescription-bed rest, which can stabilize the hearts of patients and their families. Doctors and patients accepted it, but no one cared about the best result.

At present, if you want to protect the fetus, it is best for pregnant mothers to lie on their side, which can reduce the pressure caused by the heavy uterus on the vena cava.

The doctor said that bed rest is to let pregnant mothers reduce exercise time, stay in bed more, rest more and exercise less, don't be tired every day, and pay attention to diet.

Hello, why do you have to stay in bed to protect your baby? No need! We need to have a scientific understanding of abortion and abortion prevention.

Why do you have to stay in bed to protect your baby? The traditional view is that protecting the fetus requires silence! If you want to be quiet, you'd better stay still and stay in bed. Therefore, the old view is that when it comes to protecting the fetus, you should stay in bed. Some pregnant women even urinate in bed at the request of the elderly at home. Before the successful abortion, they lay constipated and thrombi.

Actually, what's the use of lying in bed? Under normal circumstances, the uterus is in a flexion position, and if it is standing, the whole uterus is still in a semi-recumbent position; If you stay in bed, you are more likely to stand up. Therefore, from the posture, it is unscientific to stay in bed.

The most important thing is to look at the cause of abortion. We know that more than half of abortions are caused by congenital chromosome problems. In this case, no matter how hard you try, the embryo is not good and will definitely be expelled.

If it is because of endocrine, immunity, infection and other factors, you can't rely on silence to protect the fetus. Need to use drugs according to the cause. Even with cervical incompetence, fetal protection depends on cervical cerclage, not bed rest.

Moreover, whether the uterus causes contraction has nothing to do with whether it is in bed or not. As long as the factors that cause abortion exist, it may stimulate the uterus and cause contractions. In addition, scientifically speaking, there will be no abortion because of walking more.

Under special circumstances, moderate cervical insufficiency requires bed rest. In the first few days after cervical cerclage, premature rupture of membranes and fetal head did not fall, which may require bed rest, but the time will not be too long.

The real prescription for miscarriage prevention is 1, which is aimed at miscarriage prevention.

2, progesterone is useful.

3, there is no need to stay in bed, just don't be tired. If there is a history of compound abortion, moderate exercise should be controlled in the first trimester.

4. Chinese medicine can try.

5. There are some lucky factors in successful abortion. Because when protecting the fetus, it is impossible to judge whether the embryo has chromosome problems.

I hope it helps you and helps you get pregnant.

Authors: Zou Fudan University Affiliated Obstetrics and Gynecology Hospital (Shanghai Red House Hospital), chief physician of gynecology;

First of all, you only need to stay in bed under special circumstances, so why can you stay in bed to protect your baby? This is because bed rest can reduce uterine sensitivity and uterine muscle tension, and reduce the frequency of uterine contraction. Lying on the left side of the bed can reduce the pressure of the enlarged uterus on the abdominal aorta and inferior vena cava, increase the amount of blood flowing back to the heart, reduce edema, not only make the heart, kidneys, brain and other important organs get more blood perfusion, but also improve the blood supply of the placenta and deliver more nutrition and oxygen to the baby. Bed rest is of course a way to protect the fetus, but it does not mean that all pregnant women should stay in bed to protect the fetus. Generally speaking, rest is only needed in the following situations: threatened abortion, threatened premature delivery, placenta previa, hypertensive disorder complicating pregnancy, cervical insufficiency, etc. Protecting the fetus in bed has advantages and disadvantages. Although there are certain benefits, long-term bed rest will also bring many adverse effects. Studies have shown that lying in bed for pregnant women will not reduce the risk of miscarriage and premature delivery, but may cause psychological problems such as venous thromboembolism, bone decalcification, atelectasis, cardiovascular dysfunction, muscle atrophy, weight loss, depression, anxiety and irritability, and even cause changes in endocrine and immune systems.

People of the older generation often say: Don't get tired and go to sleep. In the past, pregnant women were forced to stay in bed whether they needed to give birth or not. After all, in their mind, there is nothing wrong with staying in bed. Although the concept has changed a lot now, bed rest and anti-abortion drugs are still the best choice for many pregnant mothers to prevent pregnancy. Many doctors also advise pregnant mothers to stay in bed to prevent pregnancy.

It took a long time for a friend of my sister to get pregnant. The doctor arranged to stay in bed every day to protect the baby, but one night she had some abdominal pain, which lasted for a while. Considering it was night, she wanted to see it in the morning, but after going to the hospital for examination, the doctor said that the fetus had ... The doctor said it was possible to come over if she had abdominal pain, and she didn't recover for a long time. If you have abdominal pain (possibly uterine contraction) during abortion, you should seek medical advice promptly.

Having said that, do you still have to stay in bed to protect your baby?

Maybe our understanding of bed rest is that you don't have to do anything and lie in bed every day, but this is not the case. Bed rest just keeps you from doing heavy work and housework, and your daily activities are still ok.

Under what circumstances do pregnant women need proper bed rest?

One is vaginal bleeding with abdominal pain, or pregnant women find subdural or chorionic hematoma, or placenta previa with bleeding. There are also pregnant women with cervical incompetence and a history of habitual abortion.

Because every pregnant woman's situation is different, it is necessary to combine the examination with the doctor's diagnosis. If threatened abortion is caused by chromosome abnormality, that is, the embryo itself, it is of little significance to stay in bed or not.

Why stay in bed? This is to let pregnant women lie down and don't move casually, so that the position of the uterus is horizontal, and pregnant women can relax wholeheartedly to protect the fetus. Pregnant mothers should also relax themselves, don't put too much pressure on themselves, and let everything go naturally.

What methods are there to protect the fetus? First, keep a good mood: Studies believe that some spontaneous abortions are caused by the excitement of the central nervous system of pregnant women. Therefore, pregnant women should pay attention to adjust their emotions, try to keep their mood comfortable, avoid all kinds of bad stimuli, and eliminate tension, boredom and fear, especially not to be overjoyed, furious and worried, otherwise it will be very unfavorable to the growth and development of the fetus.

Second, regular prenatal examination: pregnant women should start regular prenatal examination in the second trimester of pregnancy, so as to find and deal with abnormal conditions during pregnancy in time and ensure the healthy development of the fetus. In order to help doctors find and deal with abnormal situations in time and guide pregnancy care.

Third, cautious sexual intercourse: For pregnant women with a history of spontaneous abortion, sexual intercourse should be avoided within 3 months and 7 months after pregnancy, and sexual intercourse is strictly prohibited for habitual abortion.

Fourth, pay attention to personal hygiene: Qin Ying, a pregnant woman, should take a bath and change her underwear frequently, but she should not take a bath or swim, and be careful not to catch cold when taking a bath. Pay special attention to the cleanliness of vulva, and wash vulva with clean warm water every night to prevent bacterial infection.

The life pressure of modern people is increasing, and it is not easy to have a healthy baby. Pregnant women are in poor health or poor health, and it is very likely that they need to stay in bed to protect their babies. Many people can't understand why they should stay in bed to protect their babies.

What conditions do pregnant women need to stay in bed to protect their babies? 1. Vaginal bleeding of pregnant women with threatened abortion, especially scarlet blood or lower abdominal pain.

2. Due to abnormal uterine anatomy (such as cervical incompetence, uterine malformation, etc.). ), leading to late abortion or premature delivery of pregnant women.

3. Pregnant women had cervical cerclage for various reasons.

4. Pregnant women with placenta previa bleeding.

5. Although there is no vaginal bleeding in pregnant women, ultrasound examination shows that there is hematoma under villi or membranes.

What symptoms do pregnant women need to stay in bed to protect their babies? During pregnancy, many expectant mothers are told to stay in bed, because bed rest is the most common way to deal with these problems, whether it is bleeding during pregnancy or premature delivery in the third trimester.

1. Threatened abortion usually occurs in the first trimester of pregnancy, that is, early pregnancy, and some will occur in the second trimester (before the 28th week of pregnancy). Some expectant mothers will have symptoms such as bleeding, brown secretion and abdominal pain. Bed rest will relieve your edema, and mental relaxation can also improve the spasm of small blood vessels, lower blood pressure and control the further development of the disease. However, if you have symptoms such as headache, dizziness and vomiting, or your condition has not improved after rest, you should seek medical advice in time.

2. Pregnant women's physical burden is heavier than that of normal people, and they are prone to fatigue. Fatigue is not good for the health of pregnant women and fetuses. Therefore, even if it is normal light labor, we should take a proper rest.

3. High-risk pregnant women should stay in bed and lie on the left side, which can increase the blood flow of uterus and placenta and prevent spontaneous contraction of uterus, thus preventing or reducing the occurrence of premature delivery. Pay attention to physical and mental health, try to avoid mental trauma, prohibit sexual life and prevent infection. Because of the influence of social environment and life pressure, not all pregnant women can rest at home after pregnancy. A considerable proportion of expectant mothers still have to bear the pressure of family and work, and under the influence of various bad situations, they can't help becoming a high-risk group of premature delivery.

Whether it is necessary to stay in bed for a long time depends on the constitution and health of pregnant mothers. If pregnant women are healthy, there is no need to stay in bed for a long time, which is not conducive to the development of the fetus.

What are the precautions in the process of fetal protection? 1. Try to avoid climbing, lifting heavy objects or bending down to get things, so as not to cause abdominal discomfort or collision. Have a good rest and don't get tired.

2. Prevent constipation and increase the intake of fruits, vegetables and water, but don't take laxatives yourself.

3. Keep your body clean, especially the perineum.

4. Regular physical examination.

I wish you the best of health! ! !

There is generally no such thing as fetal protection abroad. Foreign doctors do not advocate blindly supplementing progesterone, because they mainly follow the natural law of survival of the fittest in embryos. If progesterone is slightly low, the doctor will supplement it appropriately, but if progesterone is too low, he will suggest taking a rest or watching. Foreign countries have not detected progesterone and other indicators, only HCG has been detected. Just double the HCG.

Of course, this has something to do with their physical fitness. Compared with foreign countries, Asian women are generally weak, unable to keep up with their physical fitness and need to stay in bed. If the placenta is low or the uterus needs protection, reduce their activity.