In ancient times, women were born to be born as much as a “ghost door.” Today, as medicine continues to advance, the hardships of pregnancy also test the physical and mental well-being of every woman. It is said that nurturing a life is a journey of suffering, and behind this trip, there are countless people who are hard to know.
Have you had such an experience after pregnancy? Nausea, vomiting, and seeing things I liked before can’t be eaten. Every day, I hold a trash can or squatting in the pool and vomiting over the river. When I vomit something, I vomit sour water directly. In severe cases, the gastric mucosa is damaged. Pregnancy, because of changes in hormone levels, there will be a pregnancy reaction, but the spit is so serious that it is not normal, which is medically called hyperemesis.
Pregnancy vomiting refers to severe persistent nausea and vomiting in pregnant women during early pregnancy, and causes dehydration, ketosis and even acidosis, requiring treatment. This is not a minor problem. If left unchecked, it may develop into Wernicke’s encephalopathy, causing coma and even death.
Nausea and vomiting are common symptoms during pregnancy. According to the literature, the incidence of nausea in early pregnancy is 50%-80%, the incidence of vomiting is 50%, and only 0.3% to 1% of these nausea and vomiting women usually develop. Spitting for pregnancy.
Hypertension during pregnancy
Have you ever had vomiting in early pregnancy, is it okay? No, there are still various difficulties that need to be passed over. Hypertension in pregnancy is one of the fierce roadblocks.
Pregnancy hypertension should be a hypertensive disorder of pregnancy, the incidence rate is 5% to 12%, which is characterized by elevated blood pressure and urine protein. It is a serious pregnancy disease that may affect the health of mothers and babies. It is also the main cause of maternal and fetal mortality.
Many pregnant mothers may feel strange. Why do we have to take blood pressure, weigh, and urinate every time we have a checkup? In fact, this is to monitor whether there is a risk of developing hypertensive disorder in pregnancy. When blood pressure rises and urine is routinely examined, it is necessary to pay attention to it.
The existing epidemiological survey found that pregnant mothers aged ≥ 40 years, pre-pregnancy with hypertension, chronic nephritis, diabetes, high body mass index (BMI), multiple pregnancy, etc., are high risk factors for hypertensive disorders in pregnancy.
For these high-risk groups, the following measures have certain preventive effects.
● Moderate exercise, reasonable rest and weight control.
● During pregnancy, salt intake is not strictly restricted, and obese pregnant women are not recommended to limit caloric intake.
● Calcium supplement, daily calcium intake <600 mg, pregnant mothers should pay attention to calcium supplementation, daily oral 1.5-2.0 grams. ● Aspirin anticoagulant therapy, mainly for pregnant women with high risk factors for specific pre-eclampsia. Gestational diabetes Frequent mothers often wonder: I don't have diabetes, why do I get gestational diabetes? Gestational diabetes refers to diabetes that is first detected or ill after pregnancy, which means that diabetes is not included before pregnancy. So why is everything normal before pregnancy and gestational diabetes after pregnancy? The need for glucose increases after pregnancy, because the baby's energy source is to get glucose from the mother through the placenta, and the mother's body will undergo adaptive changes during pregnancy to increase the use of glucose. Renal plasma flow and glomerular filtration rate increased during pregnancy, but the reabsorption rate of renal tubules to sugar could not be increased correspondingly, resulting in increased glucose excretion in some pregnant women. For example, after pregnancy, the brain will send a signal: the baby needs nutrition, eat more! After receiving this signal, my mother's body began to prepare for eating more. After eating a lot, the excretion will increase accordingly. When the urine flows through the kidneys, the renal tubules in the kidneys will absorb the glucose in the urine. However, after pregnancy, there is more glucose, and the ability of the renal tubules to absorb is limited, and diabetes will occur. With the increase of gestational age, the increase of anti-insulin substances in pregnant women, such as placental lactogen, estrogen, progesterone, cortisol and placental insulinase, makes the sensitivity of pregnant women to insulin decrease with the increase of gestational age. In order to maintain normal levels of glucose metabolism, insulin demand must increase accordingly. For pregnant women with limited insulin secretion, this physiological change can not be compensated during pregnancy, and blood sugar is elevated, and gestational diabetes occurs. Pregnancy weight gain is too fast, obesity, will be more prone to gestational diabetes. For example, the same gasoline is used in cars with different displacements. Small runs fast and big runs. The same insulin content in the body has different effects on fat and thin people. Gestational diabetes is harmful to both mother and baby. If you are diagnosed with gestational diabetes during the birth examination, you must cooperate with your doctor to control your diet and monitor your blood sugar. Use insulin in time. Expectant mothers without gestational diabetes can not eat as much as they like. The diet should be light and digestible to ensure adequate intake of protein and vitamins. Pay attention to the combination of meat and vegetables, avoid eating too much fried food, greasy food and sweets, and ensure the intake of calcium, iron, protein, minerals and trace elements. To control the body weight, the intake of carbohydrates should not be too much. In the third trimester of pregnancy, The diet should ensure the intake of heat, protein and essential fatty acids, and appropriately limit the intake of carbohydrates and fats to prevent the fetus from being overweight. Intrahepatic cholestasis of pregnancy This is an idiopathic disease in the middle and late pregnancy with obvious geographical and ethnic differences, with a high incidence in the Yangtze River basin in Chile, Sweden and China. Mainly manifested as itchy skin, blood test biochemical examination showed elevated serum total bile acid. This disease is not a serious hazard for pregnant mothers, but it has serious adverse effects on the fetus and may even be fatal. The symptoms of the disease are mainly itch without skin damage, 70% of patients appear in the third trimester, and a few appear in the second trimester. Starting in the palms and soles of the feet, gradually spread to the limbs, and sometimes the face will be itchy. Some pregnant mothers will show upper abdominal discomfort, nausea, vomiting, poor appetite, and mild symptoms. If these symptoms appear, be sure to go to the hospital in time to check out other situations and prescribe the right medicine. It is important to know that it is not only the intrahepatic cholestasis of pregnancy that can cause itching. Skin diseases, dermatitis during pregnancy, allergies, viral hepatitis, acute fatty liver, and pregnancy-induced hypertension can cause similar symptoms. In addition, there are many abnormal conditions during pregnancy, such as acute appendicitis, pancreatitis, heart disease, low placenta, placental abruption, amniotic fluid abnormalities, umbilical cord abnormalities, etc. Therefore, pregnant mothers must do prenatal care If there are abnormal conditions, actively cooperate with the treatment. Family members should also give pregnant mothers more encouragement, so as to prevent pregnant women from worrying too much and exerting mental stress on themselves.