My husband and I were the first “two-single families” that complied with the two-child policy, but we have been hesitating and procrastinating between whether we want it or not, between work and life. It was not until I was 36 years old that I finally got on the car.
As a person who has come here with ease, Huai Er Er really has a lot more heart. I should eat and drink, and I have a very good attitude.
sudden bad news
During this pregnancy, the doctor who performed my daily pregnancy checkup was still the professor who delivered the baby for my boss, and all the arrangements were reassuring. The entire pre-pregnancy and mid-term were quite smooth, and NT examination, non-invasive DNA examination, and large-scale abnormality removal were all passed at one time. In this way, until the 23rd week, it was another routine B-ultrasound.
After the examination, the B-ultrasound doctor did not have any special reminders. I looked at the list, and one of them showed “increased bowel echo”, but it was not mentioned in the conclusion, but regular review was required as before.
I didn’t pay much attention to it. It was almost noon, and the pregnancy test professor had already left work. I wanted to wait for the next checkup before showing it to her. It turns out that I do have a big heart.
Fetus under B-ultrasound | Guimi, Wikipedia
Wuhan in July was like a stove, and my life and my life were all given by the air conditioner. Maybe the temperature setting was too low. I started to have a sore throat and cough after blowing on the air conditioner all night. After two days, I coughed so hard that I couldn’t sleep. I went to a tertiary hospital to see internal medicine, thinking that since I came to the hospital, I would listen to the fetal heart rate by the way, so I went to the obstetrics department again.
I took out the results of the last B-ultrasound. Unexpectedly, the doctor here confirmed my age immediately after seeing it. When she learned that I was 36, she told me directly: “A pregnant woman over 35 years old with enhanced intestinal echo, recommends amniocentesis. ” .
I was stunned on the spot, and I came to see a cough and listen to the fetal heart rate. Why amniocentesis suddenly needed? If it is really so serious, why didn’t the B-ultrasound doctor warn at the beginning?
Out of the hospital in doubt, I started to search the Internet crazily, and the answer I got was: “Intestinal echo enhancement, as a sonographic manifestation, may be caused by meconium. Most fetuses were normal in the end, but some fetuses were confirmed to have chromosomal abnormalities. , intrauterine infection, intestinal obstruction, etc.”
a bolt from the blue! I held back my tears and sent the B-ultrasound sheet to my pregnancy test professor. As a well-known “one knife”, she has always been bold and neat. This time she replied to me in two words: “It’s okay.” The hanging heart is temporarily put down, and I will consult the doctor face to face after the next pregnancy test.
unresolved probability question
Finally, when it was time for the scheduled pregnancy test, the professor still gave me no need to do sheep wear, because my NT and non-invasive tests all passed, my family history and previous pregnancy history were normal, and the possibility of fetal chromosomal abnormalities was very small; Amniocentesis itself is an invasive examination, and there may be a 1% miscarriage rate. If something really happens, the loss outweighs the gain.
I am still struggling, the professor suggested to me, should I go to study eugenics?
Eugenics offers similar advice. The doctor told me that the detection rate of intestinal echo enhancement is actually relatively high (I checked on the Internet about 6%), but from the results of the final visit, it is basically meconium and other reasons. He also felt that according to my analysis, the result after wearing sheep should be normal, so there is no need to do it.
“As long as the chromosomes are normal, intestinal abnormalities are small problems that can be corrected.”
… Why is the doctor’s scale so large? Is it because I have never seen it before? I can’t accept intestinal abnormalities either.
Chromosomal Abnormalities Are an Important Cause of Birth Defects | Pixabay
With an unsolved feeling, I went home and started a new round of frantic search. Various website forums, various pregnancy apps, I don’t miss any topic related to intestinal echo enhancement, calculate various probabilities, and ask mothers who have had similar experiences about the final result…
I look like a madman, but my husband is very calm and firmly believes that the baby must be normal. His logic is very rough: Although you are 36, your physical and psychological development has always been relatively late (yes, I am the strange woman who has grown 5 cm after entering college), so you cannot be considered an advanced maternal age, and the intestinal echo is enhanced. It’s just a small bug….
This alternative explanation made me laugh and cry, but it was in vain to comfort me. In the end, we reached an agreement and spent a huge amount of money (300 yuan registration fee) to consult a professor of obstetrics and gynecology, and made a final decision based on his opinion.
A “foot-long” silver needle was inserted into my belly
On the day of the consultation, I went to the hospital alone. Daniel was very kind and patient. After reading all the examination materials in detail, I finally gave a suggestion to do amniocentesis. He put it very bluntly:
“NT and non-invasive are only probabilistic screening methods, and only amniocentesis can confirm the diagnosis. In the case of advanced pregnancy with enhanced bowel echo, the probability of chromosomal abnormalities increases exponentially. Even if there is only a 1% possibility, we must be 100% Elimination, this is the purpose of eugenics.”
He comforted me that there are more than thousands of similar operations performed here every year, and the accident rate is less than one in a thousand.
The doctor helped me solve the probability problem of “eugenics”. |
After listening to Daniel’s words, I stopped worrying and was admitted to the hospital that afternoon. The best time for amniocentesis is 16-22 weeks of pregnancy. During this period, there is more amniotic fluid, the shape of the fetus is suitable, and the room for movement is larger. Generally, it can be done in outpatient surgery. Considering that I was 24 weeks pregnant at the time and the fetus was relatively large, I was hospitalized for surgery to be on the safe side.
On the day of hospitalization, I drew 16 tubes of blood. After smoking, I obviously felt dizzy. The nurse comforted me softly, and it was only less than 50ml. Once again, it was already evening. I also checked some cases about amniocentesis, what happened to the baby, postoperative infection, the most exaggerated example, the needle for drawing amniotic fluid was grabbed by the fetus, my god, one night Nervous and sleepless .
After lunch the next day, the nurse lady gave me magnesium sulfate to suppress uterine contractions. There was only one bag of medicine, but the drip was very slow, and it was said that it would take 24 hours to finish the drip. At 3 o’clock, I was suddenly informed that I was going to have an operation. At that moment, my mood calmed down, with a kind of resignation to fate.
There was no hospital bed or wheelchair, so I pushed the infusion stand by myself, went out with the nurse lady, entered the elevator, got off the elevator, turned and turned again, and came to the operating room, oh no, it was actually the place where the B-ultrasound was performed.
This is too simple, but I comfort myself, this does not mean that it is just a small case, and it will be fine.
There are two doctors in the room, one is doing B-ultrasound and the other is doing surgery. I lay on the examination bed, exposing the entire abdomen. After thorough disinfection, the B-ultrasound doctor rubbed the probe back and forth on it, looking for gaps for needles. After more than ten seconds, she pressed a point on the upper abdomen and said, let’s just go here, the fetus is now facing outwards, there is not much room for manipulation, there is a gap here.
That’s it? I couldn’t help but asked softly, my heart was full of panic, don’t I need to insert the needle under the guidance of the probe all the time, what if the baby moves now… No one paid attention to me, who was weak and helpless, the surgeon said don’t move, I quickly controlled my body with all my strength and closed my mouth.
I watched helplessly as the doctor took out a foot-long silver needle and inserted it into my belly quickly and mercilessly . I don’t know if it’s because the nerves in the belly are relatively large, and it doesn’t feel as painful as the spanking needles, but it’s scary enough. I didn’t dare to move until the doctor pulled out the needle and saw the bottle of light yellow amniotic fluid.
After that, it was disinfection and bandaging, and I pushed the infusion stand back to the ward. The next day, the magnesium sulfate drip was over, and I was discharged from the hospital.
What about the final result? Just as the doctor predicted “high probability”, the test results were all normal. In autumn, the baby was born smoothly, with an Apgar score of 10.
On the same day, the baby passed a lot of green meconium, and the intestinal problems were completely eliminated. It seems that the “increased intestinal echo” at the beginning was probably the accumulation of meconium caused by his drinking too much amniotic fluid- it was this foodie that gave me an injection.
doctor review
Zhang Lu | Attending Physician, Department of Obstetrics and Gynecology, Fudan University Obstetrics and Gynecology Hospital
Amniocentesis, the full medical name is amniocentesis. In layman’s terms, the operation process of amniocentesis is actually similar to that of venous blood drawing: first disinfect the skin, then find the puncture point with the help of B-ultrasound, insert the needle, draw out some amniotic fluid, and then pull out the needle. Since the myometrium outside the amniotic fluid is relatively thick, there is no need to worry that the amniotic fluid will overflow from the “needle hole” after the puncture . Thinking about it this way, amniocentesis doesn’t seem so scary.
As a means of prenatal diagnosis, the advantages of amniocentesis are obvious: fetal chromosomes can be directly extracted from fetal cells in amniotic fluid. Therefore, this method is the “gold standard” for diagnosing fetal chromosomal diseases. The disadvantage is that the puncture may bring risks such as intrauterine infection and miscarriage.
However, with today’s technology, the safety of amniocentesis is generally high. In some hospitals, the risk of miscarriage and infection caused by puncture is less than 0.1%, which is a “small probability event”. So, under the right circumstances, the benefits of amniocentesis may far outweigh its risks .
Although the safety factor of amniocentesis is very high, this does not mean that everyone should have amniocentesis. Combined with previous data, doctors recommend amniocentesis only when the fetus is assessed to be at high risk of chromosomal abnormalities. These situations include:
Older women (over 35 years old);
Both spouses have a family history of genetic diseases;
Adverse pregnancy history (previous birth history of malformed fetuses or fetuses with chromosomal abnormalities);
Serological screening suggests a high risk of trisomy 18 or trisomy 21;
Non-invasive DNA examination revealed fetal chromosomal abnormalities;
Fetal malformation or NT and NF thickening were found by ultrasound;
Pregnant women conceived through three-generation IVF technology.
Among these conditions, some are high-risk factors, some are high-risk factors, and some are medium-risk factors. For our author, the pregnant woman was 36 years old, B-ultrasound showed strong intestinal echo, and non-invasive DNA showed low risk. It should be said that the risk of fetal chromosomal abnormalities is slightly increased after birth, but not very high. However, compared with this, amniocentesis may be less risky. In this case, amniocentesis is still recommended.
Of course, because the author has experienced a period of entanglement, he may indeed miss the best time for amniocentesis. Usually, amniocentesis is more suitable for the second trimester. It is also recommended that pregnant women follow the doctor’s advice and do every necessary pregnancy test.
The sharing of personal experience does not constitute a diagnosis and treatment recommendation, and cannot replace the doctor’s individualized judgment on a specific patient. If you need to see a doctor, please go to a regular hospital.
Author: Fei
Edit: Decapod Hyalineaceae
Have you ever experienced “community death” after anesthesia?
After anesthesia, especially when just waking up after general anesthesia, the things that patients do are often eye-opening: revealing bank card account password deposits, teaching mathematics to nurses, confessing to the doctor who always wakes him up, crazy and the people around him Everyone chatters and recites the knowledge points of Marxism-Leninism-Maoist…
Do you still have the memory when you are fully awake? Or do you need to know your own “community death” experience from other people’s mouths? welcome to click 
Come share with us your own personal experience 
. We will select some submissions, edit them and publish them on the official account.
This article is from Guoke Patient (ID: health_guokr), and shall not be reproduced without authorization. If necessary, please contact [email protected]
This article is transferred from: http://www.guokr.com/article/463272/
This site is only for collection, and the copyright belongs to the original author.