Bác Sĩ Nói Gì #16 _ Khi nào sản phụ bắt buộc sinh mổ và những điều cần lưu ý

  • 3 months ago
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Chương trình "BÁC SĨ NÓI GÌ?" là bản tin về sức khỏe, dinh dưỡng, y tế hữu ích và thiết thực dành cho mọi người, trong đó bao gồm các tin tức nổi bật về y tế, tiêu điểm phóng sự về điểm nóng sức khỏe đang được mọi người quan tâm, đặc biệt là talkshow chia sẻ những thông tin chính xác và khoa học về các căn bệnh hiện nay từ các bác sĩ có uy tín.

Giữa lợi ích và tác hại của sinh mổ, vẫn có nhiều tranh cãi liên quan đến việc nên sinh mổ hay sinh thường tốt cho mẹ và bé hơn. Trong đa số các trường hợp, việc sinh thường được khuyến khích. Tuy nhiên, nếu thuộc ca sinh khó, sản phụ sẽ được chỉ định sinh mổ. Đồng hành cùng bác sĩ Tuyền (công tác tại bệnh viện Phương Nam) trao đổi về vấn đề quan trọng này nhé.

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Transcript
00:00Welcome to the show, What the Doctor Says, with the theme of health and fertility.
00:17The show is brought to you by the Doctor Network app,
00:20a network of healthcare information that can't be missed in every family,
00:23a place that provides accurate medical expertise.
00:25And to have advice and benefits on these issues,
00:28we can't help but mention Dr. Dang Ngoc Tuyen.
00:31Hello, can you introduce yourself to the audience watching the show?
00:37Hello everyone, I'm Dr. Dang Ngoc Tuyen,
00:41I work at Hoa Cat Phuong Nam Hospital.
00:45Today's topic is giving birth.
00:52One of the viewers sent a message to the show.
00:57Doctor, I'm giving birth to my third child in 35 weeks and 3 days.
01:03My two previous babies were given birth due to limited uterine circumference.
01:07The doctor asked me if I should wait for a transplant after giving birth for the third time.
01:11How many times a week should I give birth to ensure the safety of my mother and baby?
01:15I hope the doctor can give me an answer as soon as possible.
01:18Thank you for your question.
01:20In your case, you have given birth twice.
01:24This time, the doctor will give birth again on his own,
01:28with the condition that the fetus is mature enough.
01:32Usually, the doctor will give birth to the second child at the age of 38 or 39.
01:40It depends on the health of the mother, the condition of the baby,
01:45and the condition of the baby's uterus.
01:49What are the risks for the mother and baby?
01:55Of course, in the case of giving birth, there are risks for both the mother and baby.
02:00What are the risks for the mother?
02:03In the case of a previous surgery, there is a risk of sticking to the uterus.
02:09In the case of a previous surgery, there is a risk of sticking to the uterus.
02:15In addition, the mother may lose a lot of blood.
02:19If the mother can't control it, she may need to transfuse blood.
02:23If the transfusion of blood is not effective, the mother may have to cut the uterus.
02:27In this case, the mother will not be able to keep the uterus of the mother.
02:30In addition, there are risks for the baby.
02:33The baby may be hyperventilated, infected, and may be injured during the surgery.
02:39This is a rare case, but there are still such cases.
02:43Is this case possible to have a surgery?
02:46In your case, you have already had surgery twice.
02:49In your third pregnancy, you may have to do the surgery on your own,
02:54without waiting for a transplant.
02:58The surgery time is when the uterus is fully grown.
03:01Is it dangerous?
03:03If it is dangerous, what will happen?
03:06In the case of pregnant women, there are certain risks in this surgery.
03:12Both for the mother and the baby.
03:14The risk for the mother is that the mother may have bad scars from the previous surgery.
03:21During the surgery, the doctor has to remove the scar to get pregnant.
03:25During the surgery, the baby may bleed, injure the uterus, as well as the surrounding organs in the uterus.
03:31In addition, during the surgery, the baby will lose a lot of blood.
03:35The baby needs to be transfused.
03:37If the transfusion is not effective, the mother will have to cut the uterus to keep the baby safe.
03:45This means that the mother will no longer be able to give birth.
03:48The mother will no longer be able to keep the uterus.
03:50In addition, there are risks for the baby.
03:53In this surgery, the baby may be at risk of hyperventilation, infection, yellowing.
04:00In addition, during the surgery, the baby may be injured.
04:04Although this ratio is very rare, it can still happen.
04:07So what do I need to pay attention to after getting surgery and getting surgery many times?
04:12In the case of getting surgery or getting surgery many times, there will be risks as the doctor has shown above.
04:20In this third surgery, the mother needs to pay attention to the following signs.
04:24First, the mother needs to keep the birth certificate of the previous pregnancy.
04:30So that the doctor can access the information and assess the current health condition of the mother and the baby during this pregnancy.
04:39Second, the mother must go to the hospital or the prestigious clinic to have a regular check-up.
04:46And do not miss the important tests to do blood tests, ultrasound and other tests.
04:53To assess more accurately and in more detail.
04:57Do not miss any abnormalities of the mother and the baby.
05:01To ensure the safety of these two periods.
05:04So if I give birth every third time, should I wait for a transplant?
05:09As the doctor has explained above,
05:12In the case of pregnancy, you should not wait for a transplant.
05:17Because it will be very dangerous for the mother and the baby.
05:20Once the mother has signs of premature labor, such as stomachache,
05:24blood pressure, blood pressure, blood pressure, or water, which means vomiting.
05:30Then the mother needs to go to the medical facility to have a check-up.
05:33To enter the hospital, you may need to have an abortion.
05:38How many times should I have surgery?
05:41There is no limit.
05:43Because there are cases of 3-4 times.
05:47Because there is no suitable family method for abortion.
05:53However, I recommend that the uterus should have at least 2 periods.
05:59And the time of 2 pregnancies should be at least 24 months apart.
06:05Which means 2 years.
06:06To ensure that the period is good.
06:09Is the second surgery the same as the first surgery?
06:13Yes.
06:14The second surgery is to remove a line on the mother's uterus.
06:20It will remove the old scar.
06:24And in the uterus, it will also be removed in that position.
06:28And it may be a little bit up.
06:31Because it depends on the doctor's assessment.
06:33When the uterus is opened, is it stuck?
06:36Or is there a lot of blood in that position?
06:39It will avoid those places.
06:41What are the advantages and disadvantages of having a surgery?
06:45There are certain advantages and disadvantages of having a surgery.
06:48What are the advantages?
06:49Compared to normal birth, the advantage of having a surgery means that the mother can take the initiative to get pregnant.
06:58Secondly, having a surgery can solve the symptoms as well as the process of pregnancy.
07:04For example, the fertility rate, blood pressure in the uterus.
07:09And cause symptoms on the mother's organs.
07:12Having a surgery will have advantages and disadvantages.
07:15Compared to normal birth, what are the advantages of having a surgery?
07:18First, it can solve the problems of both the mother and the fetus.
07:23When normal birth cannot be solved.
07:25For example, on the mother's side, the mother is abnormal.
07:29For example, the uterus of the mother is narrow.
07:31The uterus is dilated.
07:33Or the mother has diseases during pregnancy.
07:36For example, high blood pressure, low fertility rate.
07:39In addition, there are abnormalities in the uterus.
07:42For example, the uterus is dilated, the uterus is thin, the uterus is dilated.
07:45And the baby, in the case of a large fetus.
07:48For example, if the fetus weighs more than 4 kg, the mother cannot give birth to a baby with the uterus of an Asian.
07:54In addition, in the process of giving birth.
07:59In addition, if the mother has abnormal problems.
08:02Such as postpartum pregnancy, pregnancy, or miscarriage.
08:06Or the mother can't bear it.
08:08If the mother loses too much strength, she must have a surgery to get pregnant.
08:13The advantage is to get pregnant quickly and safely.
08:16Without delay, the process of the baby's postpartum pregnancy will lose nutrition from the mother to the fetus.
08:21However, that advantage is there, but there are still disadvantages.
08:26For example, what is it?
08:28After the mother has undergone a surgery, she must use medicine.
08:33Depending on the mother's health condition, the doctor will choose the medicine.
08:39When using that medicine, the mother may be shocked.
08:43Or be addicted to that medicine.
08:46Secondly, during the surgery, there must be bleeding.
08:51Must be infected.
08:54That can be controlled by the doctor's prescription.
08:57The doctor will prescribe medicine for the mother's postpartum pregnancy.
09:01However, there is a disadvantage that must be noted.
09:05Every surgery that the mother has undergone will leave traces behind.
09:10Does such postpartum pregnancy affect the mother's health a lot?
09:15As if I was addicted to it too many times.
09:18People often say it's lost.
09:21Yes, it's lost.
09:23This is just the opinion of the public.
09:26But in fact, science does not say that the mother will be lost.
09:31Loss of memory.
09:34But using a medicine too many times, of course, it will not be good.
09:39There is nothing absolute.
09:41So if possible, like the doctor advised, the mother should only have surgery.
09:48Pregnancy is two times.
09:50How does postpartum help mothers reduce pain and keep them safe?
09:56This question is also very much cared for by many mothers.
09:59The health of the mother after giving birth is very important.
10:02Because it can affect the speed of postpartum recovery.
10:06Therefore, in addition to reducing pain with medicine.
10:10The mother can use painkillers at the hospital.
10:14Drugs or hormones.
10:17In addition, the mother can also apply some posture methods.
10:21To reduce pain.
10:23To help reduce the pain of the mother.
10:25The first posture can be used is to lie on the floor.
10:28Lying on the floor can reduce the pressure on the mother's acupoints.
10:33In addition, the mother can use the posture of lying on the left side.
10:39To help better blood circulation.
10:42In addition, it also helps the mother change her posture.
10:45For example, when lying down, sitting up.
10:48Will not be dizzy or dizzy.
10:51Because of the change in posture.
10:54You can also apply a posture.
10:56Lying on the floor, but holding the upper body high.
10:59You can put a pillow behind your back.
11:02In addition, there is also a sleeping posture.
11:06Or sit straight.
11:08This posture is especially useful for mothers.
11:11Early days after giving birth.
11:13First, it will be less affected.
11:16Right at the acupoint.
11:18Reduce pain at the acupoint.
11:20Second, the mother can give birth more easily.
11:23Let me ask about nutrition.
11:25What should mothers do after giving birth?
11:29After giving birth.
11:31The mother should take care of food.
11:34Food that has calories.
11:36For example, crab, seafood.
11:38Especially seafood.
11:42Many mothers are allergic to seafood.
11:45You should avoid those foods.
11:47Second.
11:49The mother should avoid eating too much oil and fat.
11:53Fried food, stir-fried food, fried food.
11:58A lot of oil and fat.
11:59The mother should not eat.
12:01Third.
12:02The mother should drink warm water instead of cold water.
12:05The mother should eat enough nutrients.
12:07No carbs.
12:10Only food that the mother is allergic to.
12:12To support the quality of the mother's milk.
12:17After giving birth, it is better for the baby to drink.
12:20After giving birth, is there any death?
12:23Death is a state.
12:25The death of a woman.
12:29It was reduced.
12:31Not in a normal position.
12:34Due to many reasons.
12:36Especially for women with risk factors.
12:39For example, having given birth many times.
12:42Then had to go through a respiratory disease.
12:47Coughing for a long time.
12:49Or being constipated for a long time.
12:51Having to chew too much.
12:53Increase abdominal pressure.
12:55The common risk factors can cause the death.
13:01It can progress from mild to severe.
13:04The most serious is that the mother can leave the uterus out of the uterus.
13:09Giving birth or giving birth.
13:11There is a certain risk of leaving the uterus.
13:14But giving birth is less risky than giving birth.
13:18Why?
13:19Because when the mother gives birth.
13:22Will avoid the uterus.
13:26Continuous constipation.
13:28The uterus has to work tirelessly.
13:31Second, when the mother gives birth.
13:34Do not use the uterus.
13:38As well as the urethra.
13:40It is not too stretched.
13:42It keeps the uterus fixed.
13:46Better than giving birth.
13:49Because when the uterus grows.
13:53The uterus also grows.
13:56If the uterus and the urethra are fixed.
14:03Constipation is not affected much.
14:06But whether there is a risk or not.
14:08Everything is there.
14:09Depending on the mother's previous health condition.
14:13As well as how the mother recovers after giving birth.
14:17So the mother has to pay attention to how to give birth.
14:21For the uterus and the urethra to recover.
14:28The mother needs to avoid constipation.
14:30Second, constipation.
14:33Third, the mother has to drink a lot of water.
14:38Avoid working too hard.
14:41Carrying too many heavy objects.
14:43It will reduce the pressure on the uterus.
14:45Make the uterus more stable.
14:50In addition, the mother can practice more exercises.
14:53To make the uterus more stable.
14:56How will the mother decide to give birth?
15:00This decision will depend on the mother's age.
15:05Depending on the doctor's evaluation in the fetal ward.
15:09The mother may be initiated.
15:12Or called prenatal.
15:14In cases where the mother has constipation.
15:16Deformed uterus.
15:18In addition, the baby is on the back.
15:21Like sitting on the butt.
15:23It is impossible for the mother to give birth below.
15:27Or the baby is too big.
15:29The baby is over 4 kg.
15:31The mother's uterus.
15:33The nature of Asians.
15:35The uterus is not as wide as that of Europeans.
15:38The baby is too big compared to the mother's uterus.
15:41It is necessary to decide to give birth to the uterus.
15:45To be safe.
15:47In the case of emergency surgery.
15:50When the mother is in the process of giving birth.
15:53The mother has prenatal.
15:56The mother can't stand it.
15:58The mother is exhausted.
16:00The mother is tired.
16:01The baby is prenatal.
16:03In addition, the uterus may be constricted.
16:05The uterus is out of place.
16:06These are the cases of emergency surgery.
16:09In the process of following the mother's delivery.
16:12In addition, there will be birth defects.
16:14In the case of a concussion.
16:16In the case of a concussion.
16:18In the case of a broken leg.
16:20In the case of a broken leg.
16:22These are the common symptoms.
16:24The mother will have to undergo another surgery.
16:27To end the program.
16:29What do the doctors notice?
16:31Any advice for the audience?
16:35Are the audience watching the program?
16:37For women, health is very important.
16:41So when a woman gives birth.
16:44To have a safe period.
16:47Before giving birth.
16:49Women need to observe.
16:52The diseases that may affect the period.
16:56In addition, during the delivery.
16:58Pregnant mothers should go to regular check-ups.
17:02Follow the doctor's schedule.
17:04Do blood tests.
17:06As well as other blood tests.
17:09To observe early.
17:11To intervene early.
17:13For the health of the mother and baby.
17:16In addition.
17:17When the mother has abnormal symptoms.
17:20Like a stomachache.
17:22Blood in the urethra.
17:23Out of water.
17:24Out of the urethra.
17:27The mother needs to go to the medical facility immediately.
17:29So as not to miss the opportunity to intervene.
17:33When there is an abnormality.
17:35Affect the life of the mother and baby.
17:37For the topic of giving birth.
17:39The doctor advises pregnant mothers.
17:43When you have an old scar once.
17:47There should only be one more old scar.
17:51In total, there are 2 old scars.
17:53And the time between those 2 operations.
17:56At least 2 years.
17:58To restore the scar.
18:01Better.
18:02In cases where the mother has given birth.
18:05The doctor advises giving birth.
18:08At most 2 times.
18:10Because the number of times it increases.
18:13It also depends on the risk.
18:16For the mother and baby to increase.
18:18The safe time for those 2 operations.
18:21At least 2 years.
18:23For everything.
18:25About the scar.
18:26About the health of the mother.
18:28To recover better.
18:29Up to here.
18:30The time of the program is over.
18:33The program is sponsored by Dr. Network app.
18:35Social network of medical information.
18:37Can not be missing in every family.
18:39Where to provide accurate medical expertise.
18:41Thank you, Dr. Dang Ngoc Tien.
18:43For coming to the program.
18:44And sharing useful information.
18:45About the topic of health.
18:47Goodbye and see you again.
19:04Thank you for watching.
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