How to maintain pregnancy after polycystic pregnancy

It is well known that polycystic ovary syndrome is a reproductive organ disease, and generally speaking, such patients find it difficult to become pregnant. Even if you get pregnant, the chance of miscarriage is higher than normal. Therefore, it is generally recommended to protect the fetus immediately after pregnancy. This is because such patients often fail to secrete strong androgen stably, which may cause the balance of androgen and estrogen. So how should patients with polycystic ovary syndrome protect the fetus after pregnancy?

Is it necessary to protect the fetus if you are pregnant with polycystic ovary syndrome?

Patients with polycystic ovary syndrome must protect the fetus immediately after becoming pregnant. Because the endocrine disorders of patients with polycystic ovary are unstable, their hormones are often high in androgen and low in estrogen and progesterone, and they are very unstable, so the fetus must be preserved, otherwise it is very easy to have miscarriage or fetal growth retardation. It usually takes 3-4 months to maintain the pregnancy. Be careful not to blindly preserve the fetus or blindly abuse the drug progesterone. You must follow the doctor's instructions. If you blindly preserve the fetus on your own, it will cause the female fetus to masculinize and the male fetus may have reproductive organ malformations.

How to protect the fetus in polycystic pregnancy

After successfully becoming pregnant, patients with polycystic ovary syndrome must have regular prenatal checkups, pay attention to monitoring blood HCG, progesterone, and fetal B-ultrasound conditions. If any abnormalities are found, they should be dealt with in a timely manner.

1. Ultrasound

6th to 9th week of pregnancy: Determine the gestational age and determine whether it is an intrauterine pregnancy. 11-14 weeks of pregnancy: measure fetal size, nuchal translucency (NT), number of fetuses, etc.

16-18 weeks of pregnancy: assist with Down syndrome screening or amniocentesis.

36 weeks of pregnancy to full term: Check the maturity of the placenta, fetal growth and development, and predict the mode of delivery, etc.

2. NT examination (fetal nuchal translucency)

It is usually done between 11 and 14 weeks of pregnancy. If done too early or too late, it will no longer have clinical reference value. NT refers to the thickness of fluid accumulation in the subcutaneous tissue at the back of the fetal neck. As the thickness increases, the possibility of fetal abnormalities increases. If the NT is more than 3mm, it indicates that the risk of fetal chromosomal abnormalities and cardiovascular abnormalities is higher.

3. Down syndrome screening

The time for Down syndrome screening is between 16 and 20 weeks of pregnancy. Normally, the human body has 23 pairs of chromosomes, for a total of 46 chromosomes, including 2 copies of chromosome 21. Babies with Down syndrome have three copies of chromosome 21 in their cells, for a total of 47 chromosomes, so it is also called trisomy 21, commonly known as congenital idiocy, with an incidence rate of about 1:600~1:1000.

4. Sugar screening

The examination time is 24 to 28 weeks. Related studies have found that gestational diabetes not only affects the health of the mother, but also poses a serious threat to the growth and development of the next generation. It is predicted that about 30% of fetuses of patients with gestational diabetes will develop type 2 diabetes after 5 to 10 years, and the final incidence rate can reach 60%.

5. Fetal heart rate monitoring

It usually starts from the 32nd week of pregnancy. Fetal heart rate monitoring is a simple, painless prenatal examination used to assess the health of the fetus. Doctors can use fetal heart rate monitoring to understand the fetus' heartbeat, resting and active fetal heart rate.

Is it necessary to protect the fetus during polycystic pregnancy? The answer is yes. It is not easy for patients with polycystic ovary syndrome to get pregnant. Due to the disorder of hormones in the body, miscarriage can easily occur if they are not careful. Many patients with polycystic ovary syndrome require ovulation induction to conceive. It is very difficult to have a healthy baby, so you must pay attention to preserving the fetus after pregnancy to prevent miscarriage.