The famous Japanese writer Haruki Murakami has a long romance novel called “Norwegian Forest”. One of the passages is impressive:
“Everyone has a forest of their own, maybe we’ve never been, but it’s always there and always will be there.”
This forest is like a secret buried in everyone’s heart.
For example, some women who have experienced emotional pain will hide the secret that they have undergone abortion after a new relationship begins.
But this concealment has gradually turned into a thorn, especially when it comes to maternity checkups and labor, and many people feel uneasy.
I met Xiao Li at the outpatient clinic. She is a very gentle woman. When she came to the maternity check-up, she always seemed to hesitate.
When I finished her pregnancy test for the third time and no one was around, she confided to me about her concerns:
“Doctor, will my husband find out that I have had an abortion before? It is said on the Internet that doctors can tell if I have had a child and whether I have had an abortion. Is this true? My business Can you not tell my husband?”
It does.
For example, women who have undergone a cesarean section will inevitably have scars on their stomachs, and if a woman who has a natural birth undergoes a cervical examination, the shape of the cervix of multiparous women and the cervix of nulliparous women will be different. the same.
For women who have never given birth, the cervix is a round, narrow, smooth, regular circular opening. When viewed from the vagina, it looks like a standard donut. We Commonly referred to as “nulliparous cervix”.
If you have experienced labor or induced labor in a big month, the cervix must be open enough because the fetus will be delivered from the vagina.
After opening, although the cervix will gradually close, by 1 week postpartum, the internal cervical os will close and the cervical canal will recover.
But the external cervical os will never return to its pre-pregnancy state. At this time, the outside of the cervix is round, but the inside will be a radial transverse fissure, which looks like a flat “doughnut”, which we generally call “multipartum cervix”.
Image source: Zhanku Hailuo
Some can, some can’t.
If you have just had a miscarriage and the HCG (human chorionic gonadotropin) in your body has not dropped to a normal level, then a blood HCG test may be found at this time.
If the miscarriage is not completely clean, and there is something left in the uterine cavity through B-ultrasound inspection, then this situation may also be found as “incomplete miscarriage”.
However, if the abortion has been completely cleaned, the endometrium has returned to normal, the abortion is a small month (medicated abortion or uterine aspiration), and the dilation of the cervix is relatively limited, then it is likely to follow return to its original shape over time.
So even if you go for a cervical check, you can’t see it.
When going to the hospital for an examination and filing a maternity file, the doctor must ask several questions:
How many times have you been pregnant? How many children have you had? How many births have you had?
After you have answered, the doctor will write what you said on the file or medical record, with G for the number of pregnancies and P for the number of deliveries, which is called “pregnancy history” .
For example, we sometimes see G2P1 on the medical record, which means two pregnancies and one delivery.
(Source: soogif)
At this time, the question comes. Although everyone may seem to answer calmly, but whether there is any anxiety or hesitation in their hearts, it is estimated that only the parties themselves know.
And the greatest struggle and worry should be:
What happens if I don’t tell the truth and hide my history of miscarriage?
Doctors won’t make a big deal out of your lie on the spot, but hiding it does run your own risk.
Especially if you have experienced multiple crowds, orWomen with spontaneous and habitual miscarriages may also be at higher risk for complications during pregnancy or childbirth, such as repeat miscarriages and placenta accreta.
In the case of asking about the history of pregnancy and childbirth, tell the doctor truthfully about your medical history, so that the doctor will have a real understanding. Doctors will also do a closer assessment of problems that may arise during pregnancy and childbirth.
So, it’s best to tell the truth to your doctor.
Perhaps many women who have experienced a miscarriage have had this psychological struggle with their partner: Should I honestly tell him I had a miscarriage?
When faced with a dilemma, maybe we can think about it first.
Instead of being yourself, do you want your partner to keep secrets from you forever, or do you want to be open and honest from the beginning, let’s communicate frankly, and then give each other a chance to accept or not?
For unmarried women, in order not to face such painful choices in the future, we should learn to always remember to protect ourselves before accidents happen, insist on taking good contraceptive measures, and reduce Unnecessary accidents and injuries.
Image source: Zhanku Hailuo
Contributing Author: Li Shan｜Obstetrics and Gynecology Attending Physician, Well-known Health Science University V
Reviewer: Guo Xu｜Gynecologist, The First Affiliated Hospital of Sun Yat-sen University
References
[1]Up to date: Normal physiology and routine maternal care in the puerperium
[2]McLAREN HC. The involution of the cervix. Br Med J 1952; 1:347.
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