With the opening of the national three-child policy, more and more women are preparing for pregnancy, but women who have had a caesarean section are particularly worried, what do you need to pay attention to if you are pregnant with a scarred uterus? Now Beian Health Xiaoxiao brings everyone to understand.
What is a scarred uterus?
The scarred uterus is the uterus that has been operated on and has now recovered, but the uterus has a wound, the most common being the first child to have a cesarean section. There are also some cases called scarred uterus, such as hysterectomy, stump uterine repair, uterine fibroid removal or decortication, etc., which belong to the scarred uterus range. During the process of scarred uterus pregnancy again, the risk of uterine rupture and heavy bleeding is significantly increased, so be sure to check on time.
Scars Uterus needs to be noted for getting pregnant again:
First of all, women with scarred uterus must pay attention to the fact that if they want to have a second child, the interval between them should be slightly longer, it is best to be spaced for more than three years, and do not get pregnant or miscarry within two years, which will have an impact on the uterus.
1. Pregnancy scars Uterus should be assessed prenatally
For women who are preparing to have a second or third child, there are more issues to pay attention to than the first mother, and if it is a first-time caesarean section, it is also necessary to pay attention to the problem of scarred uterus, the healing of uterine incisions, the condition of scar sutures, the location of embryo implantation, etc. In addition, women who reproduce tend to be older, and the teratogenic risk of having children again is higher than that of first-time women. Whether a scarred uterus can give birth to a second child, it is best to go to a professional hospital first and be professionally examined by a doctor. In this way, the occurrence of adverse pregnancy conditions can be reduced at the source and the quality and safety of production can be ensured. It is generally recommended that women who have the intention of re-pregnancy should go to the hospital for relevant examinations and evaluations at least 3 months in advance.
2. In the third trimester of pregnancy, the abdomen should be prevented from being squeezed
In order to prevent cracking at the scar, care must be taken to protect it from being squeezed. In the third trimester of pregnancy in daily life, driving, walking, etc. should avoid crowds, housework should be appropriate, sleep should be lying on the back or on the side, sexual life should be moderate, to avoid abdominal impact.
3. Abdominal pain occurs and is treated early
Some of the scarred uterus will have spontaneous rupture through the third trimester of pregnancy, and abdominal pain is the main manifestation. Due to poor healing of uterine scars as the gestation months increase, intrauterine pressure increases, and although there is no trigger, the uterus can also swell and rupture from its scars. Abdominal pain of varying severity can occur when the uterus ruptures, and sometimes the abdominal pain is mild but the uterus has ruptured, and vigilance must be raised.
4. Observe more in the third trimester
During pregnancy, especially after 32 weeks of the third trimester, it is also necessary to dynamically observe the continuity and thickness of the scar site, if the thickness < 3mm, it is possible that the uterus rupture in the third trimester may occur. There are some women, in the third trimester of pregnancy when the uterus rupture occurs, not complete rupture, but partial rupture, so the symptoms are not too obvious, it is recommended that this part of the women in the pregnancy after 32 weeks to carry out dynamic observation ultrasound, especially to understand the continuity and thickness of the scar site, generally more than 37 weeks after the fetus has matured, you can consider terminating pregnancy.