Can a scarred uterus undergo a vaginal trial birth?
I believe that many pregnant mothers have such questions. Recently, Ms. Wang, a pregnant woman with a second-born scar on the uterus, gave birth smoothly and naturally in the obstetrics department of Hunan Aerospace Hospital, and the mother and daughter were safe. "I was so lucky I thought I was going to get a stab." The arrival of the "tiger baby" made Ms. Wang's family close their mouths with joy, and even thanked the medical staff, and the ward was instantly festive. At present, our hospital has successfully delivered smoothly for many scarred uterine pregnant women.
Three years ago, Ms. Wang was given a cesarean section because of the fetal breech position and is now pregnant again. During the pregnancy test in the hospital, she learned that the scarred uterus also had the opportunity to have a smooth birth, and Ms. Wang especially hoped to make up for the regret of the last caesarean section, and expressed her willingness to have a second child to the doctor. Through regular obstetric examinations, Ms. Wang was admitted to the obstetric department recently due to a natural seizure at 39+3 weeks of pregnancy. After a comprehensive evaluation by the obstetric medical team, the pregnant mother was encouraged again to help her strengthen her confidence that she could give birth naturally under close monitoring.
In the whole process of accompaniment and full cooperation, that afternoon, with a crisp and loud cry sounded, everyone's tight string, finally relaxed, Ms. Wang successfully gave birth to a baby girl, weighing 3550g, painless delivery, postpartum uterine contractions are good, bleeding is small, and the newborn score is good!
What is a scarred uterus?
Scarred uterus refers to a surgical incision in the uterus, and the incision forms a scar state during healing, such as a history of caesarean section, the presence of uterine fibroid removal, uterine perforation repair, etc.
Can a woman with a scarred uterus give birth naturally?
Scar uterine regrafting during pregnancy and childbirth, with the continuous growth of the fetus in the womb, the uterus will continue to be enlarged, and the scar site may become extremely weak due to its poor elasticity or poor healing, causing more serious complications. Such as a ruptured uterine incision, heavy bleeding, or even fetal death. "These conditions have caused many women to be reluctant to try vaginal delivery, but this is not the case." Tang Jinling, chief physician of the obstetrics department of Hunan Aerospace Hospital, said that with the opening of the mainland's three-child policy, smooth delivery is increasingly favored by pregnant women. In Hunan Aerospace Hospital, there are not a few mothers who have the first caesarean section and the second vaginal trial and succeed, and the willing mothers should strengthen their confidence.
However, she also said that not all pregnant women who re-conceive after a cesarean section can give birth naturally. Both the pregnant woman and the fetus need to meet certain conditions to undergo a vaginal trial delivery after caesarean section.
Attention should be paid to vaginal trial labour:
1. Pre-pregnancy outpatient consultation.
2. Regularly conduct full obstetric examination in the obstetric specialist clinic, conduct a comprehensive assessment, and meet the conditions to try to give birth.
3. Reasonably control the weight during pregnancy, avoid the appearance of macrosomia, and create conditions for the natural delivery of the second child of the scarred uterus.
4. Understand the whole process of natural childbirth in the third trimester of pregnancy, and help pregnant women establish confidence in natural childbirth.
It is understood that as a baby-friendly hospital, Hunan Aerospace Hospital has always advocated smooth delivery. In order to ensure the smooth delivery of every pregnant woman, obstetrics has formulated and improved a series of measures such as the detailed operation process of vaginal uterine delivery, multidisciplinary team cooperation, etc., according to the actual situation of pregnant women, the implementation of scar uterus natural delivery trial delivery, for the majority of scarred uterus pregnant women to bring the gospel.
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Photo/Zhang Zhang
Review/Tang Jinling
Editor-in-charge: Liu Zaijun
Executive Editor: Zhang Zhang
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