What to do if you have scars during pregnancy

The risk of pregnancy again for those who have had a cesarean section is much higher than for those who have not had a cesarean section. There are many special things that women who had a caesarean section for their first child need to pay attention to when they want to get pregnant again. For example, it is necessary to understand the knowledge about scar pregnancy, which is very important for pregnant women. Scar pregnancy is a high-risk ectopic pregnancy and requires prompt termination of pregnancy. For the safety of pregnant women, termination of scar pregnancy must be performed in a regular hospital.

1. What does scar pregnancy mean?

The so-called scar pregnancy refers to the situation where a woman with a history of cesarean section becomes pregnant again and the new life happens to implant on the cesarean section scar in the uterus. This is medically called "scar pregnancy". Scar pregnancy often leads to heavy vaginal bleeding and late uterine rupture. It is a rare but extremely dangerous obstetric emergency and a type of ectopic pregnancy. Simply put, the fetus grows to a place where it should not grow. It is as dangerous as an ectopic pregnancy. Failure to terminate the pregnancy in time may cause heavy bleeding. It is one of the most headache-inducing problems for obstetricians.

2. How to prevent scar pregnancy

Scar pregnancy is a special type of ectopic pregnancy. Due to structural abnormalities, the tissue in the uterine scar is much thinner than normal tissue and can be easily ruptured. Therefore, uterine scar pregnancy after cesarean section is a very dangerous type of pregnancy. Although the incidence of scar pregnancy is much higher than that of pregnancy without a history of cesarean section, certain preventive measures can still be taken to avoid the occurrence of this type of pregnancy.

1. Pregnant women must carefully choose the first delivery method and do not choose cesarean section easily.

2. Women who have undergone cesarean section should pay special attention to safe contraception to prevent accidental pregnancy.

3. High-risk pregnant women with a history of cesarean section should undergo vaginal ultrasound examination in early pregnancy to determine the site of embryo attachment. If it is a scar pregnancy, the diagnosis should be confirmed as soon as possible and the pregnancy should be terminated.

4. Women with scars on their uterus should pay attention to personal hygiene and sexual hygiene to avoid pelvic infections.

3. Treatment methods for scar pregnancy

1. Uterine curettage can be performed under B-ultrasound guidance, or combined with pre-medication and interventional treatment, and then the embryonic tissue can be removed under hysteroscopy;

2. Conservative drug treatment, such as mifepristone, methotrexate, and trichosanthes, can be used to kill embryonic tissue;

3. Uterine artery embolization plus drug-induced embryocidal death;

4. Laparoscopic or open lesion resection for patients who are unwilling to receive conservative treatment or who have failed conservative treatment;

5. For patients with rapid bleeding or severe lesions, the uterus needs to be removed to save lives.