What are the signs of uterine rupture in the second pregnancy scar?

After the second-child policy was introduced, many women have joined the ranks of expectant mothers with a second child. However, rupture of the scarred uterus during the second child period poses a great threat to the pregnant mother's life. Therefore, some common sense about scarred uterus should be noted, especially after pregnancy. You must go to the hospital for examination in time, and take timely treatment measures if any abnormal conditions are found.

1. Uterine rupture is an extremely serious obstetric complication. Once it occurs, it often endangers the lives of pregnant women and fetuses. It often requires a hysterectomy at the same time. It is very difficult to deal with clinically, and most cases occur in the late pregnancy.

2. According to statistics from the hospital's obstetrics and gynecology department, almost one patient with scarred uterus pregnancy is seen every month, most of whom suffer from irregular uterine bleeding. Experts say that a small amount of vaginal bleeding in early pregnancy is often the first symptom of a scarred uterus pregnancy. This symptom is similar to threatened abortion, ectopic pregnancy, etc. Therefore, if the doctor is not experienced enough, he may not be able to immediately differentiate and diagnose it in the early stages.

3. Currently, most doctors believe that once a "scar uterine pregnancy" is confirmed, the pregnancy should be terminated immediately in order to kill the embryo, remove the gestational sac, preserve reproductive function and stop bleeding. Experts say this is because on the one hand it is difficult for the embryo to survive. On the other hand, the embryo is also likely to pierce the uterus, causing heavy bleeding and endangering the life of the pregnant woman.

4. Even if the villi are implanted in the scar, they will not grow outward but develop into the uterine cavity, and sometimes they can continue until the birth of a live baby. However, due to continuous bleeding at the placenta attachment site, the chance of placenta implantation is greatly increased, which can easily lead to heavy bleeding in pregnant women.

Pregnancy after cesarean section and contraception for two years

5. During pregnancy, pregnant women should exercise appropriately, maintain a proper diet and schedule, and avoid increasing the probability of cesarean section due to macrosomia, gestational diabetes, etc. If you can give birth naturally, there will be no scar left on the uterus, and there will be no danger of the fertilized egg "settling" in the scar.

6. Experts point out that women who have undergone cesarean section should take contraceptive measures and wait two years before conceiving again. This allows enough time for the scar to grow firmly and prevents accidental pregnancy from implanting in the uterine scar.

7. If the first child was delivered by cesarean section, once you get pregnant again, you must first determine whether it is a scar pregnancy. If necessary, have an ultrasound recheck within a short period of time to ensure early diagnosis and early intervention. 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 pregnancy should be terminated as soon as possible.