How to abort scar pregnancy

For scar pregnancy, if you want to have an abortion, there will be certain risks, which can easily cause heavy bleeding and even pose a great threat to life safety. This is because the scar will cause the uterus to contract and leave residue, which will make it difficult to have an abortion. It can be said that scar pregnancy is a relatively rare and dangerous obstetric disease, which poses a great risk to the health of pregnant women.

There are risks

1. Scar pregnancy is as dangerous as ectopic pregnancy. If the pregnancy is not terminated in time, it may cause heavy bleeding.

2. In addition to the risk of scar pregnancy, if you become pregnant again after a cesarean section, you will also face the risk of rupture of the scar in the lower segment of the uterus. The risks of placenta previa, placenta accreta, etc. will also increase, which in turn increases the possibility of postpartum hemorrhage.

Odds of disease

The chance of developing a "scar pregnancy" after a cesarean section is 5.3 times that of a woman with no history of cesarean section. In obstetric cases where the uterus needs to be removed due to severe bleeding, 20% to 30% are related to "scar pregnancy".

Basic diagnosis

The reason why "scar pregnancy" is dangerous is that it is very good at "disguising itself". Due to structural abnormalities, the tissue in the uterine scar is much thinner than normal tissue and can be easily ruptured. Therefore, post-cesarean section uterine scar pregnancy is a very dangerous type of pregnancy, which is difficult to diagnose early and easy to misdiagnose.

The diagnosis can be made based on medical history, clinical manifestations, physical signs and auxiliary examinations, while paying attention to the presence of complications and coagulation mechanism disorders.

1. Gestational hypertension: blood pressure ≥18.7/12kPa (140/90mmHg), occurs during pregnancy and returns to normal within 12 weeks after delivery; urine protein is negative; there may be upper abdominal discomfort or thrombocytopenia. The diagnosis can only be made after delivery.

2. Preeclampsia occurs after 20 weeks of pregnancy with a blood pressure ≥18.7/12 kPa (140/90 mmHg) and urine protein ≥300 mg/24 hours or (+). It may be accompanied by symptoms such as upper abdominal discomfort, headache, and blurred vision.

3. Eclampsia Preeclampsia is a condition in which pregnant women experience convulsions that cannot be explained by other reasons.

4. Chronic hypertension complicated by preeclampsia: Hypertensive women have no proteinuria before 20 weeks of pregnancy, but develop urine protein ≥ 300 mg/24h after 20 weeks of pregnancy; or suddenly develop increased urine protein, further increase in blood pressure, or thrombocytopenia before 20 weeks of pregnancy.

5. Pregnancy complicated by chronic hypertension: High blood pressure is found before pregnancy or before 20 weeks of pregnancy, but there is no obvious aggravation during pregnancy. Or hypertension is first diagnosed after 20 weeks of pregnancy and persists until 12 weeks after delivery.