The old incision is a dangerous maternity complications. If not detected and treated in time can cause blood bandages, rupture of the uterus, removal of the uterus, even endangering the life of the patient.
1. What is the old incision?
The old incision is the wrong nesting form of the egg. After fertilization the egg usually moves to the bottom of the uterus for nesting, since this is the location with a muscle weight layer thick enough for the fetus to grow and develop safely. For some reason the egg nests and develops into a gestational sac at the site of the waist of the uterus, where there are surgical scars during the previous birth. The fetus during development will adhere to the muscles of the uterus at the waist of the uterus, which is a position with a thin muscle layer so the spines of the vegetable cake can cause insertion of the bladder wall and bladder damage. On the other hand, at the waist of the uterus there have been scars from the previous childbirth surgery, these scar tissue is not as elastic as the healing tissues so it is easy to tear the incision causing miscarriage.
2. How dangerous is the old incision?
Old incisions are listed on the list of dangerous maternity complications. The disease is rare, only 1% of women experience this complications. People who are dented at an old incision may experience the following dangerous maternity risks:
- Blood bandages if natural abortions
- Rupture of the uterus caused by placenta puncturing the uterus at the old incision
- Forced removal of the uterus
- Life-threatening due to excessive blood loss if not detected and treated in a timely manner
The person who is dented at the old cesarean section cannot retain the fetus, because during the development of the fetus increasing in size, the risk of rupture of the uterus is very high.
3. How to avoid accidents in the old incision?
All women who have had cesarean section, during pregnancy, need an ultrasound examination to determine the location of the fetus. In case of detection of abnormalities, doppler ultrasound and consultations will help to find a measure that minimizes the risk of complications. If the fetus is located in an abnormal position, especially close to the old incision, it is necessary to carry out abortion as soon as possible to avoid complications that occur when the fetal size is larger.
In addition, women at the old cesarean section absolutely do not use drugs that cause miscarriage, as it can cause rupture of the uterus leading to blood ice that is life-threatening.
4. How to handle the old incision?
Women who have been identified at the old cesarean section need to undergo a fetal removal surgery. Depending on the light weight of each clinical case, the doctor makes the decision to have a surgery to preserve the uterus or have to have the uterus removed. In case of emergency due to rupture of the uterus, too large a laceration, life-threatening blood loss, a procedure to remove the uterus will be carried out. In case of early detection of the disease, the new fetal mass that invades the bladder that has not yet caused the rupture of the uterus will be operated on to preserve the uterus.
Specifically, in case the pregnancy size is small, not much compression to the bladder and has not caused a rupture of the uterus, the method of sucking the fetus and inserting the ball into the uterus at the old calving incision can be indented. On the other hand, when the size of the fetus is large, which has caused perforation of the uterus, the method of pregnancy surgery, the preservation of the uterus combined with the vaginal cervical artery, placing a manual from the uterus and then stitching up the restoration of the muscles of the uterus can be invoiced.
After the procedure, the patient needs to stay in the hospital to monitor and recover. Depending on the state of health and the method of surgery, it is possible to stay for a few days or days.
5. After how long can the procedure get pregnant again?
After surgery, health has not fully recovered along with a weak uterus. Therefore, the woman should not get pregnant again too early, it is best to be at least 1 year from the surgical period. If you are pregnant again, you need to check and check your maternity health regularly, especially the requirement to determine the location of the fetus, ensuring safety during the next pregnancy.
Pre-birth screening helps pregnant women detect the condition at the old incision for timely intervention. Department of Fetal Medicine – Share99 International Health Hub is the first unit in the North to deploy a 1-door pre-maternity clinic (OSCAR) to provide a comprehensive screening package for 12-week pregnant women. The clinic returns results quickly on the day of the examination and the screening is carried out.
The Faculty of Fetal Medicine has successfully implemented advanced pre-birth screening methods, helping to screen for complications for maternity, detect and promptly intervene some fetal abnormalities from very early weeks of pregnancy. The examination and examination is always carried out by a team of professional doctors with many years of experience. Therefore, it will bring the best results to the patient.
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