Handling when being dented at the old incision

The article was consulted professionally by Specialist I Le Thi Phuong – Obstetrics and Gynecology Department – Share99 Ha Long International Health Hub.

At the old incision is the phenomenon of nesting near the old incision. If not treated early can cause some dangerous complications such as rupture of the uterus, miscarriage difficulty heist. The variety of treatments depends on the size of the fetus, the degree of compression of the uterus.

1. What is the old incision?

The old incision is a condition where the eggs nest at the site near the old laying incision. Over time, as the fetus develops, it can cause compression to the old incision that causes the incision to burst, which is life-threatening for the woman.

2. What dangerous complications does the old incision cause?

For pregnant women who have had a caesarean section once or more times before, during this pregnancy there is a diagnosis at the old incision, it is necessary to have a surgical removal of the fetal mass immediately. The longer it takes, the larger the size of the fetus that causes compression on the bladder that damages the bladder. In particular, the fetal mass pressed on the intra-uterus, at the old incision causes dangerous complications such as miscarriage,blood bandages, rupture of theuterus , dangerous to the patient's life.

Therefore, for those who already have a history of childbirth by caesarean section it is necessary to pay attention to regular pregnancy health examinations, especially to locate the fetus, if abnormalities such as fetal mass develop at the waist of the uterus, close to the incision location , it is necessary to take timely measures to avoid complications from occurring.

3. Signs of suspicion at the old incision

Women who have given birth by caesarean section should pay attention to the following symptoms to go to the doctor to identify and prevent complications from the old cesarean section:

  • Abnormal vaginal bleeding
  • Smoldering abdominal pain in the pelvic area

Capacitors of old birth incisions can lead to second-hand infertility

In some cases at the old incision, the doctor will prioritize taking the fetus out to avoid the appearance of rupture of the uterus.

When visiting the examination, the pregnant woman is prescribed an ultrasound. If the incision is present at the old calving incision, the ultrasound results will be abnormal such as:

  • No amniotic sac in the uterus chamber
  • The fetal heart is located in the ant pre-ences of the uterus
  • There is a uterus muscle that divides the fetal sac from the optical state
  • There is a distribution of blood vessels around the gestational sac, a combination of Doppler ultrasounds that show an increase in blood vessels around the gestational sac
  • Loss or lack of muscle layer between bladder and fetal sac

4. Handling when being dented at the old incision

During treatment, the doctor will prioritize taking the fetal mass out to avoid rupture of the uterus, preserving fertility for the woman, depending on the specific clinical case to bring appropriate coordinated treatments and treatments.

Some commonly applied treatments include:

  • Conduct pregnancy cancellation in the amniotic sac
  • Remove the fetal mass by:
    • Abortion :This is a treatment with a high risk of bleeding
    • Out-of-the-way pregnancy surgery: Surgery is carried out to remove the fetus, preserve the uterus when medical treatments do not work or vegetable cakes are much more invasive to the incision and bladder. A uterus removal can be in place when the bleeding is difficult to hold or the fetal mass is too large.
  • Cervical tube balloon insertion: The procedure is carried out to prevent bleeding after the suction of the fetus. The person performing the procedure uses Sonde Foley to gently place it in the cervical and then inflate the ball with 30ml of physiological saline inserted in place for 12 hours.
  • Full-body chemotherapy: The method is used to reduce the distribution of blood vessels in the fetal mass and destroy vegetable cells. The drug used is Methotrexate 1 mg/kg, intramuscular dose
  • Causing culture vascular embolization: This is a coordinated treatment that prepares for surgery or a combination of chemotherapy. The procedure is performed by vaginal artery tightening or internal pelvic artery tightening to prevent bleeding during surgery or to help with chemotherapy to be highly effective.

Regular pregnancy check-up at Share99

Share99 International Health Hub is a prestigious pregnancy examination address for pregnant mothers

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 obstetrics and gynecology; Timely detection and intervention of some abnormalities in the fetus from very early weeks of pregnancy.

For direct advice, please click hotline number or register online HERE. In addition, you can register for remote consultation HERE

SEE MORE:

  • The secret to a quick, scar-free post-birth incision
  • Instructions for caring for incisions / perusus stitches for women at home
  • Signs of infection of the incision

About: John Smith

b1ffdb54307529964874ff53a5c5de33?s=90&r=gI am the author of Share99.net. I had been working in Vinmec International General Hospital for over 10 years. I dedicate my passion on every post in this site.

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