Prevention of uterine rupture

The uterus is a relatively important issue for women, but over the years, women have more and more uterine problems, including uterine fibroids, cervical cancer and other diseases. Today I will talk to you about uterine rupture. Uterine rupture is the rupture of the uterine body or the lower segment of the uterus. Childbirth is a major factor causing uterine rupture, followed by surgery. So what are the specific preventive measures for uterine rupture?

Causes of uterine rupture

1. History of uterine surgery (uterine scar)

A history of uterine surgery (uterine scar) is a more common cause. Generally there are cesarean section, endometrial myoma excision, fallopian tube stromal and uterine angle resection, and uterine formation. In the late stages of pregnancy or close to delivery, the pressure in a woman's uterine cavity will become greater and greater, which may cause the muscle fibers to lengthen and crack, leading to uterine rupture.

2. The descent of the fetal presenting part is blocked

If the female pelvis is narrow, the fetal head and the maternal pelvis are asymmetrical in size, there are soft birth canal obstructions such as vaginal septum and cervical scar, or the fetus is in an abnormal position, and the baby in the womb has abnormal conditions such as hydrocephalus and conjoined twins, the descent of the fetal presenting part will be hindered, and the uterus will contract sharply to respond, resulting in uterine rupture.

3. Improper use of oxytocin

If the indications and dosage of oxytocin are not properly controlled, or the uterus is allergic to oxytocin, it will cause violent contractions of the mother's uterus. Coupled with the obstruction of the descent of the uterus or the presenting part of the fetus, it will cause uterine rupture.

4. Obstetric surgery injury

If forceps delivery, vacuum extraction, breech traction, breech delivery, or internal rotation is performed before the cervix is ​​fully dilated, or if the doctor makes an error in the procedure and forcibly separates the placenta from the mother's body, it may cause rupture. In severe cases, it may also lead to tearing of the lower segment of the mother's uterus. In addition, damage to the uterus caused by medical devices can also cause.

5. Uterine lesions

Many mothers have had multiple curettages, infected miscarriages, uterine infections, artificial placental removal, hydatidiform mole, etc. Due to these reasons, the endometrium and muscle wall of women are damaged to a certain extent, making it more likely for them to develop lesions and then rupture after pregnancy.

6. Uterine malformation and uterine wall hypoplasia

The more common ones are women with unicornuate uterus or bicornuate uterus.

How to effectively prevent uterine rupture?

1. Strengthen prenatal examinations to detect reproductive tract malformations and tumors as early as possible and provide timely treatment. In addition, prenatal examinations and health care should be strengthened. If the fetal position is found to be abnormal, you should cooperate with the doctor for treatment and correction in time. If you have conditions such as a narrow pelvis or cephalopelvic asymmetry, actively discuss with your doctor to choose the most appropriate method of delivery.

2. For pregnant women with high risk of uterine rupture, such as scars on the uterus, adhesions on the placenta, a history of multiple curettages, or those who have undergone myomectomy, they should go to the hospital about 14 days before the due date to wait for delivery to prevent any unexpected situations.

3. Whether you have a history of curettage, endometritis, etc., tell the doctor your gynecological and obstetric history in detail, and give the obstetrician the record of each prenatal examination so that the doctor can fully understand and estimate the smoothness of the delivery, and take preventive measures.