The probability of heavy bleeding during cesarean section of the second pregnancy

If you are having a second child, there is generally no need to worry about this situation. As clinical data often say, internal bleeding and amniotic fluid embolism are unlikely to occur. The occurrence of these two conditions is not related to the cesarean section of the first child. The actual situation can only be roughly determined by the physical condition of the pregnant woman herself. What is the chance of internal bleeding during a cesarean section for the second child?

First, women worry about their age and the risks of childbirth. The second category is women of normal age, but whose first child was delivered by caesarean section. I don't know if I have to cut off the second child. my country's family planning policy has been implemented for more than 30 years. The first batch of only children are now in their thirties. If the female among them has just given birth, they will have a caesarean section, and the best interval between two children is more than 2 years. Health indicators, most of their second children are over 35 years old, and they are at an older age. Regarding caesarean section, there is a term that the first delivery is a transverse section. After reconstruction, it is only cut by laser.

The medical definition of cesarean section scar pregnancy is "the scar of the isthmus of the uterus after a lower uterine cesarean section". It is a rare and unique ectopic pregnancy, but in recent years, it has been showing a continuous upward trend with the increase in the cesarean section rate. In view of the widespread understanding of this type of pregnancy, for aesthetics, today's cesarean section incision is generally located below the uterus, which may be the edge of our underwear, so it is also called the "swimsuit incision." When the wound healing time reaches 2 years, it is possible to conceive a second child.

After childbirth, the uterus rejuvenates and the lower part of the uterus is restored to the isthmus of the uterus. The cesarean section scar is located in the uterine canyon. If the sperm and egg combine just to fall into the uterine scar after the cesarean section, it belongs to the cesarean section uterine scar pregnancy. It has long been known that uterine scar pregnancy is an ectopic pregnancy outside the uterine duct. Because the muscle wall and fiber tissue of the cesarean section scar are poor, it is easy to cause serious complications, such as uterine rupture and internal bleeding after pregnancy, which seriously endangers the patient's personal safety.

In order to prevent pregnancy in scarred uterus, basic B-ultrasound examination should be performed during pregnancy to see whether the gestational sac is embedded close to the scar. Chen Hui said that as the fetus grows, the location of the scar is also changing and is not fixed. If you can avoid scars as much as possible or keep a certain distance from scars, you can give birth safely. If the above-mentioned placenta previa is combined with placenta accreta, doctors generally recommend terminating the pregnancy early, otherwise the uterus may rupture and bleed at any time. Once the fetus's blood supply is insufficient, the fetal heart rate will decrease, and the child's daily life will also be threatened.