What to do if you have a uterine scar pregnancy

Uterine scar pregnancy is relatively common, which is quite harmful to pregnant women. If you do not pay attention to good prevention and treatment, it may even lead to heavy uterine bleeding. If you have uterine scar pregnancy, you must have B-ultrasound diagnosis and examination in time. Once diagnosed by a doctor, surgery and other treatment methods can be used for treatment. Avoid causing further harm to the health of pregnant women.

Currently, there are several situations for uterine scar pregnancy diagnosed by B-ultrasound. One is that the gestational sac is close to the scar but has not grown into it. At this time, the B-ultrasound report is more euphemistic and does not rule out the possibility of uterine scar pregnancy. Since it is possible, it also means that it may not be a scar pregnancy. If the patient wants to keep the fetus, it should be allowed and the patient can continue to be observed.

If the B-ultrasound describes that the gestational sac is implanted at the scar site, the diagnosis of scar pregnancy should be established at this time, but it is important to note that implantation on the surface of the scar does not mean growth into the scar. What will be the outcome of continuing the pregnancy at this time? If the embryo grows upward into the uterine cavity, it may be a full-term pregnancy, but the possibility of placenta previa cannot be ruled out because the embryo implants in a relatively low position. The possibility of placenta previa and placenta accreta cannot be ruled out either, because the risk of placenta accreta is as high as 30% for placenta previa in the scar.

Whether the fetus that grows towards the fundus and uterine cavity in a uterine scar pregnancy can be preserved requires full communication with the patient and her family. Because the risk of placenta previa exists, the chance of placenta previa and placenta accreta is quite high. If the fetus is not retained, the treatment is relatively simple. Not as scary as we thought!

If it is a scar pregnancy, and the embryo has only implanted in the scar without invading deeper, a normal abortion will be sufficient. There is no need for laparoscopy. Why use a butcher knife to kill a small bird? However, since the diagnosis is uterine scar pregnancy, sufficient attention must be paid, and preoperative preparation, blood matching, and hospitalization for surgery are all necessary. We have a little experience that injecting a diluted posterior pituitary hormone into the uterus through the cervix with a long needle can reduce bleeding and make the operation safer.