A brief discussion on the treatment of incisional pregnancy

The issues that pregnant women are most concerned about are postpartum care and the protection of the fetus. Therefore, how to make pregnant women live a good life is a very important thing for people. Pregnant women will encounter some physical problems after giving birth, especially the problem of postpartum wound treatment is very tricky. Women who give birth naturally will generally have incisional pregnancy, which is a very common phenomenon. So, what are the treatments for incisional pregnancy?

When the embryo implants in the lower uterine segment, i.e. the scar of the previous cesarean section, it is called lower uterine segment cesarean section scar pregnancy, or simply incisional pregnancy.

The pathogenesis is still unclear. It may be related to the rapid movement of the fertilized egg and the lack of endometrial stromal decidua caused by cesarean section; the implantation of the fertilized egg and the occurrence of basal decidua defects; the direct invasion of trophoblastic cells into the myometrium and continuous growth, the adhesion of villi to the myometrium, implantation and even penetration of the uterine wall. It is generally believed that the cause of this disease is endometrial damage caused by various surgical operations, such as curettage, cesarean section, myomectomy, metroplasty, hysteroscopy and even manual placental removal. The clinical manifestations of this disease are not special. All patients have a history of cesarean section, amenorrhea, enlarged uterus, elevated blood HCG and other normal early pregnancy symptoms. Ultrasound is a reliable method for diagnosing this disease. Pregnancy in the area of ​​uterine scar has more specific imaging manifestations. The sonographic characteristics are that the intrauterine gestational sac or placental tissue is low in position, located in the scar of the lower uterine incision, with no boundary with the incision muscle layer, abundant blood flow between the gestational sac and the incision, the anterior wall of the lower uterine segment has moderate echo, uneven echo, blood flow can be seen reaching the serosa, the gestational sac is implanted in the incision of the anterior wall of the lower segment, and there is no abnormality in the cervix.

Hysterectomy scar pregnancy is a rare condition that is more difficult to treat. It can usually be diagnosed by B-ultrasound. The treatment is highly individualized and needs to be determined based on many factors, including the site of the disease, the depth of the gestational sac's invasion of the uterine wall, the size of the lesion, whether the patient has the desire to have another child, and her economic situation. Incisional pregnancy still has certain risks, and the risks are greater if the duration is short. But don't worry too much. Curettage is just scraping out the gestational sac.

From the above explanation, the treatment of incisional pregnancy is relatively simple, and the key is for women to protect their bodies after childbirth, allow the body to get enough rest in order to restore the body's ability, and allow the body to recover and heal the incisional pregnancy in time. Parents should improve the living standards of pregnant women at this time.