Introduction to Scarred Uterine Rupture

In daily life, women should pay attention to their diet, work and rest, exercise, and emotions, otherwise it is easy to cause various physical problems. The most common among women are gynecological diseases. These diseases are very harmful to women's health, and if they are not treated in time after discovery, the condition will become more serious. So what is the cause of scar uterine rupture? Many women don't understand this issue well.

Scarred uterine rupture:

Vaginal delivery in the next pregnancy with a scarred uterus should be cautious. The average time since the last operation for ruptured uterus should be more than 2 years. The longer the time since the last operation, the safer it is. What is more important is that it is related to the healing of the wound from the previous operation and the cesarean section procedure. Uterine scar rupture may occur when there are no uterine contractions, and there may be no obvious clinical symptoms and signs before and after scar rupture. Therefore, vaginal trial delivery should be chosen with caution, and the indications and contraindications should be strictly controlled. Those with a history of cesarean section, multiple curettages, dystocia, or abnormalities of the pelvis, fetus, or fetal position found during prenatal examinations should be hospitalized 1 to 2 weeks before the expected date of delivery and closely observed, and a cesarean section should be performed in advance if necessary. Before the trial birth, the healing of the uterine scar should be comprehensively evaluated, and a dedicated person should be required to guard and make observation records. The fetal heart rate monitor should be used for monitoring throughout the process. If there is tenderness in the lower uterine segment, slow progress of labor, or changes in fetal heart rate, cesarean section should be performed immediately to end the delivery. Vaginal delivery can be performed to shorten the second stage of labor. Routine exploration of the uterine cavity should be performed after delivery to detect scar rupture early. In this case, the mother had indications for cesarean section, and emergency cesarean section should be performed to end the delivery and avoid tragedy. Uterine rupture often occurs in multiparous women with a history of multiple births, but this woman thought that she had a history of natural delivery after cesarean section and was lucky. The scarred uterus did not indicate obvious signs of uterine rupture, and there were often no symptoms and signs of uterine rupture, making diagnosis difficult. In addition, human factors delayed the time, resulting in complete uterine rupture and intrauterine fetal death.

Uterine rupture is a serious obstetric complication during delivery and late pregnancy, which can lead to intrauterine fetal death, severe maternal hemorrhage, shock, DIC, and hysterectomy. It can be seen that the rate of repeated cesarean section increases in women with a history of cesarean section, the risk of uterine rupture increases significantly, and the perinatal mortality rate increases. Strictly follow the indications for cesarean section, especially for rural women, most of whom want to have a second child. Therefore, when performing a cesarean section for the first time, the indications should be strictly followed to reduce the cesarean section rate. For those with a history of cesarean section, iodine uterine contrast imaging in the non-pregnant period and B-ultrasound in the pregnant period should be performed to observe the healing of the uterine incision. B-ultrasound shows that if the thickness of the lower uterine segment is less than 2.5mm in the late pregnancy, there is a risk of uterine rupture, which is of certain significance in preventing scar rupture. At the same time, family planning should be done well to avoid multiple births and multiple abortions.

After understanding scar uterine rupture, women need to follow the doctor's advice when such a situation occurs. At the same time, when women are giving birth, if such a situation occurs, they need to listen to the doctor on how to give birth specifically to avoid threats to their own lives. Women should also pay attention to this.