How to induce labor for scarred uterus

The phenomenon of scarred uterus mainly occurs in women who have undergone caesarean section. Because when women undergo caesarean section, the baby is mainly taken out by external force, so during caesarean section, it will generally affect the woman's uterus. If a scarred uterus occurs, it will have a great impact on a woman's subsequent pregnancy. But for pregnant women with scarred uterus, what method is appropriate to use when inducing disability?

Can induced labor be used for uterine scar

During labor, if the indicators for normal delivery are met, oxytocin can be considered to induce labor if the mother has weak uterine contractions and prolonged labor. When using oxytocin, someone must monitor the labor process and control the drip rate of oxytocin. Doctors generally start with a low-concentration, low-dose oxytocin injection. The doctor will also pay close attention to observe the frequency and intensity of uterine contractions and the shape of the uterus. If the contractions are too strong, the doctor will stop the drip immediately. In addition, during the use process, the doctor will press the scar area. If the mother feels tenderness, she should inform the doctor in time and the doctor will immediately stop using oxytocin.

During induction of labor, if the labor progress is not smooth, the doctor will perform local cervical injection (procaine plus atropine) or slowly inject 10 mg of diazepam intravenously to assist in inducing labor after excluding the factor of cephalopelvic disproportion (the size of the fetal head is not proportional to the size of the maternal pelvis) to assist in inducing labor.

During the second stage of labor, the doctor will try to shorten the duration of labor and, if necessary, provide appropriate assistance to end the delivery. If the mother's uterine contractions are weak, the doctor will place a small dose of 25 to 50 μg of misoprostol in the posterior fornix of the mother's vagina to enhance uterine contractions and allow the cervix to open faster, thereby avoiding uterine rupture and cervical laceration. It is a suitable choice for assisting induction of labor with scarred uterus.

Precautions for uterine scar

When mothers with uterine scars give birth, they should first choose the most appropriate delivery method based on their own conditions and the doctor's advice. During the delivery process, they should actively cooperate with the doctor to prevent serious hazards such as uterine rupture and bleeding. During childbirth, you need to pay attention to the following:

(1) Make good predictions and prepare in advance: Pregnant women with uterine scars should go to the hospital 2 weeks before the due date, because some pregnant women with uterine scars experience spontaneous uterine rupture in the late stages of pregnancy. In addition, before delivery, the doctor will make predictions and preparations for the scarred uterus, such as matching blood and preparing rescue drugs. Especially in the case of prolonged or stagnant labor, the doctor will promptly evaluate the delivery conditions of the mother and adjust to a cesarean section if the conditions are not suitable for natural delivery. At this time, the mother should pay attention to be mentally prepared and actively cooperate with the doctor's delivery management.

(2) Avoid making the cesarean section incision at the original scar: When performing a cesarean section, the doctor will take care to avoid making the incision at the original scar of the mother's uterus to prevent bleeding at the original scar and poor healing of the incision after surgery.

(3) Precautions during surgery: During delivery, the doctor will pay special attention to the mother’s condition, as most uterine scars are prone to abdominal adhesions during the second surgery. Therefore, during the surgery, the doctor will pay special attention to being gentle and careful, slowly separating the adhesions to avoid damaging surrounding organs.

(4) Postoperative precautions: After delivery, you should rest, maintain a good diet and personal hygiene, and avoid infection. At the same time, avoid making large movements to prevent the wound from tearing and forming a uterine scar again.