The third pregnancy scar is a sign of uterine rupture

The third pregnancy scar is a sign of uterine rupture

Caesarean section is a method of childbirth for women, and is usually chosen under special reasons. Although cesarean section is a gynecological surgery, if the operation is not completed successfully, it is likely to cause uterine rupture, especially when cesarean sections are repeated frequently. So what are the signs of uterine rupture during the third cesarean section?

What are the signs of uterine rupture during a caesarean section for the third child?

You can consult a doctor immediately and choose more reliable contraceptive methods to avoid multiple pregnancies and try to avoid abortion to prevent damage, infection or rupture of the uterus, to prevent the uterine wall from being scraped multiple times, resulting in fewer glandular ducts and loss of reproductive ability, and uterine rupture due to the embryo implanted under the uterus when you get pregnant again. Especially for expectant mothers who have undergone cesarean section, they should not get pregnant again in a short period of time after the operation. It is best to have a gap of more than 2 years. Create a sound health care guideline for the maternal and childbirth system, improve perinatal health care, and enhance pregnancy checkups. If the fetal position is found to be abnormal, cooperate with the doctor to correct it in time before delivery; if there is a narrow pelvis, cephalopelvic disproportion, etc., follow the doctor's advice and arrange the appropriate delivery method in advance. Those with high risk factors for uterine rupture should be hospitalized for delivery 1-2 weeks before the due date. Expectant mothers with uterine scars, fetal adhesions, a history of frequent curettage, and myomectomy should be hospitalized for delivery in advance to avoid sudden accidents.

Improve the ability of obstetricians and midwives to observe the delivery process, and deal with abnormalities in the delivery process in a timely manner. In particular, when there are signs of uterine rupture such as contraction ring and hematuria, cesarean section should be performed immediately. During childbirth, the progress of the delivery process should be closely observed, and any abnormalities should be discovered promptly. If any discomfort is felt, inform the doctor immediately. Pay attention to whether there is a physiological contraction ring in the abdomen. If such a situation occurs, it should be properly handled to avoid the occurrence of precursory uterine rupture. The use of oxytocin must be appropriate. Before the fetus is delivered, only a diluted solution can be used for intravenous drip, and intramuscular injection cannot be performed to prevent the uterus from contracting too much and causing obstruction to the fetus's descent, which can lead to uterine rupture.

If there are signs of uterine rupture, do not deliver the baby vaginally, because during the delivery process, uterine rupture may occur. Caesarean section should be performed as soon as possible to save the mother and baby, avoid any vaginal operations, and prevent uterine rupture. When doing a cesarean section for the first time, try to use a lower uterine incision. This incision has a lower chance of uterine rupture during the next pregnancy. For expectant mothers who have had a cesarean section last time, if they decide to try natural delivery, the time should not be too long, and the requirements for their choice of cesarean section should be relaxed.

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