What are the dangerous scars on the uterus during pregnancy, after childbirth, after cesarean section? Childbirth with a scar on the uterus. Scar at the cervix

More often in recent years, women have problems with conception, bearing and delivery. There are a lot of reasons for this: inflammatory diseases, age, poor health and so on. In most cases, modern medicine still helps the representative of the weaker sex to overcome its ailment. However, later, some methods of treatment appear on the uterus scars. How they arise and how they threaten - you will learn from the article. It is worth mentioning separately what can be dangerous scar on the uterus during pregnancy.

What is a scar?

Scar tissue is called tissue damage, which was later eliminated. More often, a surgical method of suturing is used. Less often, the dissected areas are glued together with special patches and so-called glue. In simple cases, when the injury is not serious, the rupture grows together independently, forming a scar.

Such an education can be anywhere: on the body or organs of a person. In women, the scar on the uterus is of particular importance. A photo of this education will be presented to you in the article. Diagnose the damage can be using ultrasound, palpation, on a tomography of a different kind. Each method has its own advantages. So, during ultrasound the doctor can estimate the position of the scar, its size and thickness. Tomography helps determine the relief of education.

Causes of appearance

Why do some women have scars on their uterus? Such damage becomes a consequence of medical interventions. Usually this is a cesarean section. In this case, an important role is played by the type of operation. It can be planned and emergency. With the planned delivery, the uterus dissects in the lower segment of the abdominal cavity. After the extraction of the fetus, its layer-by-layer suturing is performed. Such a scar is called transverse. At an emergency cesarean section often a longitudinal incision is made. In this case, the scar has the same name.

Accumulated lesions can result from perforation of the uterine wall during gynecological procedures: scraping, hysteroscopy, insertion of the IUD. Also, scars always remain after surgical removal of myoma. In these cases, the position of the scar does not depend on the specialists. It is formed where the operation was performed.

Pregnancy and scar

If you have scars on the uterus, the possibility of a child's birth depends on their condition. Before planning, you must always contact a gynecologist. The specialist will ultimately conduct an ultrasound examination, determine the condition and position of the scar. It will also be necessary to pass some tests. Before planning begins, you must cure the infection. Subsequently, they can cause problems with bearing.

If the scar is in the lower segment and has a transverse position, then problems usually do not arise. The representative of the weaker sex is examined and released to plan pregnancy. In the case when the scar is untenable, thinned and consisting mainly of connective tissue - pregnancy can be contraindicated. However, in some cases, the hands of surgeons perform miracles. And a woman can still give birth.

Conducting pregnancy and childbirth with a scar on the uterus

If you have a scar on the childbearing organ, then this should be reported to a specialist who will lead your pregnancy. At the same time, it is necessary to tell about the available fact at once, at the first visit, and not before the very birth. The management of pregnancy in women with lesions of the uterus in the anamnesis is somewhat different. They are given more attention. Also this category of expectant mothers regularly have to visit the ultrasound diagnostic room. Such visits are especially frequent in the third trimester. Before the birth of ultrasound, the scar on the uterus is held almost every two weeks. It is worth noting that other methods of diagnosis during child-bearing are unacceptable. X-rays and tomography are contraindicated. The exception is only special complicated situations when it comes not only about health, but also about the life of a woman.

The delivery can be carried out by two methods: natural and operative. Most often, women choose the second option. However, with the consistency of the scar and the normal state of health of the expectant mother, natural births are entirely permissible. To make the right choice, it is necessary to consult an experienced specialist. Also, during labor activity and the growth of fights, it is worthwhile to conduct periodic ultrasound observation of the condition of the rumen and the uterus. Physicians control the heartbeat of the fetus.

Damage to the cervix

As practice shows, some women who gave birth independently have a scar on the cervix. It arises because of tissue rupture. In the process of delivery, a woman feels painful contractions. After them, attempts begin. If the cervix at the moment has not fully revealed, then they can lead to its rupture. For a child, this does not threaten anything. However, the woman subsequently has a scar on the cervix. Of course, after delivery all the tissues are sutured. But in the future this can be a problem in the next birth.

Such a scar on the mouth of the cervical canal can appear after other gynecological manipulations: cauterization of erosion, polyp removal and so on. In all cases, the resulting scar appears to be a connective tissue. With subsequent delivery, it simply does not stretch, leaving the cervical region undisclosed. Otherwise, the injuries do not have any danger for the mother and her future child. Let's try to find out what can be dangerous scars located on the childbearing organ.

Attaching the fetal egg and its growth

If there are scars on the uterus, then after the fertilization the set of cells can be fixed on them. So, it happens in about two out of ten cases. In this case, the forecasts are very deplorable. On the surface of the scar there is a mass of damaged vessels and capillaries. It is for them to feed the fetal egg. Most often, such a pregnancy is interrupted on its own during the first trimester. The consequence can be called not only unpleasant, but also dangerous. After all, a woman needs emergency medical help. Degradable tissue of the embryo can lead to sepsis.

Incorrect attachment of the placenta

The scar on the uterus after caesarean section is dangerous because during the next pregnancy it can cause an incorrect attachment of a child's place. Often, women are faced with the fact that the placenta is fastened close to the birth canal. However, with the course of pregnancy, it migrates higher. A scar can prevent such movement.

The presence of a scar after damage to the genital organ often leads to ingrowth of the placenta. Children's place is located in this area is on the scar. Doctors excrete basal, muscular and full ingrowth of the placenta. In the first case, forecasts can be good. However, natural births are no longer possible. With full placenta increment, removal of the uterus may be required.

Fetal condition

A scar on the uterus can lead to a violation of blood circulation in the genital organ. In this case, the future child receives less oxygen and all the necessary substances. With the timely detection of such a pathology, treatment and support with appropriate drugs can be made. Otherwise, there is hypoxia, which is fraught with a delay in intrauterine development. In especially difficult situations, the child may remain disabled or die altogether.

Uterus growth

In the usual nonpregnant state, the thickness of the walls of the genital organ is about 3 centimeters. By the end of pregnancy, they stretch to 2 millimeters. At the same time, the scar is also thinner. As is known, the fused damage is replaced by a connective tissue. However, the normal area of the rumen is represented by the muscle layer. In this case, the scar is considered well-founded. If the damage is thinned to 1 millimeter, this is not a good sign. In most cases, specialists prescribe to the expectant mother a bed rest and supportive medications. Depending on the period of pregnancy and the thickness of the scar on the uterus, a decision can be made about premature delivery. This condition is dangerous consequences for the baby.

After childbirth…

Scars on the uterus after childbirth can also be dangerous. Despite the fact that the baby has already been born, the consequences can arise for his mother. Scars are damage to the mucous membrane. As you know, after birth, every woman has a bleeding. There is a process of separation of mucus and the remains of membranes. These are called lochia. In some situations, mucus may linger on the rumen area. This leads to an inflammatory process. A woman needs scraping, her body temperature rises, her health worsens. In the absence of timely treatment, blood infection begins.

The aesthetic side

Often, the presence of scar on the uterus is the reason for caesarean section. Many women care about their appearance. On the abdomen remains an ugly scar. However, much depends on the technique of the surgeon. Also, the possibilities of cosmetology do not stand still. If desired, you can make plastic and hide the ugly seam.

Summarize

You have learned about what a scar is on the uterus, in what situations it appears and what is dangerous. Note that if properly prepared for pregnancy and listen to the advice of an experienced physician at her conduct, the outcome in most cases is good. Newly mum with a baby is discharged from the maternity ward in about a week. Do not be very upset if you have a scar on the uterus. Before planning, be sure to consult your doctor, take a routine examination, take all tests. After that, you can become pregnant.

Specialists are not advised to start planning for pregnancy earlier than two years after receiving such a trauma. Also do not delay this. Doctors say that after 4-5 years to stretch the scar will be almost impossible. That's when problems can begin during pregnancy and childbirth. All the best to you!