Pregnant in the incision

Pregnant in the incision's disease overview

Normally, after being fertilized, the egg will cling to the bottom of the uterus - where the uterine muscle layer is thick and the appropriate area to nest and grow.

pregnancy at the incision is a pathology but due to a certain abnormal, the egg does not move and nest at the uterus under the uterus at the uterus, where there is scars Caesarean section on the uterus and developing into a fetal bag there. When the caesarean section was first, the old surgical scar caused the uterus there could not be elastic and soft as the normal uterine muscle. The fact that the fetal bag is developed in the damaged muscle position and the cramped area is very dangerous, causing a lot of complications, the most dangerous is the uterus rupture, the incision torn and leading to abnormal development and High risk of miscarriage.

Causes of Pregnant in the incision's disease

pregnant at the old caesarean broke is due to errors in the process of moving and nesting of the embryo causing the egg not to move and nest at the uterus but nest at the waist. The uterus, where there is a caesarean section on the uterus and develops into a fetal bag there, there is no specific cause of the disease. Patients can prevent by checking the fetus on a regular basis to detect and have directions to ensure safety and preserve the uterus for the mother.

Symptoms of Pregnant in the incision's disease

The detection of the disease mainly through regular antenatal care, so there is almost no typical symptoms. Once the symptoms have appeared, the patient needs to go to the doctor immediately.

Some manifestations may appear such as: menstruation, abdominal pain, vaginal bleeding. The higher the higher the number of cesarean sections, the higher the risk of pregnancy in the incision.

People at risk for Pregnant in the incision's disease

Although this is a disease with dangerous complications, this is a rare disease with the rate of about 1% of pregnant women after the first caesarean section. Therefore, for the next pregnancy of the patient who has first caesarean section, it is necessary to go to the examination and check regularly and thoroughly to avoid the unfortunate situation.

Diagnostic measures for Pregnant in the incision's disease

The diagnosis of the incision based on the manifestation of clinical examination in combination with diagnostic tests.

Diagnostic methods include:

Examines for the patient's clinical symptoms for diagnosis.

Blood test

Ultrasound pregnancy checks the position of the fetus to detect the disease. If the patient has pregnant at the old caesarean broke will see on the ultrasound image

The uterus is empty with no amniotic sac in the uterus.

The fetal heart will be located in the front of the uterine waist with the uterine muscle separating the fetal bag and the bladder.

There is a blood vessel distribution around the fetal bag combined with doppler ultrasound showing an increase in vascular vessels around the fetus bag.

loss or lack of normal muscle layer between the bladder and the fetal bag.

Complications occur

Pregnancy in the incision if not diagnosed and treated promptly will lead to many life -threatening complications. The dangerous complications may be encountered such as uterine rupture, haemorrhage and can be fatal.

Pregnant in the incision's disease treatments

Patients with pregnancy in the incision must accept abortion according to the principle of treatment. Principle of treatment: Take the fetal mass before breaking and preserving fertility. The selection of treatments is considered on each patient.

Mission, abortion, food: used in the case of a young pregnancy, not penetrated deeply into the old caesarean wound and has not occurred any complications. However, abortion is easy to cause hemorrhage complications with high rate. Medical staff will place the hemostasis in the uterus for the sick. In case of unable to stop blood, the patient will have surgery to stop bleeding.

surgery: The purpose to preserve the uterus and take the fetal vegetable mass. This method is applied in the case of not responding to medical treatment and because the fetal vegetable mass has thrive to invade when the fetus has grown large. In addition, surgery is also performed to stop bleeding when it is not tolerated by conventional methods.

After performing the pregnancy, the patient will be combined with chemotherapy treatment with the aim of reducing vascular distribution in the fetus and destroying the fetal vegetable cells .

monitor and recover after treatment

Patients after treatment are relaxed and regularly check to ensure the best treatment results. After discharged from the hospital, the patient rested and went to the doctor at the same time.

Recommended contraceptive patients within 3 years, without an IUD. Patients should seek medical attention as soon as the symptoms of fever, severe abdominal pain and vaginal bleeding are appearing. In the next pregnancy, patients need to go periodically to detect and treat promptly.

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