Increasingly, in recent years, women have problems with conception, bearing and delivery. There are many reasons for this: inflammatory diseases, age, poor health, and so on. In most cases, modern medicine still helps the fairer sex to overcome her ailment. However, subsequently some treatment methods appear on the uterus scars. How they arise and what threatens you will learn from the article. It is worth mentioning separately what may be dangerous scar on the uterus during pregnancy.
What is a scar?
A scar is called tissue damage, which was subsequently repaired. More often, the surgical suturing method is used for this. Less commonly dissected places are glued together with special adhesives and the so-called glue. In simple cases, with minor injuries, the gap grows on its own, forming a scar.
Such an education can be anywhere: on the body or organs of a person. In women, a scar on the uterus is of particular importance. A photo of this education will be presented to you in an article. Damage can be diagnosed using ultrasound, palpation, on a different type of tomography. In addition, each method has its advantages. So, during an ultrasound, the doctor can assess the position of the scar, its size and thickness. Tomography helps to determine the reliefs of education.
Reasons for the appearance
Why do some women develop scars on the uterus? Such damage is the result of medical interventions. This is usually a cesarean section. In this case, the type of operation plays an important role. It can be planned and emergency. With the planned delivery, the uterus is dissected in the lower segment of the abdominal cavity. After the fetus is removed, it is sutured in layers. Such a scar is called transverse. In emergency caesarean section, a longitudinal section is often made. In this case, the scar has the same name.
Fused lesions may result from perforation of the uterine wall during gynecological procedures: curettage, hysteroscopy, and the introduction of an IUD. Also, scars always remain after the removal of fibroids by surgical method. In these cases, the position of the scar is independent of specialists. It is formed where the operation was performed.
Pregnancy and scar
If you have scars on your uterus, then the possibility of having a baby depends on their condition. Before planning, you must definitely consult a gynecologist. The specialist will necessarily conduct an ultrasound examination, determine the condition and position of the scar. It will also be necessary to pass some tests. Before you start planning, you must definitely 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. A representative of the weaker sex is examined and released to plan a pregnancy. In the case when the scar is insolvent, thinned and consisting mainly of connective tissue - pregnancy may be contraindicated. However, in some cases, the hands of surgeons work wonders. And a woman can still give birth.
Management of pregnancy and childbirth with a scar on the uterus
If you have a scar on the genital organ, then you need to inform the specialist who will conduct your pregnancy. In this case, it is necessary to tell about the existing fact immediately, at the first visit, and not just before the birth. Pregnancy management in women with a history of uterine injuries has a slightly different history. They are given more attention. Also, this category of expectant mothers regularly has to visit the ultrasound diagnostic room. Such visits are especially frequent in the third trimester. Before birth, an ultrasound of the uterine scar is performed almost every two weeks. It is worth noting that other diagnostic methods during child bearing are unacceptable. X-ray and tomography are contraindicated. The only exceptions are special difficult situations when it comes not only to health, but also to the life of a woman.
Delivery can be carried out by two methods: natural and operational. Most often, women themselves choose the second option. However, with the viability of the scar and the normal health of the expectant mother, natural births are quite acceptable. To make the right choice, you need to consult with an experienced specialist. Also, during labor activity and the growth of contractions, it is worthwhile to conduct periodic ultrasound monitoring of the condition of the scar and uterus. Doctors also control the fetal heartbeat.
Cervical injuries
As practice shows, some women who gave birth on their own have a scar on the cervix. It occurs due to a rupture of tissues. In the process of delivery, a woman feels painful contractions. Behind them, attempts begin. If the cervix has not yet fully opened, then they can lead to its rupture. For the child, this does not threaten anything. However, the woman subsequently has a scar on the cervix. Of course, after delivery, all tissues are sutured. But in the future, this may become a problem in the following births.
Such a scar at the mouth of the cervical canal may appear after other gynecological manipulations: cauterization of erosion, removal of the polyp, and so on. In all cases, the resulting scar appears to be connective tissue. With subsequent delivery, it simply does not stretch, leaving the portion of the cervix unopened. The rest of the damage does not pose any danger to the woman in labor and her unborn child. Let's try to find out what may be dangerous scars located on the genital organ.
Attachment of the ovum and its growth
If there are scars on the uterus, then after fertilization, a set of cells can be fixed on them. So, this happens in about two cases out of ten. Moreover, the forecasts turn out to be very deplorable. On the surface of the scar is a mass of damaged vessels and capillaries. It is through them that the nutrition of the fetal egg occurs. Most often, such a pregnancy is terminated on its own during the first trimester. The consequence can be called not only unpleasant, but also dangerous. After all, a woman at the same time requires emergency medical care. Decaying embryo tissue can lead to sepsis.
Incorrect placenta attachment
A scar on the uterus after cesarean section is dangerous because, during the next pregnancy, it can cause improper attachment of the child's place. Often, women are faced with the fact that the placenta is fixed close to the birth canal. Moreover, with the course of pregnancy, she migrates higher. A scar can impede such movement.
The presence of a scar after damage to the genital organ often leads to the growth of the placenta. At the same time, the child’s place is located on the scar area. Doctors isolate the basal, muscle and full growth of the placenta. In the first case, the forecasts can be good. However, natural childbirth is no longer possible. With a full increase in the placenta , removal of the uterus may be required.
Fetal condition
A scar on the uterus can lead to circulatory disorders in the genital organ. In this case, the unborn child receives less oxygen and all the substances he needs. With the timely detection of such a pathology, treatment and support with appropriate drugs can be performed. Otherwise, hypoxia occurs, which is fraught with a delay in fetal development. In especially difficult situations, the child may remain disabled or even die.
Uterus growth
In the usual non-pregnant state, the wall thickness of the genital organ is about 3 centimeters. By the end of pregnancy, they stretch to 2 millimeters. In this case, the scar also becomes thinner. As is known, fused damage is replaced by connective tissue. However, normally a large area of the scar is represented by the muscle layer. In this case, the scar is deemed sound. If the damage is thinned to 1 mm, this is not a very good sign. In most cases, specialists prescribe a bed rest and supporting drugs for the expectant mother. Depending on the duration of pregnancy and the thickness of the uterine scar, a decision may be made on premature delivery. This condition is dangerous 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, consequences may arise for his mother. Scars are damage to the mucous membrane. As you know, after childbirth, every woman has bleeding. There is a process of separation of mucus and the remains of the membranes. These secretions are called lochia. In some situations, mucus may linger on the scar area. This leads to an inflammatory process. A woman needs curettage, her body temperature rises, her health worsens. In the absence of timely treatment, blood poisoning begins.
Aesthetic side
Often the presence of a scar on the uterus is an occasion for cesarean section. Many women are concerned about their subsequent appearance. An ugly scar remains on the stomach. 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 an ugly seam.
Summarize
You have learned about what a scar on the uterus is, in what situations it appears and why it is dangerous. Note that if you are properly preparing for pregnancy and listen to the advice of an experienced doctor in its management, then the outcome in most cases is good. A newly minted mother with a baby is discharged from the maternity ward after about a week. Do not be very upset if you have a scar on the uterus. Before starting planning, be sure to consult your doctor, go through a routine study, pass all the tests. After that, you can become pregnant.
Experts do not advise starting planning for pregnancy earlier than two years after receiving such an injury. Also do not delay with this. Doctors say that after 4-5 years it will be almost impossible to stretch the scar. Then problems during pregnancy and childbirth can begin. All the best to you!