In the body of a woman is an important organ, which is necessary for conception and bearing a child. This is the womb. It consists of the body, cervical canal and neck. All these parts are directly involved in the birth process. On the other side of the uterus are two tubes and ovaries. It is here that the cells mature, which subsequently fertilize and turn into babies. There are situations when a woman is faced with various problems that are associated with the above body. One of the most serious risks is uterine rupture. It is about the consequences of this pathology that will be discussed later. You will also learn what a cervical rupture is. We describe the degrees and forms of this phenomenon, as well as the consequences.
Cervical rupture
At birth, this pathology occurs most often. However, there are cases when the dissection of the mucous membranes occurs outside this process. The main causes of this circumstance are inflammatory processes, tissue diseases, as well as the woman's age. A rupture of the cervix during the birth of a child most often becomes a consequence of a woman's abnormal behavior. It can also happen due to the large body weight and growth of the baby.
Types of cervical canal ruptures
There are three degrees of cervical rupture. All of them differ in the area of the affected membrane. Only a physician is able to sensibly assess the complexity of the pathology and the type of gap.
- First degree. In this case, the length of the dissection of the mucous surface is not more than two centimeters.
- Second degree. The cervix is torn more severely. In this case, the dissection has a length of more than two centimeters, but its base does not reach the arch.
- Last degree (third). The gaps in this case are very extensive. The cervix is completely damaged, the dissection goes to the upper vaginal arches.
Does the pathology have consequences
Rupture of the cervix during childbirth has extremely unpleasant consequences. Of course, most women manage to avoid this phenomenon. To do this, you must obey the doctor during the process. However, a representative of the weaker sex, preparing to become a mother, should know what the rupture of the cervix during childbirth can lead to. The implications will be described below.
Heavy bleeding
If the mucous membranes of the cervix are damaged, then pathology can be detected only after the appearance of the child and the expulsion of the afterbirth. At this time, the doctor using a mirror examines the vaginal arches and notes the presence of bruising or pieces of tissue.
All this time there is an intensive release of blood. With massive injuries, a woman can lose consciousness. Also, if help is not provided on time, then there is a chance of death due to blood loss.
Treatment includes tissue suturing. The procedure is performed under local or general anesthesia. In some cases, you may need a blood or plasma transfusion for a new mother.
Inflammatory processes
Rupture of the cervix can have the effect of infectious lesions. Since tissue stitching has occurred, there are open wounds. Postpartum discharge helps to cleanse the vagina. From here, the remnants of mucus and blood are derived. All this can get into a fresh wound and cause an inflammatory process. In this case, the woman begins to notice pain in the pelvis, purulent discharge, which has an unpleasant odor. Also, in some cases, the temperature rises.
The treatment in this case is usually medication and is carried out on an outpatient basis. However, you should inform your doctor of your symptoms as soon as possible. Otherwise, the infection can pass to neighboring organs and affect the uterus, fallopian tubes and ovaries.
Inversion of the cervix
If the gap has not been adjusted properly, then the consequences of the pathology can be the most unpredictable. So, in the absence of sutures on the basis of the cervical canal, an inversion of the neck occurs. In this case, that part of the mucous membrane, which is normally located inside, enters the vaginal vaults. This leads to a chronic inflammatory process.
Treatment in this case is more often surgical. Some women even prefer to leave it as it is. In this case, a miscarriage, premature birth or cervical insufficiency in subsequent pregnancies can become a consequence of the incorrect location of the cervix.
Is it possible to give birth after treatment of pathology?
Childbirth after rupture of the cervix is possible. If the treatment was carried out correctly and on time, then the consequences are likely to not arise. However, in the absence of correction, the next pregnancy may occur with complications.
- Often when carrying a child after a gap, there is a likelihood of isthmic-cervical insufficiency. At the same time, it is necessary to stitch the neck to avoid premature birth.
- During contractions, the cervical canal may not open completely. This leads to re-dissection of the mucous membranes.
Oncological pathologies
After rupture of the cervix during childbirth and the absence of treatment, the risk of malignant lesions increases. Most often, the beginning of such a pathology is erosion. Everything happens due to the fact that the internal epithelium comes out and attaches to the vaginal arches.
Uterine Tears
In addition to dissecting the mucous membranes of the cervical canal, a woman may encounter such a phenomenon as perforation of the genital organ. It is worth noting that this pathology is more serious. It can rarely be overlooked. Most often, uterine ruptures are accompanied by severe pain in the lower abdomen. Such sensations are caused by a contraction of the walls of the organ and extensive internal bleeding. Also, a woman's heart rate and blood pressure may decrease, dizziness and weakness appear . All this is a consequence of blood loss.
In medicine, there are three types of divergence of the walls of the uterus: a menacing gap, which has begun and is completed. It is worth noting that at the very beginning the symptoms are not as significant as with a complete separation of the membranes of the genital organ.
When does pathology arise and how to eliminate it?
Rupture of the uterus can occur with some manipulations. These include hysteroscopy, laparoscopy, curettage of the cavity of the genital organ, staging a spiral, and so on. Uterine rupture during pregnancy most often occurs when there is a scar on one of the walls of the organ. Treatment in this case should be carried out immediately. It is carried out under general anesthesia, when the patient is immersed in a state of deep sleep.
Correction always depends on what area the uterine tears have. Of course, doctors are making every effort to preserve the reproductive organ. However, in some cases this cannot be done. If this happens, the surgeon removes the uterus along with the cervical canal and cervix. Rupture of the uterus can cause the most deplorable. Let's consider them in more detail.
Massive bleeding
Uterine rupture is always accompanied by blood loss. With a threatening divergence of the walls, damage to the vessels of the inner shells occurs. However, blood does not usually enter the abdominal cavity. However, the patient may note the presence of a pink impurity in the urine and vaginal discharge. Rupture of the uterus during childbirth is always accompanied by contractions. It is this fact that can give a blurred clinical picture.
When the divergence of the membranes has begun or has occurred, intensified intra-abdominal bleeding is observed, which is aggravated by the appearance of contractions. A woman notes severe continuous abdominal pain. In some cases, the area around the navel may turn blue.
This condition is very dangerous. The consequence of the pathology is often fatal. That is why it is worthwhile to provide medical assistance to a woman as soon as possible. With a break, it’s almost never possible to save a child. Only the lucky ones survive after such oxygen starvation. In this case, the pathology can affect the future life of the baby and cause developmental delays or other consequences.
Infertility
Rupture of the uterus during childbirth can be quite complicated. If the pathology is not detected on time, then doctors are forced to remove the genital organ. This will help save a woman's life. After such an operation, a representative of the weaker sex is recognized as barren. She will never be able to bear and give birth to a child.
It is worth noting that this consequence is often accompanied by depression and stress. Particularly affected are women who have no children or toddlers died as a result of oxygen starvation.
Adhesive process in the pelvic area
If the uterus ruptured along the scar or outside this area, then bleeding often leads to the formation of adhesions. Everything is explained quite simply. Fluid that has entered the abdominal cavity cannot be completely removed. As a result, it thickens, the thinnest films appear. They glue organs together. In medicine, such formations are called adhesions.
The appearance of such parts causes constant pain in the lower abdomen, disruption of the organs. Often they lead to infertility and the risk of an ectopic pregnancy.
Inflammation
If uterine perforation has occurred , the result may be inflammation or infection. The hole must always be sutured. After such manipulation, a separation of the sucrose occurs. Pathogens and bacteria can enter the wound. All this leads to infection.
Treatment of this effect is most often based on the use of medications. This includes antimicrobial, antibacterial and immunomodulating therapy.
Aesthetic and psychological side
The consequence of uterine rupture is always the suturing of the lower abdomen. In this case, the incision may have a horizontal or vertical position. Such wounds remain for the rest of my life and constantly remind the woman of what happened to her. Many representatives of the weaker sex begin to be shy of their body due to the presence of a large scar on it.
It is also worth mentioning the psychological side. Most women experience stress after such manipulations. Used anesthesia can affect the condition of the skin, hair, nails and memory impairment.
Is it possible to give birth after treatment of pathology?
Delivery after rupture of the uterus is possible only if the woman has preserved a genital organ. At the same time, most doctors insist on cesarean section, as they fear a recurrence of complications.
It should be noted that in the presence of sutures on the cavity of the genital organ, it is necessary to carefully monitor the course of the next pregnancy. Such women are often prescribed ultrasound and additional manipulations.
If there is a suture on the uterus, then there is a risk of the placenta growing into it. This can be found out only in the process of childbirth. In this case, doctors most often remove a pathological child's place with the organ. This also happens through cesarean section.
Can complications be avoided?
Ruptures of the uterus and its cervix can be prevented. To do this, you must listen to the advice of specialists and follow all the recommendations during childbirth. Most women find it difficult to control themselves in this process. That is why various complications arise.
Even before pregnancy, it is worthwhile to undergo examinations and, if necessary, conduct treatment. It is worth noting that the presence of genital infections and inflammatory processes causes risks. Such groups of women have loose mucous membranes affected by microbes.
Summary and short conclusion of the article
If you already had breaks and you are planning another pregnancy, then you should definitely visit a gynecologist before this. The doctor will conduct an examination and give you the necessary recommendations.
In some cases, a preliminary correction may be necessary, which will contribute to the elimination of complications in the future. Be healthy and do not get sick!