Another woman who got pregnant unexpectedly originally went to the hospital for an ordinary abortion. Results After 0/0 minutes in the operating room/KLOC-0, the husband was told to transfer to hospital immediately for rescue, because the embryo was stuck on the incision after a cesarean section, which led to massive bleeding.
Since the liberalization of the "two children alone" policy, the situation caused by pregnancy after cesarean section of the first child has appeared from time to time. Yesterday, an obstetrician in a hospital in Hangzhou talked about several recent cases and shook his head and sighed again and again. They feel it is necessary to remind women who are going to have a second child by cesarean section, and they must pay attention before and during pregnancy.
A small abortion operation, because of massive bleeding in the intensive care unit.
Ms. Zhang just gave birth to a lovely son by caesarean section two years ago. Because of contraceptive failure, she was pregnant again recently. After discussion, the couple went to the local hospital for abortion.
The family thought that abortion was a minor operation, but Ms. Zhang entered the operating room less than 10 minutes, and Mr. Zhang was informed urgently that Ms. Zhang had massive bleeding during abortion and needed to be transferred to a large hospital for rescue.
Although full of doubts, it is a matter of life and death, and there is no room for carelessness. After discussion, Ms. Zhang was sent to a hospital in Hangzhou for emergency treatment and finally recovered and was discharged.
After listening to the explanation of the deputy director of obstetrics in the hospital, the family finally understood the cause of this dangerous incident. It turned out that Ms. Zhang's pregnant embryo was stuck in the incision of cesarean section two years ago, which is often called incision pregnancy.
When pregnant for 4 months, the uterus ruptured and had no choice but to be removed.
At the beginning of this year, after Zhejiang's "Separate Second Child" was officially released, the 33-year-old Ms. Li's family was very happy. The whole family has been waiting for the good news since their son was born seven years ago.
After almost two months of preparation, Ms. Li found herself pregnant. In addition to excitement, Ms. Li has regular physical examinations, paying attention to physical conditioning and preparing for the arrival of a new life.
But just one morning some time ago, Ms. Li suddenly began to have severe abdominal pain and rushed to the local hospital for treatment. She found a sharp drop in hemoglobin. The local doctor thought the condition was serious and suggested that she be transferred to a hospital in Hangzhou immediately.
"When the patient was taken to the hospital, he was in severe hemorrhagic shock. The situation is very urgent. The hospital opened a green channel and went directly to the operating room for laparotomy. " Yan Jinyi, director of gynecology at the First Hospital of the City, said.
During the examination on the operating table, everyone was shocked and blood gushed. It turned out that Ms. Li' s uterus was broken and the fetus had died in the uterus. She had to have her uterus removed in order to save her life. Fortunately, with the joint efforts of experts, Ms. Li's life was successfully saved.
It is best to make an evaluation before cesarean section of the first fetus to see if the uterine scar has grown well.
"Under normal circumstances, it is necessary to achieve certain medical indications before cesarean section, such as poor birth canal, poor uterine contraction, or too large fetus, abnormal fetal position, intrauterine hypoxia, etc. However, the actual situation is that many people choose cesarean section because they don't want to endure the pain in the production process, which leads to higher and higher cesarean section rate. " Wang Zhihua, director of obstetrics in a hospital in Hangzhou, said that this led to a significant increase in pregnancy risk when the scarred uterus became pregnant again in recent years.
After the liberalization of the "two children alone" policy, the number of cases of pregnancy caused by cesarean section of the first child increased. "We can encounter 5- 10 cases every month, and we have to do several rescues a week." Director Wang said. Wang, deputy director of obstetrics and gynecology at the Red Cross Hospital, feels the same way. "In the past, it was rare to encounter similar situations. Now, on average, pregnant women with two or three incisions can be encountered every month."
When it comes to the possible dangers of second pregnancy in scarred uterus, Dr. Wang believes that there are three main situations. First, it happened in the first trimester, and the placenta adhered to the scar of the last cesarean section, commonly known as incision pregnancy. Once found, the pregnancy will be terminated; In the second case, the incision pregnancy is not terminated in time, and the longer the embryo, the bigger it will be, and it will pass through the scar, which will directly lead to the rupture of the uterus.
Another situation occurs in the third trimester, often after 28 weeks, the placenta moves to the scar and goes deep into the uterus. It is called dangerous placenta previa in medicine, which is a nightmare for many obstetricians. It is very difficult to deal with, and often faces the outcome of hysterectomy and maternal death.
With the high rate of cesarean section, especially after the release of "single second child", the number of people who want to have a second child for the first child by cesarean section has increased rapidly. It's only been half a year, and the problem has already appeared. Director Wang Zhihua reminded primiparas who plan to have a second child after cesarean section that it is best to make an assessment before delivery to see if the uterine scar has grown up. If not, the risk of incision pregnancy will be greatly increased.
If you are pregnant, you must do ultrasound and other related examinations in the first trimester to rule out the case of incision pregnancy, and in the next pregnancy week, you should also do more prenatal examinations than other pregnant women. Once you have symptoms such as stomach pain or bleeding, you should seek medical advice promptly.
Of course, it is also necessary to remind women who have not yet given birth to their first child that if their own conditions and fetal conditions permit, they should try to choose a natural delivery, which is the best way to completely avoid the risk of pregnancy in scarred uterus.
Pregnancy is a great event in a woman's life. It takes 300 days and nights to give birth to a new life, and the health problems during pregnancy can not be ignored, especially the intestinal health problems during pregnancy. After Ma Bao became pregnant, the change of estrogen level affected the disorder of intestinal bacteria, leading to malnutrition and food indigestion, and a large amount of fatty protein accumulated and could not be metabolized, resulting in puffiness. The baby grows up day by day, and the change of pregnant mommy is not only how many pounds she has gained, but also how many times her stomach has increased. With the growth of the baby, the internal organs of pregnant mommy are slowly squeezed out of sight, especially the intestines, stomach, bladder and even spine have undergone great changes.
Pregnant mothers can't eat well and sleep well, and all kinds of embarrassment will follow, such as constipation, farting, running to the toilet … physical and mental exhaustion.
Pregnant women have all kinds of discomfort that ordinary people don't have. Relatives, friends and even strangers around you should give pregnant women understanding, warmth and help.
Life is magical ~ As expectant mothers, they bear hardships that ordinary people can't see or understand, but they are also happy because they are pregnant with a new life.