The symptom of rupture of uterus of caesarean section second child?
summary
After the emergence of the two child open policy, many women have joined the ranks of the two child expectant mothers. However, the rupture of the scar uterus of the second child poses a great threat to the lives of pregnant mothers. Therefore, we should pay attention to some common knowledge about the scar uterus, especially after pregnancy, we must go to the hospital in time to check and find any abnormal conditions, Timely treatment measures should be taken. Uterine rupture refers to the laceration of uterine body or lower uterine segment during delivery or pregnancy, which is a serious obstetric complication and threatens the life of mother and child. They mainly died of hemorrhage, infection and shock. So what are the symptoms of uterine rupture in caesarean section? Let me tell you something.
The symptom of rupture of uterus of caesarean section second child?
1. Threatened uterine rupture: common in the long course of labor, obstructive dystocia factors of maternal. In the process of labor, when the decline of fetal presentation is blocked, the powerful contraction makes the lower uterine segment thinner and the uterine body thicker and shorter, forming an obvious ring depression between the two, which will gradually rise to the umbilical level or above, which is called pathological contraction ring.
2. Uterine rupture: incomplete uterine rupture: refers to partial or full-thickness rupture of uterine myometrium, complete serosal layer, obstruction between uterine cavity and abdominal cavity, fetus and its appendages are still in uterine cavity. It is often seen in the scar rupture of lower uterine cesarean section incision, and often lacks the symptoms of threatened rupture. Abdominal examination only has tenderness at the incomplete rupture of uterus, and the signs are not obvious. If the rupture occurs between the two lobes of the broad ligament in the lateral wall of the uterus, a hematoma in the broad ligament can be formed. At this time, a gradually enlarged and tender mass can be touched on one side of the uterine body. Fetal heart sounds are irregular.
3. Complete uterine rupture: refers to the full-thickness rupture of the uterine wall, so that the uterine cavity and abdominal cavity connected. After the symptoms of threatened uterine rupture, when the uterus is completely ruptured, the parturient often feels severe abdominal pain like tearing, and then the uterine contraction stops suddenly, and the pain is relieved. But as the blood, amniotic fluid and fetus enter the abdominal cavity, they soon feel continuous abdominal pain, accompanied by shock symptoms such as pale complexion, rapid or weak pulse, shortness of breath, and decreased blood pressure.
matters needing attention
1. For women after cesarean section, contraceptive measures should be taken, and they can be pregnant again after two years of contraception, so that they have enough time to make the scar grow firmly and prevent accidental pregnancy from implanting at the uterine scar. 2. During pregnancy, pregnant women should exercise properly, keep a reasonable diet and work and rest, and avoid increasing the probability of cesarean section due to macrosomia and gestational diabetes. If you can natural childbirth, the uterus will not leave scars, there will be no pregnant eggs in the scar "home" such a risk. 3. The first child is cesarean section, once pregnant again, we must first determine whether scar pregnancy, if necessary, a short-term review of B ultrasound, early diagnosis, early intervention. High risk pregnant women with a history of cesarean section should have vaginal ultrasound examination in early pregnancy to determine the attachment site of the embryo. If it is scar pregnancy, the pregnancy should be terminated as soon as possible.