Which type of abortion is suitable for scarred uterus? The harm of scarred uterus

Many women who have unexpected pregnancies are worried that they cannot have painless abortions because they have scarred uteruses. However, some women have scarred uteruses. So what type of abortion method is suitable for scarred uteruses? Let’s learn about it together and hope it can be of some help to our patients.

Which type of abortion is suitable for scarred uterus?

Whether a scarred uterus can undergo painless abortion depends on the location of the gestational sac in the uterus. If the gestational sac is far away from the scar in the uterus, a painless abortion can be performed. However, if the gestational sac is located on the uterine scar, you need to go to the hospital to consult a doctor. The presence of uterine scars and adhesions to surrounding tissues may change the position and morphological characteristics of the uterus, causing complications such as incomplete abortion and uterine perforation. The use of mifepristone combined with misoprostol to terminate early pregnancy in a scarred uterus is safe, effective, and feasible.

The harm of uterine scar

Generally speaking, if you do not plan to get pregnant again, a scarred uterus will not cause much harm. However, if you become pregnant again, the following three dangerous situations are likely to occur.

1. Harm in early pregnancy: If the placenta implants at the scar of the last cesarean section (i.e. incisional pregnancy), it is easy to cause uterine rupture. It is best to terminate the pregnancy at this time.

2. Hazards in mid-pregnancy: The second situation is that when the incisional pregnancy is not terminated in time, the embryo grows bigger and bigger and passes through the scar, which can directly lead to the risk of uterine rupture.

3. Hazards in late pregnancy: About 28 weeks after pregnancy, the placenta may move to the scar and penetrate deep into the uterus. This is medically known as pernicious placenta previa. It is very difficult to treat clinically and often requires hysterectomy, which can lead to the risk of maternal death.

4. Dangers of childbirth: For mothers with scarred uterus, if the scar is torn during childbirth, it is easy to cause uterine rupture and postpartum hemorrhage. If not treated in time, it may endanger the life of the mother.

After the painless abortion surgery for scarred uterus, we need to supplement the body with nutrition in time, eat more foods rich in protein and vitamins, such as milk, soy milk, chicken, fresh fruits and vegetables, etc., avoid eating spicy and irritating foods, such as chili, pepper, ginger, beef and mutton, etc., and also prohibit eating raw and cold foods, such as seafood. In order to protect our bodies from infection, we should pay attention to personal hygiene, wash underwear and private parts frequently. Keep a good mood, which will help our bodies recover quickly.