Who is prone to pregnancy clinging to the cesarean section?

C-section pregnancy is a rare case of obstetrics, however, today the rate of cesarean section is high, causing the fetus to stick to the old cesarean scar with a high rate. When it is discovered that the fetus is attached to the old cesarean scar, the patient needs to be hospitalized immediately for treatment because the larger the pregnancy, the higher the risk of uterine rupture, endangering the patient's life.

The fetus clings to the old cesarean scar is a type of ectopic pregnancy, the fetus will implant in the surgical scar on the uterus. This is a case that is considered by specialists to be quite rare in ectopic pregnancy. However, at present, the rate of cesarean section is increasing compared to normal delivery, leading to an increase in the situation of the fetus clinging to the old cesarean wound.
There are two types of fetuses attached to the old cesarean scar:
The fetus develops mainly in the uterus and implants in the old cesarean scar. Pregnancy clinging to the cesarean section is a dangerous condition of obstetrics. If not detected early for treatment, you can experience complications such as dental implantation, uterine rupture, massive bleeding, placental invasion of the bladder, hysterectomy, or not treated promptly. may lead to death.

Because a pregnancy attached to an old cesarean scar is a form of an ectopic pregnancy, it has all the signs of an ectopic pregnancy. The following are signs of pregnancy clinging to old caesarean scar that you should pay attention to:
Missing period, menorrhagia are typical symptoms of pregnancy sticking to old cesarean scar. If you have had a cesarean section before and experience this condition, you should visit your doctor to determine your body condition. Abdominal pain, abnormal vaginal bleeding Have symptoms of fatigue and morning sickness like a normal pregnant woman In addition to the above signs, you can determine if you have a pregnancy clinging to the old cesarean scar by ultrasound. vaginoplasty combined with doppler, 3D ultrasound, or non-routine MRI for difficult-to-diagnose cases.

In the following cases, it is easy for the fetus to stick to the old cesarean scar:
If you have had a cesarean section, there is a risk that the fetus will stick to the old cesarean site Have had surgery on the uterine muscle such as removal of a tumor fibroids, uterine reconstruction, placenta previa, and placenta previa In particular, women who have had multiple abortions have a higher risk of pregnancy sticking to the old cesarean scar than the general population. Having had an ectopic pregnancy and having surgery to remove it Using artificial conception methods such as in vitro fertilization, sperm injection ... Women with a history of tight placenta

When you find out that you have a pregnancy attached to the old cesarean scar, you absolutely must not arbitrarily terminate the pregnancy or use abortion pills at any medical facility. You should be hospitalized or go to a qualified medical facility for treatment.
Treatment of pregnancy clinging to the cesarean scar follows the principle of abortion, avoiding complications and preserving the patient's uterus as much as possible. There are 5 treatment methods depending on the gestational age, size of the gestational sac, fertility aspirations and the hemodynamic status of the patient:
Intra-amniotic abortion : This method is used for an already active pregnancy. fetal heart rate, the doctor performed under the guidance of ultrasound through the cervix or abdominal wall. Placental block removal There are two ways to remove the placental mass from the patient's body: dilation and surgery.
Dilation is usually performed by experienced specialists because this method carries a very high risk of bleeding. To overcome this situation, doctors often combine with other mechanical methods such as ligation of uterine arteries first, balloon insertion after curettage.
Surgery is performed with the aim of removing the placental mass and preserving the patient's uterus. This method is indicated to perform when the patient is not eligible for medical treatment and the pregnancy mass is too invasive. This method has the advantage of removing all the placental tissue and repairing the old surgical scar to prevent recurrence. Its disadvantage is that the incision is long, causing unsightly, the postoperative time is long and may increase the risk. Placenta and placenta
Insert (tamponade): This method is used for the purpose of controlling bleeding after abortion surgery Systemic chemotherapy: The aim is to reduce the distribution of blood vessels in the fetal mass, Help destroy fetal cells Blood vessel blockage: This is a preparation method for surgery or chemotherapy, the methods performed are vaginal uterine artery ligation, internal iliac artery ligation, cervical embolism. , uterus or internal iliac artery.

Patients should use blood tonic or oral iron supplements.
Should avoid pregnancy for at least 1-2 years by using methods such as using condoms, implanting rods, using birth control pills. However, note that the IUD should not be used.
If pregnant again after a short period of treatment, the patient should inform the doctor about the condition, visit for treatment advice because there is a risk of cracking the incision.
Vinmec International General Hospital offers a Package Maternity Care Program for pregnant women right from the first months of pregnancy with a full range of antenatal care visits, periodical 3D and 4D ultrasounds and routine tests to ensure that the mother is healthy and the fetus is developing comprehensively. Pregnant women will be consulted and checked for health under the close supervision of experienced and specialized obstetricians, helping mothers gain more knowledge to protect their health during pregnancy as well as minimize complications affecting mother and child.