How to prevent uterine rupture in second pregnancy

In recent years, our country has begun to respond to the two-child policy, and people across the country have also begun to respond positively to the two-child policy. With the vigorous implementation of the two-child policy, people's idea of ​​having a second child has also settled down. With the emergence of some older mothers, many issues about pregnancy safety are also issues that people often pay attention to. So let’s take a look at how to prevent uterine rupture when having a second child.

Uterine rupture is a serious complication of childbirth. With the improvement of the three-level management system of systematic maternal and childbirth health care and the deepening of perinatal health care prevention work, the incidence of uterine rupture has been significantly reduced, indicating that uterine rupture can be avoided and prevented.

1. Take contraceptive measures

Use effective and reliable contraceptive measures, avoid multiple pregnancies, and minimize artificial abortions to avoid uterine damage, infection or perforation. Avoid repeated scraping of the endometrium, which will reduce the number of glands remaining and lose the ability to regenerate. In the event of another pregnancy, uterine rupture may occur due to the implantation of the placenta in the lower part of the uterus. Especially for pregnant mothers who have undergone cesarean section, they should not get pregnant again in a short period of time after the operation. It is best to have a gap of more than 2 years.

2. Strengthen prenatal examinations

Establish a comprehensive maternal and child health care manual, strengthen perinatal care, and strengthen prenatal examinations. If the fetal position is found to be abnormal, cooperate with the doctor to correct it in time before delivery; if there are conditions such as pelvic stenosis, cephalopelvic disproportion, etc., follow the doctor's advice and arrange an appropriate delivery method in advance.

3. Early admission

Those with high risk factors for uterine rupture should be admitted to the hospital 1-2 weeks before the expected date of delivery. Pregnant women with scars on the uterus, placenta adhesions, a history of multiple curettages, and myomectomy should be hospitalized in advance to prepare for delivery to avoid sudden accidents.

4. Pay close attention to the labor process

Improve the ability of obstetricians and midwives to observe the labor process and detect labor abnormalities in a timely manner. In particular, when there are signs of uterine rupture such as contraction ring and hematuria, cesarean section should be performed in a timely manner.

During delivery, you should closely observe the progress of labor and detect abnormalities in time. If you feel uncomfortable, tell your doctor immediately; pay attention to whether there is a pathological contraction ring in the abdomen. If there is such a situation, you must deal with it in time to avoid the occurrence of threatened uterine rupture. The application of oxytocin must be appropriate. Before the baby is delivered, only a diluted solution can be used for intravenous drip, and intramuscular injection cannot be performed to prevent the uterus from contracting too strongly and hindering the descent of the baby, thereby causing uterine rupture.

If any signs of threatened uterine rupture are found, the baby must not be delivered vaginally, because the delivery process may cause uterine rupture. A cesarean section should be performed as soon as possible to save the mother and baby, and any vaginal operation should be avoided to prevent uterine rupture.

5. Pay attention to the cesarean section incision

When doing a cesarean section for the first time, try to use a lower uterine incision. Such an incision will reduce the chance of uterine rupture during the next pregnancy. For pregnant women who have had a cesarean section before, if they decide to try natural childbirth, the time should not be too long, and the requirements for them to have a cesarean section should be relaxed.