How to treat scar pregnancy and what are the methods?

Scar pregnancy is a very disturbing type of pregnancy clinically. The condition is relatively serious and is an obstetric emergency. Scar pregnancy is also a type of ectopic pregnancy, which affects both the pregnant woman and the fetus. So, how should this situation be treated?

1. If a woman with a scar on her uterus becomes pregnant and needs an abortion or medical abortion, the first thing the doctor should avoid is blindly performing an abortion or curettage, that is, avoiding sudden uterine bleeding that may occur at any time during the operation. Therefore, gynecologists need to complete a series of screening and diagnosis before medical clinical intervention.

2. In terms of treatment, there is currently no recognized and reliable treatment for uterine scar pregnancy. For those who have a clear diagnosis and need to terminate the pregnancy, the doctor's general treatment principle is: try to remove the lesion, try to avoid serious complications such as heavy bleeding, and try to preserve the uterus and fertility.

3. When recommending treatment plans, gynecologists may have multiple options for patients and their families to choose from based on medical technology conditions, the severity and classification of the disease: for example, laparoscopy, hysteroscopy, laparotomy (removing the pregnancy lesions on the uterine scar can cause new trauma, and contraception is required for two to three years after the operation before pregnancy again), and ultrasound-guided interventional chemotherapy (that is, using ultrasound to inject chemotherapy drugs into the embryo to cause it to necrotize and then perform uterine curettage).

4. The reason why “scar pregnancy” is dangerous is that it is very good at “disguising”. Due to structural abnormalities, the tissue in the uterine scar is much thinner than normal tissue and can be easily ruptured. Therefore, post-cesarean section uterine scar pregnancy is a very dangerous type of pregnancy, which is difficult to diagnose early and easy to misdiagnose. The symptoms of "scar pregnancy" in the early pregnancy are almost the same as those of normal pregnancy, including a history of amenorrhea, enlarged uterus, positive HCG in blood and urine, and other normal early pregnancy symptoms.