Scarring is a biological process of healing damaged tissues. In this case, the muscle tissue is replaced by a coarse connective tissue. The main cause of concern is that such tissue does not have the elasticity and elongation necessary for the uterus.
Scar on the uterus - possible consequences
There is an opinion that if there is a scar, then it is necessary to give birth with the help of surgical intervention. In some cases, when talking about the scar on the uterus, use the definition of "wealthy". This means that the muscle cells prevail over the joint-resistant connective tissue. Thanks to this, the uterus can be stretched. And there is an opportunity to give birth safely yourself. Unless, of course, there are other contraindications to this.
On the contrary, the presence of an inconsistent scar on the wall of the uterus can cause unfavorable consequences. Development of tragic events is not ruled out. The most dangerous thing that can happen is the divergence of the uterine wall along the course of the scar tissue. The rupture can occur at the time of delivery. During pregnancy it is also possible.
If the scar after perforation of the uterus or myomectomy is small, then this may not bear a negative effect on pregnancy. And, accordingly, births are possible naturally. With a large size of the scar to determine the tactics of labor, it is necessary to determine its consistency.
Important is the arrangement of the scar. It can be located along the uterus or across. In the case of the arrangement along the muscular fibers of the uterus, as a rule, the scar is formed connective tissue. Accordingly, this factor may complicate pregnancy. With any structure of the scar on the uterus, the process of birth can be disrupted. That is, the uneven reduction in myometrium leads to a low effectiveness of labor.
Diagnosis of the consistency of the scar on the uterus
Childbirth by natural means with a scar on the uterus after cesarean section is real. But it is important to know how resilient the scar tissue is. To determine the consistency of the scar, pregnant women use ultrasound scars on the uterus and surrounding tissues. Changing the contour of the scar and the appearance of its irregularities should alert the patient. Another change that characterizes the presence of rumen insufficiency is the thinning of the wall and a decrease in the rate of circulation in the scar tissue. In the absence of pregnancy, hysteroscopy and hysterography are possible.
To date, ultrasound of the uterine cicatrix is an integral diagnostic method for choosing tactics. If there are two scars on the uterus, the delivery is performed promptly.
A large scar complicates the process of bearing the fetus. Therefore, the following situations are not excluded:
- Due to the deformation of the uterus with connective tissue scar, the risk of a placenta located near the cervical canal is increased.
- There may be a dense increase in the villi of the placenta. It becomes impossible to separate the placenta. As a result, the uterus must be removed.
- Perhaps the wrong position of the fetus. Again, due to cicatricial changes in the uterine wall.
- Increased risk of miscarriage. This is mainly due to the above reasons.
Therefore, the scar on the uterus and pregnancy require careful observation and examination.