C-section scars are not only permanent reminders of childbirth, they can also cause serious complications during pregnancy. A scar rupture occurs when the scar tissue that was caused by the c-section tears during a later pregnancy. This can be a serious medical emergency and is usually accompanied by symptoms such as intense abdominal pain, fever, and heavy bleeding. It is important to be aware of the signs and symptoms of a c-section scar rupture during pregnancy to ensure that medical attention is sought quickly if necessary. In this blog post, we will look at the signs and symptoms of a c-section scar rupture during pregnancy and discuss how to manage it. We will also provide advice on preventing scar rupture and provide information on what to expect if it does occur. By understanding the signs and symptoms of a c-section scar rupture during pregnancy, you can be better prepared and informed to protect your health and the health of your baby.
What are the signs of a uterine rupture?
Ruptures frequently occur during labor, so you and your caregivers might not immediately recognize the symptoms. An abnormality in the baby’s heart rate is typically the first indication of a rupture. (This is one of the factors that necessitate continuous fetal monitoring for a woman attempting a vaginal birth after cesarean, or VBAC. ).
Other symptoms might include:
When the mother has a cesarean delivery and a uterine wall defect is discovered, the diagnosis is verified.
Most uterine ruptures occur where a previous c-section scar is present. And because a scar is most likely to give way under the pressure of contractions, ruptures typically happen during labor.
Most studies determine that the risk of rupture during labor is less than one percent if you have had one c-section with the typical low-transverse uterine incision and are a good candidate for VBAC.
On the other hand, you have a much higher risk of rupture if you had a “classic” c-section incision, which extends vertically to the upper, more muscular part of the uterus. As a result, you should schedule a c-section before the start of labor. Keep in mind that the type of scar you have on your uterus is never indicative of the scar you have on your abdomen. You should always ask your doctor to confirm the type of uterine incision that was made.
Women who have undergone uterine surgery for other reasons, such as to remove fibroids or correct a misshapen uterus, may experience similar results.
You would also be scheduled for a c-section automatically if you’ve ever had a rupture, a prior classic c-section, or two or more prior c-sections because the risk for uterine rupture is very high in these circumstances. In fact, because going into labor is risky, your c-section might be planned ahead of time.
Other possible risk factors for uterine rupture include:
A uterine rupture can also result from trauma to the uterus, such as that caused by a car accident, surgery like an external cephalic version or a challenging forceps delivery, or even the challenging manual removal of the placenta.
Vaginal bleeding, sharp pain in between contractions, abdominal pain or tenderness, recession of the fetal head (baby’s head moving back up into the birth canal), bulging under the pubic bone (baby’s head protrudes out of the uterine scar), and onset of sharp pain at the site of previous scar are a few concomitant symptoms of impending uterine rupture (7, 8).
Due to an increase in cesarean deliveries, particularly in developed nations, the risk of uterine rupture has recently increased. The frequency of uterine rupture ranges between 0. 2% to 3. 8% (5, 6). Transvaginal sonography is being used more frequently during prenatal care, which has made it possible to more frequently identify scar defects and gauge rupture risk.
Sonographic evaluation of the isthmic uterine scar in the late second trimester, as in the present case, can detect an incomplete uterine rupture. For the diagnosis of anterior uterine wall rupture, a high frequency transducer is chosen rather than a low frequency one. It is advised to check for and measure the thickness of the continuous myometrial band, especially if the patient complains of pain or contractions. Additionally, it is strongly advised that patients who have recently had a cesarean section take the diagnosis of uterine rupture into consideration.
She was receiving conservative care and was only permitted to take complete bed rest (CBD) at home because the patient and her partner decided to carry the pregnancy to term. Accordingly, until the 34th week of pregnancy, controlled sonography of the cesarean scar defect was performed every 10 to 14 days. At the 34th week of gestation, an emergency cesarean delivery was performed due to the onset of uterine contractions. There was no fetal or maternal morbidity following delivery.
In Tehran, Iran’s Royan Institute, a 30-year-old woman who had previously experienced an ectopic pregnancy (EP) and a cesarean section delivery, respectively 4 and 2 years prior, was admitted with complaints of uterine contractions and lower abdominal pain. She had previously used in vitro fertilization (IVF) to conceive, undergone cerclage placement, and delivered via cesarean section after making a transverse Pfannenstiel skin incision.
How long does it take for uterine rupture to heal?
A ruptured uterus will require at least four to six weeks to heal. It’s crucial to get plenty of rest and adhere to your doctor’s advice regarding what to avoid until you feel better. Things your healthcare provider might advise against while you’re recovering include:
Can my C-section scar tear while pregnant?
How do I know if my C-section opened inside during pregnancy?
- severe abdominal pain.
- vaginal bleeding.
- low blood pressure.
- a fever.
- painful urination.
- painful bowel movements.
- severe constipation or the inability to have a bowel movement.
Can my C-section incision open while pregnant?
What does uterine rupture feel like?