Can uterine rupture repair be done when taking fetus by laparotomy

summary

Due to the continuous progress of medical level, now many pregnant women will choose to planed uterus operation. Not only for convenience, but also for the safety of children. Now let's talk about whether uterine rupture repair can be done when caesarean section is performed.

Can uterine rupture repair be done when taking fetus by laparotomy

First: cesarean section is an important operation in the field of Obstetrics, vaginal delivery is a natural and physiological way of delivery, maternal can recover quickly after delivery, the newborn can better adapt to the external environment. Cesarean section is the operation of removing fetus by abdominal incision. The rate of bleeding, thrombosis, placenta previa and uterine rupture in cesarean section is much higher than that in vaginal delivery.

Second: at the same time, cesarean section newborns complicated with respiratory dysfunction and amblyopia are more likely than vaginal delivery newborns, and their resistance is far lower than vaginal delivery newborns. Cesarean section without medical indications not only can not reduce the perinatal mortality, but also increase the morbidity and maternal mortality after cesarean section. The abdominal wall was incised into the abdominal cavity.

Third: while sucking the blood in the abdominal cavity, probe. If the fetus and placenta have entered the abdominal cavity from the uterine break, hold the fetal foot quickly and take out the fetus and placenta. At the same time, inject oxytocin directly into the uterine body or push oxytocin 20u by vein to make the uterus contract and reduce bleeding. Use oval forceps or Ellis forceps to stop bleeding. If a part of the fetus is outside the uterus, it should be extended to the part with less blood vessels from the breach with scissors to deliver the fetus.

matters needing attention

Because cesarean section is a kind of risky operation, and we all know that there will be some other accidents in the operation process, which may seriously affect the health of patients, so we do not advocate the repair of uterine rupture during cesarean section.