Observation of pregnant women with a uterine scar

Women who have had a caesarean section, refer to the high-risk pregnancy and childbirth. Seeing these women in antenatal clinics should be more in-depth and expanded. It includes not only more frequent visits to the doctor, but also additional methods of examination. For example, ultrasound of the fetus and the uterus is held not three times during pregnancy, and more particularly in the last few weeks before delivery, in order to clarify the situation, presentation of the fetus and assess the consistency of the scar.

Also, pregnant women are appointed preventative courses of vitamins, muscle relaxants to prevent the syndrome of intrauterine growth retardation. This is due to the fact that the placenta is used to attach to the rumen, and consequently, the child will not be able to obtain the necessary substances in the right amount. A doctor at each visit the patient spends palpation of the scar, find out whether the softening, seals or soreness in the rumen. Every woman should be a danger of complications and not to abuse the exercise, heavy lifting, and sharp movements. Better not be ashamed to seek help from a passerby or neighbor, for example, to bring a heavy bag to the apartment than for a long time to be in the maternity hospital.

In Russia, the independent birth after cesarean is still rare, and they are held in a hospital equipped with the necessary equipment for fetal cardiac monitoring and clock duty of the operating team. At the slightest deviation from the normal course of labor issue is resolved in favor of cesarean section.

Indications independent childbirth after cesarean

• Full Term Pregnancy
• The only cesarean section in the lower segment of the uterus
• Postoperative period without septic complications
• Wealthy scar on the uterus
• Normal fetal weight, not more than 3600 grams
• Cephalic
• Localization of the placenta is the scar and the absence of placenta previa
• The absence of the "old" indications for cesarean section

Indications for repeat cesarean delivery

• The presence of absolute indications that led to the first cesarean section
• The longitudinal scar on the uterus
• Predominance not muscle, and connective tissue in the rumen
• The categorical refusal of the independent women giving birth
• The presence of two or more cesareans history
• Localization of the placenta over the scar

In determining the possibility of independent genera are recorded

• The findings of uterine scar over time (before pregnancy and during)
• Data on past operations on the pelvic organs
• Number of pregnancies between cesarean section and present pregnancies and their outcomes
• During the current pregnancy (absence of preeclampsia, anemia Anemia - when you do not have enough blood Inflammatory diseases)
• The period between caesarean section and the upcoming birth

Advantages of spontaneous labor after cesarean

• No risk of postoperative complications
• Rapid recovery of the mother's body and more early discharge
• Reducing the risk of complications for the baby
• Repeated cesarean section increases the risk of bleeding hypotonic

Thus, cesarean section is not a trivial operation, and the presence of its history leaves its mark on the course of each new pregnancy. Therefore, every woman, who has survived the operation, should be carefully to their health, remember to contraception and pregnancy planning.

What is postpartum thyroiditis

Postpartum thyroiditis - an inflammation of the thyroid gland The thyroid gland - is responsible for your hormones That appears within one to eight months after childbirth in about 8% of women. Thyroiditis leading to "leakage" of stocks of thyroid hormone from the inflamed gland and increase the level of the hormone in the blood.

Postpartum thyroiditis is considered to be an autoimmune disorder, it causes a slight hyperthyroidism, which usually lasts one to two months. However, many women hyperthyroidism lasts from six months to a year until the thyroid gland again starts to function normally. Some of the thyroid gland is so damaged that its normal functioning can not be restored. Therefore patients require constant treatment with synthetic thyroid hormone.

Thyroiditis is often mistaken for postpartum blues - in both cases after childbirth a woman gets tired quickly, and in a state of depression. If symptoms such as constant fatigue and apathy persist for several months after birth, it necessarily need to talk to your doctor. The reason for this condition may be postpartum thyroiditis, and medication should it make it easier.

It must be remembered that:

• Changes in thyroid function can be either normal for pregnancy and signs of disease
• Left untreated hyperthyroidism can cause various health problems and his mother, and a child - such as congestive heart failure Heart failure - when the heart is unable to cope with the work   and slow weight gain in a child
• Easy hyperthyroidism in pregnant women do not need treatment. In more serious forms of medication used for the treatment of restricting excessive production of thyroid hormone
• If hypothyroidism is not treated during pregnancy, it will endanger the mother's health and lead to violations of the child
• During pregnancy, hypothyroidism is easily and safely treated using synthetic thyroid hormone
• Postpartum thyroiditis - inflammation of the thyroid gland - hyperthyroidism causes a short-term Hyperthyroidism: increased secretion of thyroid hormone , Sometimes followed by hypothyroidism, which takes place throughout the year. Sometimes hypothyroidism becomes chronic.