Today delivery was by Caesarean section has become so common that more than fifteen percent (up to forty - in the perinatal center) babies are born in this way, although the absolute medical indications, according to statistics, there are only five percent of women in childbirth. This situation entails serious consequences: young women want to have more children, and become pregnant after a caesarean section before the allotted period of doctors, are faced with a choice: to continue the pregnancy or have an abortion, and wait for the pause position between births.

The scar on the uterus

Most women are afraid that during pregnancy or childbirth disperse seam on the uterus and its rupture occurs. Indeed, the outlook is unfavorable for the subsequent pregnancy if the caesarean section was performed with complications, followed by infection and festering wound, or longitudinal section, which is widely practiced before, and did not provide consistency seam.

At present, the incision for caesarean section is performed in the lower part of the uterus, where it is minimal stretching and recovery is faster. If the operation is carried out under aseptic conditions, in compliance with all rules and procedures, the healing of surgical wounds takes place safely, ensuring the integrity of the uterine wall and its resistance to stress during subsequent pregnancies. Today, more than thirty percent of the women operated by caesarean section, give birth to the next baby vaginally, and the number of women is increasing every year.

Consistency joint control with the help of ultrasound, estimating the homogeneity and size of the scar. Recent studies have shown that the optimal time the offensive subsequent pregnancy after cesarean section in the range of one to five years. Earlier this period may be insufficient vascularization of the scar, and then - prevalent component of connective tissue, which greatly reduces the elasticity of the tissues and increases the risk of discrepancies seam, but to fully appreciate this factor can only be a gynecologist, a leading pregnancy.

Risk factors

Abortion in any, especially early, timeline, after having a history of caesarean section, bears a greater threat to women than repeated pregnancies, as gross interference into the uterus is much more dangerous than the natural physiological process.

Cesarean section is abdominal surgery, after which the female body needs time to recover, which directly depends on how was the operation itself and acute post-operative period.

It is important the presence of comorbidity in women, as female inflammatory diseases, chronic infection foci, irregular menstrual cycle Menstrual cycle and its characteristics Expressed fatigue.

Another factor aggravating the forecast after pregnancy with a history of cesarean section - the attachment of the fetus in the area of ​​the scar, as it worsens the blood supply and can hinder the development of the child.

Prenatal care and delivery

When the registration for pregnancy doctor must tell the woman about all the threats related to the presence of uterine scar. It is sometimes very scary women, but the other can not be, since women's awareness of her condition and possible options for pregnancy - a professional duty of the doctor.

Pregnancy is conducted as usual, with the only difference that for each controlled by ultrasound of the uterine scar. Carefully need to treat pain in the lower abdomen, which may constitute a threat to abortion. Such episodes require hospitalization, to conduct differential diagnosis and provide timely high-quality treatment. After 36 weeks it becomes clear forecast path of delivery, which depends on many factors, including the attitude of the woman. Incision during cesarean nowadays made in the lower part of the uterus and, in most cases, does not interfere with subsequent pregnancies and nurturing independent genera.

Svetlana Shimkovich

Chickenpox during pregnancy is always a risk to the fetus, so if a woman is not sick chicken pox as a child, it is best to plan pregnancy with a preliminary examination. Including this period determine the presence of antibodies in the blood of women to the causative agent of chickenpox. If they do not, the woman recommended the introduction of varicella vaccine.

In some cases, a pregnant woman can become sick with chickenpox

A pregnant woman is at risk of contracting chickenpox when she suffered the disease in childhood. In this case, contact with pregnant patients with chickenpox or shingles (disease caused by the same pathogen) will end the disease. But children chickenpox sometimes asymptomatic, leaving, however, behind a lifelong immunity. Therefore, even if a woman knows exactly what not had chickenpox should donate blood to check that it contains antibodies to the chickenpox.

Similarly, it is not necessary to be absolutely sure that it is impossible to become infected with chickenpox during pregnancy if the woman carried her childhood. In this case, as it is secure and carry out a blood test for antibodies to chickenpox Chickenpox: painful, but not dangerous . The reasons for re-infection can be a reduction in the overall immunity (physiological state, characteristic of pregnancy) and a change in the properties of the pathogen infections - herpes simplex virus type 3 Herpes type 3 - causes chicken pox and shingles   Varicella zoster (mutation), resulting in an antibody to a childhood chickenpox will not be able to neutralize him.

What to do to prevent chickenpox in pregnant women

Because of all these reasons, pregnant women should minimize the possibility of contact with sick chicken pox. If a woman has older children without a history of chickenpox and visiting the children's group, then it is better to enter the immunoglobulin against chickenpox. Pregnancy and chickenpox have a child - it's always dangerous.

But the most correct is planning to become pregnant. During this period, the child's parents are full survey, including a mother donates blood for the presence of antibodies to chickenpox. If they are not, the woman offered to be vaccinated against chickenpox Vaccination against chickenpox - all you need it? After which conception is possible only after three months when fully formed immunity. Pregnancy after chickenpox and better plan no earlier than three months. Pregnant women vaccinated not carried out, but they can be ready to enter into the blood antibodies to chickenpox as an immunoglobulin.

Chickenpox and periods can also be linked: as any infection, chickenpox can cause mild dysfunction, which is manifested, for example, in a small delay menstruation Delayed menstruation - when to sound the alarm? .

The chicken pox dangerous to pregnant women

Chickenpox during pregnancy most often occurs in the same way as in non-pregnant women. However, in adults the infection is always a tendency to moderate and severe, and decreased immunity in pregnant women can cause additional complications threat. Influence of chickenpox pregnancy is difficult to fully predict. Symptoms of chickenpox in pregnant women may be complicated by the addition of viral pneumonia, chicken pox, and involvement of other organs and tissues.

Like any infection, chicken pox early in pregnancy is dangerous for the fetus, because in the first 12 weeks (first trimester) is a bookmark of organs and tissues. At the same time the placenta has not yet formed, and may not fully protect the fetus from infection. Nevertheless, the fruit is rarely infected in this period, but if intrauterine chickenpox is still evolving, it is not without consequences remains: possible fetal death and spontaneous miscarriage or severe deformities from the organs and tissues that have been amazed at the bookmark.

Check the availability of these complications can usually in the second trimester during the ultrasound. If a pregnant woman visits a doctor timely antenatal clinic and the child will be found incompatible with the life malformations, pregnancy will be interrupted.

Dangerous if a windmill for pregnant women during the second and third trimester? Starting with the 20 and 36 weeks of pregnancy, the fetus will be protected by the placenta and infection with chickenpox (even if a woman carries her severe) is very rare. Chickenpox in pregnant women in this period almost never complicated by intrauterine infection.

But chickenpox late in pregnancy is very dangerous. The danger arises from 36 weeks of gestation, and increases as the delivery. The problem is that during this period the woman is not yet time to form the immune system and the child is infected just before birth, during birth or in the first few days after birth. Chickenpox during pregnancy, which, in such cases, the fetus is developing, called congenital and runs hard to defeat not only the skin and mucous membranes, and internal organs, as well as the central nervous system.

Chickenpox breastfeeding

In this case, chickenpox lactating mother flows as well as other adult. But a real threat of disease chickenpox child. Therefore, you should immediately contact your pediatrician.

Chickenpox and pregnancy - it's dangerous, but not fatal, so this infection is not a cause for termination of pregnancy, unless the fetus has not been revealed severe deformities, which is quite rare.

Galina Romanenko