After caesarean section, doctors recommend not getting pregnant in the next 2 or 3 years. This time is necessary for the formation of a strong scar in the uterus to eliminate many complications during the next pregnancy and delivery.
But if there was an unplanned pregnancy, what to do? Is it possible to abort after a cesarean section?
During a caesarean section, the anterior abdominal wall and uterus are cut to remove the baby. The uterus and stomach are stitched together, but the scars remain for life.
It takes 2 to 3 years to completely cure the uterus and form a strong scar.
But if during this time the woman suffered inflammatory diseases of the uterus, there were abortions, then the process may be delayed.
The uterus is a muscular organ, but after cesarean section, the muscle fibers are not completely restored, but are partially mixed with the connective tissue.
In obstetrics there is an insoluble scar after the cesarean: this means that the connective tissue dominates in its structure, which can not stretch because it is muscular, but breaks easily.
The wall of the uterus in the area of the scar is thin. A scar in the uterus becomes an Achilles heel.
According to the law, up to 12 weeks, a woman has the right to independently decide the fate of her pregnancy. If you decide to have an abortion, doctors do not have the right to refuse it.
But you need to know the risks you run.
Pregnancy and abortion after a cesarean section, if not enough time has passed and the scar has not completely healed, is no less dangerous than delivery. There is a risk of rupture of the uterus with heavy bleeding.
This requires emergency medical attention.
After the cesarean section, the abortion interrupts the healing of the scar in the uterus, which thins even more. Every 6 women need medical attention after an abortion.
Today, abortion is performed through 3 methods: mini-abortion vacuum, medical and surgical abortion.
Vacuum mini-abortion is performed up to 5-6 weeks late and not earlier than 6 months after cesarean section. The fetal egg is extracted by suction.
It does not traumatize the lining of the uterus. But complications such as infection, bleeding or incomplete abortion can not be ruled out, which requires repeated curettage of the uterine cavity with a surgical instrument.
Nowadays, there is more and more talk about medical abortion. Medical abortion can be performed no later than 42 days after the last menstrual period.
In 2-5% of women, the ovum does not completely leave the uterus on its own, and then it must resort to scraping.
If you decide, then you should be prepared for the fact that within a few days you will be bothered by nausea, vomiting, abdominal pain, bleeding will be approximately 2 weeks.
During pregnancy in the ovary at the site of the anterior follicle, from which the ovum came out and became an embryo, a corpus luteum formed.
Produces hormones, mainly progesterone, necessary for the preparation of the endometrium, the lining of the uterus, for pregnancy. During a medical abortion, medications that block the action of progesterone are injected.
There is no surgery and anesthesia. The woman simply takes the pill according to the regimen that the doctor prescribes.
This causes the death of the embryo and its rejection by the uterus.
Therefore, this type of abortion can be performed only one year after the operation. Medical abortion after a caesarean section is often accompanied by heavy bleeding, because the uterus is scarred.
During this operation, the cervix is forced open by dilators, so that you can enter the tools and remove the fetal ovum.
At the same time, it breaks down, which subsequently leads to the formation of cervical-cervical insufficiency.
Later pregnancies cause problems with the fetus.
In addition, erosions form on the damaged neck.
Surgical abortion is always performed under anesthesia, which has its own complications: nausea, vomiting, dizziness, muscle pain, impaired memory, speech, hearing and brain function.
For any medication it can be a strong allergic reaction.
During an abortion, a perforation of the uterus at the site of the scar is possible, a violation of the integrity of the uterine wall with instruments inserted into its cavity to remove the ovum.
There are cases in which, through this defect, the doctor enters the abdominal cavity with an instrument and damages the intestines. After caesarean section, the perforation of the uterus is more common, because the scar is weak and easily damaged.
Surgical abortion always requires the appointment of antibiotics to prevent inflammation of the uterus, ovaries, fallopian tubes.
In addition, the instrument can damage the uterine lining, which will lead to the formation of adhesions and subsequent infertility.
There are long-term effects of any abortion. They are found in every 3 women.
The interruption of the menstrual cycle, infertility, the next desired pregnancy can be more difficult, with the constant threat of interruption.
Thus, abortion always does more harm than good. And if an abortion is performed after a cesarean, the risk doubles.
Therefore, it is better to use contraception on time.
In 5-6 months after caesarean section, a spiral can be placed. Take birth control pills.
Even if you are breastfeeding, you can take modern medications. Love yourself and be healthy!