Most women may not have encountered any major problems during their first or second pregnancy, and have given birth smoothly. This situation is what everyone hopes for. But sometimes, some women may encounter unexpected situations that make pregnancy very difficult and require the child to be aborted. So how to have an abortion for uterine scar pregnancy?
Scar pregnancy is a very dangerous situation, and it is not possible to directly undergo artificial abortion if it occurs. Otherwise, it may cause massive bleeding, and in severe cases, hysterectomy may be necessary. If the pregnancy lasts for a long time, it may also invade the muscle layer of the bladder. So if scar pregnancy wants to have an abortion, intervention treatment must be done. After the embryo stops developing and the HCG in the blood drops to basically normal, curettage can be performed.
Embryo killing drugs can also be used, and hysteroscopy treatment can be performed when the HCG in the blood is basically normal. This type of curettage must be performed under hysteroscopy and surgical preparation must be made. If there is heavy bleeding during the operation, open surgery should be performed in a timely manner. Women suffering from scar pregnancy are mainly due to the gestational sac growing at the scar site. If a conventional suction tube is used to remove the gestational sac, it may lead to uterine wall perforation, heavy bleeding during surgery, and in severe cases, it can be life-threatening.
If it is found during preoperative evaluation that the gestational sac is firmly attached to the uterine wall or there is implantation, there is a higher chance of intraoperative bleeding. Uterine artery embolization can also be performed before surgery to reduce bleeding.
