In the body of a woman there is an important organ that is necessary for conceiving and bearing a child. This is the mother. It consists of the body, cervical canal and neck. All these parts are directly involved in the birth process. On the other side of the uterus are two tubes and ovaries. It is here that cells mature, which are subsequently fertilized and turn into babies. There are situations when a woman is faced with various problems that are associated with the organ described above. One of the biggest risks is uterine rupture. It is about the consequences of this pathology that will be discussed further. You will also learn what a cervical rupture is. Let us describe the degrees and forms of this phenomenon, and also talk about the consequences.
Cervical rupture
During childbirth, this pathology occurs most often. However, there are cases when the dissection of the mucous membranes occurs outside of this process. The main reasons for this circumstance are inflammatory processes, tissue diseases, as well as the age of the woman. Rupture of the cervix during the birth of a child is most often the result of a woman's misbehavior. It can also happen due to the large body weight and height of the baby.
Viewscervical ruptures
There are three degrees of cervical rupture. All of them differ in the area of the affected membrane. Only a physician is able to reasonably assess the complexity of the pathology and the type of rupture.
- The first degree. In this case, the length of the dissection of the mucous surface is no more than two centimeters.
- Degree two. The cervix is torn more severely. In this case, the dissection has a length of more than two centimeters, but its base does not reach the vault.
- Last degree (third). The gaps in this case are very extensive. The cervix is completely damaged, the dissection goes to the upper fornix of the vagina.
Do pathology have consequences
Rupture of the cervix during childbirth has extremely unpleasant consequences. Of course, most women manage to avoid this phenomenon. To do this, you need to obey the doctor during the process. However, a representative of the weaker sex, who is preparing to become a mother, should know what a rupture of the cervix during childbirth can lead to. The consequences will be described below.
Heavy bleeding
If the mucous membranes of the cervix are damaged, then the pathology can be detected only after the birth of the child and the expulsion of the placenta. At this time, the doctor examines the vaults of the vagina with the help of a mirror and notes the presence of bruises or pieces of tissue.
All this time there is an intensive release of blood. With massive damage, a woman can lose consciousness. Also, if help is not provided in time, then there is a possibility of death due to blood loss.
Treatment includestissue suturing. The procedure is performed under local or general anesthesia. In some cases, a new mother may need a blood or plasma transfusion.
Inflammatory processes
Rupture of the cervix can have consequences in the form of infectious lesions. Since tissue stitching has occurred, there are open wounds. Postpartum discharge helps to cleanse the vagina. From here, the remains of mucus and blood are removed. All this can get into a fresh wound and cause an inflammatory process. At the same time, the woman begins to notice pain in the pelvis, purulent discharge, which has an unpleasant odor. Also, in some cases, the temperature rises.
Treatment in this case is usually medication and is carried out on an outpatient basis. However, you should tell your doctor about your symptoms as soon as possible. Otherwise, the infection can spread to neighboring organs and affect the uterus, fallopian tubes and ovaries.
Inverting the cervix
If the gap has not been corrected properly, then the consequences of the pathology can be the most unpredictable. So, in the absence of sutures on the basis of the cervical canal, the neck is everted. In this case, that part of the mucosa, which is normally located inside, goes into the vaults of the vagina. This leads to a chronic inflammatory process.
Treatment in this case is more often surgical. Some women even prefer to leave things as they are. In this case, miscarriage, premature birth or cervicalfailure in subsequent pregnancies.
Is it possible to give birth after the treatment of pathology?
Childbirth after cervical rupture is possible. If the treatment was carried out correctly and on time, then the consequences, most likely, will not occur. However, in the absence of correction, the next pregnancy may proceed with complications.
- Often, when carrying a child after a rupture, there is a possibility of isthmic-cervical insufficiency. In this case, it is necessary to suture the neck to avoid premature birth.
- During contractions, the cervical canal may not fully open. This leads to re-dissection of the mucous membranes.
Oncological pathologies
After a rupture of the cervix in childbirth and the lack of treatment, the risk of malignant lesions increases. Most often, the beginning of such a pathology is erosion. Everything happens due to the fact that the inner epithelium comes out and attaches to the vaults of the vagina.
Uterine ruptures
In addition to the dissection of the mucous membranes of the cervical canal, a woman may experience such a phenomenon as perforation of the reproductive organ. It should be noted that this pathology is more serious. It is rarely overlooked. Most often, uterine ruptures are accompanied by severe pain in the lower abdomen. Such sensations are caused by contraction of the walls of the organ and extensive internal bleeding. Also, a woman may have a decrease in pulse and blood pressure, dizziness andweakness. All this is a consequence of blood loss.
In medicine, three types of divergence of the walls of the uterus are distinguished: a threatening rupture that has begun and has taken place. It is worth noting that at the very beginning, the symptoms are not as significant as with the complete separation of the membranes of the genital organ.
When does pathology occur and how to eliminate it?
Rupture of the uterus can occur with some manipulations. This includes hysteroscopy, laparoscopy, curettage of the cavity of the reproductive organ, setting a spiral, and so on. Uterine rupture during pregnancy most often occurs when there is a scar on one of the walls of the organ. Treatment in this case should be carried out immediately. It is carried out under general anesthesia, when the patient is immersed in a state of deep sleep.
Correction always depends on how large the uterine ruptures are. Of course, doctors are making every effort to preserve the reproductive organ. However, in some cases this cannot be done. If this happens, then the surgeon removes the uterus along with the cervical canal and cervix. Rupture of the uterus can cause the most deplorable consequences. Let's take a closer look at them.
Massive bleeding
Uterine rupture is always accompanied by blood loss. With a threatening divergence of the walls, damage to the vessels of the inner membranes occurs. In this case, blood usually does not enter the abdominal cavity. However, the patient may note the presence of a pink impurity in the urine and vaginal discharge. Rupture of the uterus during childbirth is always accompanied by contractions. It is this fact that can give a blurred clinical picture.
When the rupture of the membranes has begun or has taken place, there is increased intra-abdominal bleeding, which is aggravated by the occurrence of contractions. The woman notes severe continuous pain in the abdomen. In some cases, the area around the navel may turn blue.
This condition is very dangerous. The consequence of pathology is often fatal. That is why it is worthwhile to provide medical assistance to a woman as soon as possible. When a break occurs, it is almost never possible to save a child. Only the lucky ones survive after such oxygen starvation. In this case, the pathology can affect the future life of the baby and cause developmental delays or other consequences.
Infertility
Rupture of the uterus during childbirth can have quite complex consequences. If the pathology is not detected in time, then the doctors are forced to remove the reproductive organ. This will help save the woman's life. After such an operation, the representative of the weaker sex is recognized as infertile. She will never again be able to bear and give birth to a child.
It is worth noting that this consequence is often accompanied by depression and stress. Particularly affected are women who do not have children or babies who died as a result of oxygen starvation.
Adhesion in the pelvic area
If the uterus has ruptured along the scar or outside this area, then bleeding often leads to the formation of adhesions. Everything is explained quite simply. Fluid that has entered the abdominal cavity cannot be completelyremoved. As a result, it thickens, the thinnest films appear. They glue organs together. In medicine, such formations are called adhesions.
The appearance of such parts causes constant pain in the lower abdomen, disruption of the organs. Often they lead to infertility and the risk of ectopic pregnancy.
Inflammation
If there is a perforation of the uterus, the consequence may be inflammation or infection. The opening must always be sutured. After such a manipulation, there is a separation of the ichorus. Pathogens and bacteria can enter the wound. All this leads to infection.
Treatment of such a consequence is most often based on the use of medications. This includes antimicrobial, antibacterial and immunomodulatory therapies.
Aesthetic and psychological side
A uterine rupture always results in suturing the lower abdomen. In this case, the incision can have a horizontal or vertical position. Such wounds remain for the rest of her life and constantly remind the woman of what happened to her. Many representatives of the weaker sex begin to feel embarrassed about their body due to the presence of a large scar on it.
It is also worth mentioning the psychological side. Most women experience stress after such a manipulation. Used anesthesia can affect the condition of the skin, hair, nails and impair memory.
Is it possible to give birth after the treatment of pathology?
Birthafter uterine rupture are possible only if the woman has kept the reproductive organ. At the same time, most doctors insist on a caesarean section, as they fear the recurrence of complications.
It is worth noting that if there are stitches on the cavity of the reproductive organ, it is necessary to carefully monitor the course of the next pregnancy. Such women are more likely to receive ultrasound and additional manipulations.
If there is a seam on the uterus, then there is a risk of placenta growing into it. This can only be learned during childbirth. At the same time, doctors most often remove the pathological children's place along with the organ. This also happens through a caesarean section.
Can complications be avoided?
Ruptures of the uterus and cervix can be prevented. To do this, you must listen to the advice of specialists and follow all the recommendations during childbirth. Most women find it difficult to control themselves in this process. That is why there are various complications.
Even before pregnancy, it is worth undergoing examinations and, if necessary, treatment. It is worth noting that the presence of genital infections and inflammatory processes causes risks. Such groups of women have loose mucous membranes affected by germs.
Summarizing and a small conclusion of the article
If you have already had breaks and you are planning another pregnancy, then you should definitely visit a gynecologist before that. The doctor will conduct an examination and give you the necessary recommendations.
Bin some cases, a preliminary correction may be necessary, which will help to exclude complications in the future. Stay he althy and don't get sick!
