Medical Video: Incision Care Discharge Instructions
If you give birth by caesarean section, then you will get a caesarean suture that you should treat well. After a caesarean delivery, you have to limit your activities a little to support the healing of caesarean sutures. If not treated properly, caesarean scar can have an infection, but this may be rare. Then, how about a torn caesarean scar, can this happen?
Can caesarean scar removal tear?
Usually a caesarean scar can heal properly and create a strong tissue that makes the uterine tissue reunite. This strong tissue can withstand stretching of the uterus that occurs when you are pregnant again, so it is very unlikely that the caesarean suture is torn. Caesarean scar that has healed will not cause pain or bleeding which can endanger you or your next pregnancy.
However, a caesarean scar torn or open again can occur, in very rare cases. This can cause uterine rupture (a uterine tear) that can endanger the life of the mother and fetus that has a womb. The risk of uterine rupture is very large if you give birth normally after having previously given birth by caesarean section.
Various risks that can cause caesarean sutures are torn
Although caesarean sutures tear or uterine rupture is very rare, there are several factors that can increase your risk of experiencing this, namely:
- Normal childbirth after a previous caesarean delivery (vaginal birth after caesarean / VBAC)
- How the cesarean section you performed before was done, because different surgical techniques could carry a different risk of uterine rupture
- You are obese or have a body mass index (BMI) of more than 30 at the beginning of your pregnancy
- If you experience induction while trying VBAC, this depends on the age of your pregnancy and the induction method used
If you look at the risk factors above, you might not need to worry about a cured caesarean suture that will tear when you do a lot of activity. The suture of a caesarean who has recovered can be very strong in holding back all stretches of activities that you do.
Caesarean sutures that have healed will look more integrated with your skin. Over time, the color will change closer to the skin color and the size will be smaller. You might not be able to find it quickly after years.
The characteristics of a caesarean scar are torn
If you have a problem with your caesarean suture in a later pregnancy, you may experience the following signs:
- Severe abdominal pain
- Sudden pain in your suture scar
- Unusual vaginal bleeding
- Pulse becomes fast and other shock signs
- Do not experience regular and strong contractions
Caesarean section rupture or uterine rupture in pregnancy usually occurs at the beginning of normal labor. Besides being experienced by pregnant women, signs of uterine rupture can also occur in the fetus, such as abnormalities in the fetal heartbeat.
To avoid torn sutures or uterine rupture, you are advised to give birth to a caesarean section again if you had previously given birth by caesarean section. Normal childbirth after a previous caesarean delivery can pose a big risk to you and your fetus.