What are the special concerns of retroved pregnant uterus?
During the early pregnancy, the uterus is usually tilted in a forward position before emerging from the pelvis, approximately 12 weeks, to a relatively direct position in the abdomen. When the uterus is tilted back, there is a retracted pre -gravid uterus. This is not unusual and the condition is usually solved at a 12 -week point. However, special concerns may arise in a rare case that the situation is not resolved, resulting in a state called a trapped uterus. Factors may be previous multiple pregnancies, pelvic tumors and fibroids. Previous conditions, such as endometriosis or pelvic infections, can lead to adhesion that prevents the uterus from being correctly relocated. Finally, anatomical abnormalities that may otherwise be clinically insignificant can play a role.
Symptoms of retroved gravid uterus can often be quite general and associated with anormal pregnancy. This may include back pain, pelvic discomfort and rectal pressure, including a strong desire to pass the stool while suffering from progressive constipation. The most common complaints are urinaryProblems, including increased urgency to urinate, but inability to do so, which eventually leads to cystitis. This generally increases the red flag if a woman is pregnant only three to four months.
During the examination, the trapped pregnant uterus may be identified by a distance bladder. After palpation of the abdomen, you can also feel the relocation of the cervix and the size of the uterus. The condition is usually confirmed by using ultrasound display and magnetic resonance imaging that can show the fetal position more clearly.
If it is not treated, a retroved pregnant uterus may have a very serious complication. These may include thshery of the front uterine wall, which can then burst during childbirth. Dilution may also occur in fetal membranes, which are also susceptible to tearing. The bladder rupture, premature birth and spontaneous abortions are also serious complications.
Treatment of this condition initially includes inserting a catheter to drain the bladder and reduce compression. The next step is to try to move a retroved pregnant uterus. This is often achieved by physical manipulation of the obstetrician. Although it is usually done when a woman is up and helps maneuvering by swing, if the uterus turns out to be very immobile, doctors use general anesthesia and push the uterus into the correct position.