Patient's question:
Doctor, I had a cesarean section six years ago. My last menstrual period was at the end of September. At six weeks, an ultrasound showed the gestational sac was 3.5 cm away from the scar. Because there was no yolk sac at that time, I had a follow-up at eight weeks. At eight weeks and five days, the gestational sac was only 1 cm away from the scar.1. In this case, is it advisable to focus on early pregnancy?
2. The gestational sac is located on the anterior wall of the uterus, so the placenta is also likely to be on the anterior wall. Is there a risk of placenta previa later? Thank you, Doctor.
3. In my condition, should I rest at home while lying flat, or can I continue my normal training? I work in financial training, which is mostly office-based, involving sitting at a desk.
Doctor's answer:
The gestational sac is only one centimeter away from the uterine incision. When the distance is only one centimeter, the risk of a recurrent miscarriage increases, and it is also easier to experience placenta previa. For a small portion of people, as the pregnancy progresses and the uterus grows, the fetus and its in most cases will move further into the uterine cavity, meaning the distance from the uterine incision becomes greater, which will not interfere with anything. The exception is a few people who may experience repeated bleeding during pregnancy, or those with low-lying or placenta previa, which significantly increases the risk of tearing. Pay attention to resting more, avoid physical labor, and remember to have regular check-ups. Maintain a balanced diet and eat more protein-rich foods. For severe cases of cesarean section, it is recommended to seek medical attention as soon as possible.