Embryo capricious bed: this baby not only can not want to threaten the mother’s life an accidental pregnancy, but also let the “mother-to-be” Ms. Lin experienced “escape from death”. Ms. Lin, in her 30s, had two cesarean sections, after five years of accidental pregnancy, I did not expect the embryo capricious bed in the uterine scar. The accident not only put the whole family on edge, but also her knowledgeable obstetrician and gynecologist, who was sweating for her. Fortunately, Ms. Lin was able to save her life and uterus after treatment. Auntie” that doesn’t follow the rules is the alarm of scarred pregnancy A year ago, Ms. Lin felt that her “auntie” was a bit abnormal, coming a bit intermittently, and the days were also short. She thought about it and wondered if she was pregnant. A pregnancy test was negative, so she didn’t worry about it. Coinciding with the New Year, the atmosphere is strong, Ms. Lin’s family according to the original plan to travel abroad for the vacations. The disturbing thing is, until the end of the trip, “Auntie” still does not follow the rules, how a messy word. Ms. Lin can not rest assured, and went to buy a pregnancy test stick retest, bright red two bars let her a moment confused, rushed to Shaw Hospital for examination. ultrasound showed that Ms. Lin has been pregnant for three months, more upsetting is that the ultrasound suspected uterine scarring pregnancy. It turned out that what Ms. Lin had always thought of as her “period” was actually irregular vaginal bleeding, which was a high-powered warning sign of uterine scarring. A uterine scar pregnancy that is detected in the third trimester of pregnancy can be very tricky to manage because of the high risk of life-threatening hemorrhage. For the patient’s safety, the medical team performed a special ultrasound and contacted a pelvic MRI to determine the extent of placental implantation. As the fetus was developing normally and the placenta was already formed, in order to reduce the risk of surgical hemorrhage, the medical team decided to give medication first – the purpose of using medication is to stop the development of the embryo and reduce the blood supply to the placental area, thus reducing bleeding during medication abortion or surgery – and then to perform uterine artery embolization surgery afterwards. In the end, Ms. Lin saved her life and her uterus. In the era of two children, we should be alert to the “landmine” of scarred pregnancy, and do a good job of assessing the pregnancy beforehand and checking it in time after pregnancy. The first thing you need to do is to get a good idea of what you’re getting into. Uterine scar pregnancy is a rare ectopic pregnancy, “due to the embryo planted in the cesarean section uterine incision scar, the surrounding muscle layer is thin, it is easy to be broken, and the blood supply is very rich, once the diagnosis and treatment is not appropriate, there will be uncontrollable hemorrhage, serious cases will lead to shock.” With the introduction of the comprehensive two-child policy, the incidence of scar pregnancies has risen significantly. Since scar pregnancies behave almost the same as normal pregnancies in the early stages of pregnancy, with menopause, enlarged uterus, positive blood and urine HCG, and no obvious symptoms such as abdominal pain, it is easy to miss the diagnosis. However, patients with scar pregnancy may be accompanied by irregular vaginal bleeding after the cessation of menstruation in pregnancy, which is more bright red compared with menstrual bleeding, and pregnant women with this symptom must go to the hospital for examination immediately. How to prevent scar pregnancy? Scarred uterus is related to how well the uterine incision heals, how well the scar is stitched, and where the embryo is implanted, and there is no means of prevention. Mothers must be careful in choosing the mode of delivery for the first time, and should not go for cesarean section easily because of factors such as lack of knowledge related to labor and delivery, fear of pain, or the influence of feudalistic ideology that requires elective surgery. If your first child is a cesarean, you should be evaluated by a medical professional to see if the scar has recovered well when you prepare for pregnancy again. Once a scar pregnancy occurs, the later it is delayed, the more dangerous it is. High-risk pregnant women with a history of cesarean section should have an ultrasound examination around 42 days after conception to determine the site of embryo attachment, and if scar pregnancy is found it should be clearly diagnosed as early as possible and the pregnancy terminated.