If pregnant, lactating women can choose to continue pregnancy or terminate pregnancy, and need to seek medical attention in time, especially when lactating women have had cesarean section before. At this time, the uterus has not fully recovered, and the interval after cesarean section is too short, which may lead to uterine rupture and endanger the safety of pregnant women and fetuses. It is necessary to decide whether to continue pregnancy under the guidance of a doctor according to the specific situation of lactating pregnant women and their wishes. The following are common treatment methods:
First, continue the pregnancy:
1. Stop breastfeeding: If a lactating woman chooses to continue her pregnancy, she should stop breastfeeding immediately, because this will cause the uterus to contract when the baby is breastfeeding, which will lead to miscarriage in severe cases;
2, folic acid supplementation: those who continue to be pregnant should follow the doctor's advice to supplement folic acid, and regularly go to the hospital for examination.
Second, the termination of pregnancy:
1, negative pressure suction: for lactating women who are pregnant within 10 weeks, negative pressure suction can usually be used;
2, forceps curettage: for lactating women who are pregnant 10 weeks or more, generally do not choose forceps curettage; Medical abortion can be performed first, and curettage can be performed when abortion is not complete;
3. Induced labor operation: For lactating women who are pregnant 14 weeks or more, induced labor operation can be used to achieve the purpose of abortion;
4, drug abortion: if you want to have a drug abortion within 49 days of pregnancy, it may be secreted by milk, so you can't breastfeed after taking abortion drugs orally, which will affect your baby's health.
How do you know you are pregnant during lactation?
Pregnancy during lactation will also have a normal early pregnancy reaction. If you are pregnant during lactation, the amount of milk will be significantly reduced. It is very common for women to have short-term amenorrhea due to the influence of hormone levels during lactation. However, although menstruation has not recovered normally, ovulation may have recovered, and contraception should be strictly used during sexual life. The most suitable contraceptive method for breastfeeding is condom contraception. If you get pregnant unexpectedly, just like normal pregnancy, you will have early pregnancy reactions, such as nausea, vomiting, fatigue, chills, breast pain and so on. In addition, during lactation and after pregnancy, due to the increase of progesterone and blood HCG, the amount of prolactin is relatively reduced, which will obviously reduce the amount of milk.
In addition, the simplest method is urine test, and urine test with pregnancy test stick. If there are two red lines on the pregnancy test stick, it proves that you are pregnant. In addition, you can also go to the hospital to check the blood of human chorionic gonadotropin. As long as it is positive, it is greater than the normal digital value, which proves that it is pregnant. However, both urine pregnancy test and blood pregnancy test can only prove pregnancy, not ectopic pregnancy or normal intrauterine pregnancy. If menstruation is regular at ordinary times, it is generally necessary to check gynecological color Doppler ultrasound to see if there is gestational sac echo in the uterine cavity. As long as the color Doppler ultrasound sees the echo of the gestational sac in the uterine cavity, it proves that you are pregnant and it is a normal intrauterine pregnancy. During lactation, if it is within half a year after cesarean section, it is generally not recommended to have a baby.
Personal recommendation
? If you want to have a baby during lactation, you need to decide whether to continue pregnancy according to whether you have given birth normally before. If it is a natural delivery, the pregnancy can continue. If it is a caesarean section, consider pregnancy two years later. Because during lactation, the uterine wound has not completely healed at the time of delivery, and accidents may occur during pregnancy.
If you don't want this child, you can consider abortion. It is necessary to pay attention to lactating women. If they use drugs to have an abortion, they need to stop breastfeeding temporarily to prevent drugs from affecting the baby through breast milk. In addition, the sensitivity of uterine contraction during lactation is poor, so we should pay attention to bleeding after induced abortion. If there is more bleeding, we need to seek medical advice in time.
Breast-feeding women should pay attention to that generally, women who don't breast-feed will resume menstruation in 6- 10 weeks after delivery, and ovulation will resume around 10 weeks after delivery. However, the menstrual recovery time of lactating women will be delayed, and ovulation will resume in 4-6 months after delivery on average. However, lactating women often ovulate before the first menstrual cycle, so there is still the possibility of pregnancy before the future menstrual cycle. At this time, if women do not plan to get pregnant, they should take contraceptive measures to avoid unintended pregnancy.