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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Pain in the lower abdomen during pregnancy. History of having infection post cesarean childbirth. Concerned

Hello, I m 22 and am about 18 weeks into my second pregnancy. My first was almost three years ago and was concluded with a c-section which resulted in an infection. I m now experiencing pain and swelling in the lower part of my abdomen where I think my uterine incision is. The pain is worse upon standing, using my stomach muscles, and lying on that side. I am having a hard time discerning whether it s sharp, tearing or achey; sometimes it feels like all three. I ve read that pain due to stretching is normal in post c-section pregnancies but I am very afraid. Should I be?
Tue, 18 Sep 2012
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OBGYN 's  Response
Hi,
Thanks for the query.

In case of prior cesarean pregnancy because of the possibility of adhesions pain can occur when the uterus grows and stretches those adhesions.
Usually infection will affect the outer wound on the skin. Infection of the inner wounds is rare unless there is history of prolonged labor and/or puerperal sepsis.
Uterine scar dehiscence is rare in early pregnancy, so you don't worry but if your pain abdomen increases better to consult gynecologist once to undergo physical examination and ultrasound which will rule out the possibility of scar dehiscence.

Take care.



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