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Umbilical Hernia During and After Pregnancies

Umbilical Hernia During and After Pregnancies

During pregnancy, the most common hernia that occurs is the umbilical hernia, which can pose a risk to your pregnancy.

It occurs mainly during the second half of pregnancy and is due to the increased abdominal girth, uterus enlargement, and the thinning of your abdominal wall muscles. But, it can also happen after pregnancy due to great abdominal strain when giving birth.

What is an umbilical hernia?

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An umbilical hernia is a type of hernia that is located at the belly button. Umbilical hernias are more often acquired due to an increased intraabdominal pressure that causes a tear or hole in the abdominal wall at the belly button. 

The hernia has a sac that can contain part of the intestine, fat, or fluid. These tissues can stick out through an opening or a weak spot in the abdominal wall.

Umbilical hernias have been detected in up to 90% of pregnant women.

Generally speaking, this hernia should be repaired after the delivery. But, if the umbilical hernias are causing too much pain or become incarcerated with intestine or fat, it will require individualized treatment.

Factors to consider are no mesh surgery vs. mesh surgery. However, the latter can cause increased pain in future pregnancies and the risk of pregnancy loss related to surgery during pregnancy, the timing for surgery, gestational age (first second, or third trimester) type of surgical approach open or robotic and available resources including fetal monitoring are all very important.

You can make an appointment with Dr. Arevalo to find out the best treatment for you, both during and after pregnancy.

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