Ectopic pregnancy

Ectopic pregnancy's disease overview

ectopic pregnancy is the case of pregnancy without nesting in the uterus.

After being fertilized in the fallopian tube, it will move into the uterus to nest and develop into a complete fetus. However, for some reason the eggs after being fertilized cannot move into the uterus, but in the fertilization position or moving to a certain position as the nest is called an ectopic pregnancy.

The abnormal nesting positions may be: uterus accounts for the highest proportion (95%) because the egg is fertilized at the uterus. Other positions are rarer: ovaries, abdominal cavity, cervix, old surgical scars, ...

According to statistics, every 1,000 pregnant women have 4-5 ectopic pregnant people. This is also the biggest cause of maternal death in the first 3 months of pregnancy (accounting for about 10%).

ectopic pregnancy is an acute disease, if not diagnosed and treated promptly, the fetal bag can cause massive bleeding to the mother's life.

Causes of Ectopic pregnancy's disease

Causes of ectopic pregnancy:

Ovarian infection: Chlamydia, gonorrhea

Ovarian interventions: abortion, ovarian surgery, pelvic surgery

congenital: Narrow, congenital ovarian obstruction

Other reasons: ovarian cysts, endometriosis

Unknown cause

Symptoms of Ectopic pregnancy's disease

Usually after sex, if the fertilization process occurs, after 5-10 days the fetus has nest in the uterus. Clinical symptoms of ectopic pregnancy can be secretly discreetly, accidentally discovered that through the periodic antenatal medical examination without pregnancy in the uterus or hospitalization in severe abdominal pain, shock of blood loss, ... This symptom depends on many factors such as: gestational age, broken or not broken, ...

ectopic pregnancy symptoms include:

Signs of pregnancy: Vomiting, fatigue, menstruation

abnormal vaginal blood does not coincide with menstruation, prolonged bleeding, abnormal blood properties such as: less than usual, darker color, more thin than usual . If you have been diagnosed with pregnancy, the fetus has not yet entered the uterus and has abnormal bleeding in the vagina, it is an important sign of ectopic pregnancy.

Abdominal pain: often abdominal pain at the fetus position, often abdominal pain, or pain throughout the abdominal cavity in the event of an extracrated pregnancy.

Systemic signs: There may be signs of blood loss such as fatigue, dizziness, dizziness, fainting

People at risk for Ectopic pregnancy's disease

History of ectopic pregnancy

History of fallopian tube surgery, abdominal surgery

Pelvic infections, ovarian inflammation

Some sexually transmitted diseases such as Chlamydia, gonorrhea

Other risk factors: smoking, IUD, infertility, millions of products by the method of tubal, endometriosis, congenital abnormalities About fallopian tubes

Prevention of Ectopic pregnancy's disease

Clean the vaginal hygiene daily especially during menstruation, after sex, postpartum, while treating gynecological infections.

Safe sex restricts partners, using condoms during sex

Restricting abortion

Periodic examination of pregnancy early, ultrasound and testing tests for sure that the fetus has developed normally in the uterus

No smoking

ectopic pregnancy is a high proportion that directly affects the patient, the process of childbirth later, even if it is detected late, the fetus has broken causing bleeding. Massive in the abdominal cavity can be dangerous to the lives of patients, so it is necessary to have knowledge, understanding of the disease, preventing the risk of ectopic pregnancy.

Diagnostic measures for Ectopic pregnancy's disease

Clinical symptoms: menstruation, abdominal pain, vaginal bleeding

Clinical examination: Pelvic examination, uterine size assessment, ectopic pregnancy signs

Clinical diagnostic

Ultrasound: uterine evaluation, fallopian tubes, the position of the fetus is inside or outside the uterus.

Blood test: Quantitative concentration ????-HCG. For healthy fetuses, concentrations ????-HCG will increase every 2 days, increasing with the gestational age. This concentration may be abnormal such as: increasing slowly or not increasing. Ectopic pregnancy can be diagnosed but easily confused with some other diseases that need to be meticulously examined to eliminate other diseases.

Diagnosis of the stage: ectopic pregnancy has not broken or an ectopic pregnancy has broken significant in choosing the appropriate treatment, prognosis

See more information about ectopic pregnancy diagnosis here

Ectopic pregnancy's disease treatments

ectopic pregnancy has many different treatments, but based on the stage, condition, and a number of other related factors that the doctor offers appropriate treatment. These treatments include: medical treatment, surgical treatment and monitoring of pregnancy development

Medical treatment

The doctor may prescribe medication for the purpose of preventing the development of pregnancy, fetus, and conservation of fallopian tubes. However, this solution is not in the case. After treatment, the patient will be monitored until ????-HCG returns negative. If after the medical treatment process ????-HCG does not return to negative, means that the medical treatment fails, this time it is necessary to switch to surgical treatment.

Surgical treatment

Endoscopic surgery or surgical surgery is open depending on each specific case

eliminate pregnancy, cut off the fallopian tubes, hemostatic stitches

Monitoring natural regression carefully consider carefully, check the surgery regularly if after 1 time monitoring has no results.

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