Can ectopic pregnancy be kept? How should pregnant mothers handle?

Pregnancy is a journey with many surprises. It is not good if pregnant mother falls into ectopic pregnancy. For pregnant mothers with tubal defect, congenital fallopian tube stenosis, having had surgery related to oviduct, ... this situation occurs frequently. So, can ectopic pregnancy be kept? Let's find out about this situation with The Asianparent!

What do you know about ectopic pregnancy?

Out-of-womb pregnancy is a folk name of this phenomenon. This is a fertilized egg that implants and develops outside the uterus.

Simply put, an ectopic pregnancy is a pregnancy that does not implant in the uterus.

Instead, the fetus can nest in the ovaries, cervix, in the abdomen, outside the peritoneum, ... The uterine tube is a common location, accounting for more than 95% of ectopic pregnancies.

Signs identify an ectopic pregnancy

Late period

These are signs typical of ectopic pregnancy. With pregnant mothers whose menstrual cycle is irregular, it is difficult to predict the menstrual period. If abnormal vaginal bleeding before the cycle, pregnant mothers should pay attention!

Severe abdominal pain

Where the fetus is, the pregnant mother will feel pain there. Therefore, pregnant mothers should pay attention to the painful location. Besides the place of the implantation, the mother will also have pain in the lower abdomen or abdominal pain with burning.

Abnormal vaginal bleeding

Abnormalities in menstrual period, abnormal color, thinness of blood, ... implicit signs of ectopic pregnancy.

Other signs

If the ectopic pregnancy breaks, the pregnant mother will be sweating, dizzy and dizzy. In more severe cases, pregnant mothers will faint.

The cause of ectopic pregnancy

Tubular infection

Tubular infections significantly affect ectopic pregnancy. This disease is mainly transmitted through sex.

Gynecological diseases

Pelvic inflammatory disease, pelvic inflammatory disease, obstruction of the ovary, ... also lead to ectopic pregnancy.

The oviduct can be blocked or narrowed by endometriosis, an appendage tumor that compresses the fallopian tube, or surgery on the abdomen that causes a tube to deform. The embryo can not move so it "has" outside the uterus.

Smoke

Not only does it slow down the conception process, but also smoking also causes ectopic pregnancy in women.

Other causes

IUD.

Pregnant mothers used diethylstilbestrol during pregnancy.

A history of sexually transmitted diseases such as chlamydia and gonorrhea

Have ever had an ectopic pregnancy, have had a failed tubal ligation (sterilization surgery).

Using infertility drugs or treatments.

Can an ectopic pregnancy be kept or is treatment required?

An ectopic pregnancy cannot move on its own or be moved to the uterus. Therefore, an ectopic pregnancy definitely cannot be delivered and requires treatment.

Medication use

If pregnant women detect it early, methotrexate can be injected for treatment. The drug will stop the division of cells. The pregnancy will be absorbed by the body after 4-6 weeks and the fallopian tubes are preserved.

Depending on the initial concentration of ChCG, the doctor will advise the mother to choose a single-dose or multi-dose regimen. Mothers will be monitored until βhCG returns negative. During this process, if the βhCG increases or decreases slowly, the doctor will replenish the dose of MTX repeatedly. If it is worse, the doctor requires surgical intervention.

Surgery

If the fetus is large and has a fetal heart or βhCG too high, the pregnant mother will have surgery to remove the abnormal pregnancy. Depending on the situation, the doctor will choose the form of surgery or endoscopy.

 

If the ectopic pregnancy has no negative symptoms or the fetus is small, not found, it should be closely monitored. In this case, the fetus may dissolve on its own. Mother should pay attention to βhCG, vaginal bleeding and abdominal pain symptoms to know whether the fetus dissolves on its own or not. If not, the mother must change to another treatment option.

Precautions for ectopic pregnancy

Avoid vaginal infections

Ensuring a healthy genital area is the most direct way of limiting ectopic pregnancy. Women need to regularly clean the genitals, especially during menstruation, after sex, ...

 

If you have had an ectopic pregnancy, the mother will have a higher risk of coming back than the average person. So, if pregnant, pregnant mother should pay attention to the signs of ectopic pregnancy. If there are any unusual signs, the mother should see the doctor for timely treatment.

If the pregnancy is large and broken , the pregnant mother will be in danger to her life.

Wish your pregnant mother's pregnancy journey will always be smooth!

See more:

Ectopic pregnancy: A mother's anxiety in the first pregnancy

The story of a doctor who miscarried after surgery for a patient - how to prevent ectopic pregnancy?

Pregnant women with ectopic pregnancy and intrauterine pregnancy