Abdominal pregnancy is about 2% of all cases of pregnancy. Though, there is a low probability to face it, each woman may suffer from this problem since the real causes of such deviation are still unknown. So, what are the reasons of abdominal pregnancy and how to define it? Victoriia Gukovskaia, obstetrician-gynecologist tells us about this pregnancy issue.
In case of abdominal pregnancy – a cell, to be developed as a result of fertilization of ovum by means of spermatozoa, can’t reach cavity of uterus as it happens under normal pregnancy, but it is located in uterine tube. Sometimes it can be thrown out from the tube and attached in ovary or around abdominal membrane. It can cause complications and threaten a woman’s life.
Tubal abdominal pregnancy can be resulted in a tubal abortion when complete or partial embryo detachment from walls of uterine tubes happen. It leads to the outlet of ovum to abdominal cavity and uterine tube break. In both cases internal hemorrhage occurs and if a patient doesn’t apply to a doctor in proper time, she can die.
Tubal pregnancy makes up 98% of all abdominal cases!
Among other cases of abdominal pregnancy experts distinguish chronic inflammatory process in small pelvis. Moreover, a pregnancy comes in a result of process in small pelvis, provoked by early infections or surgeries. Also, it can be developed in case of tumors or maldevelopment of genital organs or if a woman has maldeveloped uterine tubes.
How to define abdominal pregnancy?
There are some symptoms of abdominal pregnancy one should notice: delay of menstruation, underbelly pains – from persistent to acute pains, weakness, giddiness, syncopal state. Another evident example is bloody discharge: (smearing deep-brown and incarnadine discharge).
If you noticed some of these symptoms, apply to a doctor as soon as possible. A gynecologist should perform Ultrasound investigation and define whether there is a fetal outside the womb. Under abdominal Ultrasound investigation the fetal egg can be detected on the 6th –the 7th weeks of pregnancy; in case of vaginal ultrasound investigation – on the 4,5th week.
Moreover, the gynecologist prescribes blood examination for hCG (choriogonadotropin – a hormone, discharged by placenta during pregnancy). As a rule, indexes of this hormone are low and grow slowly than indexes of uterine pregnancy of the same term.
Treatment and Prevention
“Modern medicine can provide open treatment only and keep the tube in some cases. In case of surgical procedure, laparoscopy procedure is used. It is an endoscopy surgery, performed without incision of leading abdominal wall, using special optical aids. Such procedure helps to remove fetal egg from the tube and cauterize injured vessels”, a doctor claims.
Gynecologists believe that one should pay attention to any inflammatory diseases after such surgeries as it increases a development risk of a recurring abdominal pregnancy.