What’s an extramural pregnancy? How do we respond?
Out-of-uterine pregnancy, medically referred to as heterosexual pregnancy, is an abnormal pregnancy in which fertilized eggs develop in the bed outside the uterus cavity, which is a common acute abdominal condition in gynaecology and obstetrics and which is more harmful to the health of women.
Under normal conditions, the sperm and the egg are combined in the abdomen of the tuber to form the fertilized eggs, which then gradually move towards the uterus and develop the bed within the uterus, as a result of the ovarian worming and fibrous wiggle. However, when the tubal changes, such as ovarian inflammation leading to a narrow cavity, adhesive or perving function, the fertilized eggs may not be able to successfully enter the uterus via the ovarian tube, while they remain in the tubal and are bed-bed to form a ovarian pregnancy, which is the most common type of extrauterine pregnancy. In addition, fertilized eggs may lie in parts of ovaries, abdominal cavities and broad ligatures, but are relatively rare.
Early symptoms of extrauterine pregnancy are often not visible and may be similar to normal pregnancies, such as menstruation, nausea, vomiting, etc. However, with the growth of the embryos, there is a gradual emergence of specific symptoms. Among them, abdominal pain is the main symptom of extrauterine pregnancy, most of which is manifested in abdominal pain or acidity on one side, and when a fallopian pregnancy breaks, it is suddenly felt that the abdominal tearing on one side is painful, often accompanied by nausea and vomiting. Vaginal bleeding is also one of the common symptoms, with general haemorrhages of less than menstruation, dark red or dark brown, dripping, and a few patients with higher levels of vaginal bleeding, similar to menstruation. If hemorrhage is higher in the abdominal cavity, hemorrhage, inactivity, panic, fainting, etc. may also occur.
It needs to be made clear that extrauterine pregnancy cannot be preserved. This is because extrauterinely conceived embryos do not have sufficient growth space and nutritional support for the embryos, and as the embryos continue to grow, the bed is under increasing pressure, which eventually leads to fractured bleeding and, in serious cases, life-threatening. Once an extrauterine pregnancy is diagnosed, appropriate treatment must be taken immediately.
Treatment consists mainly of surgical and pharmaceutical treatment. Surgical treatment is applied in cases of life signs instability or internal abdominal haemorrhage, progress in heterosexual pregnancies (e.g., high blood levels, large parcels of annex areas, etc.), unreliable attendance at clinics, taboo or ineffective medication. The procedure is carried out in the form of a tubal hysterectomy and an operation to preserve the tubal, and the doctor considers the appropriate procedure in the light of the patient ‘ s reproductive requirements and the severity of the condition. Drug treatment is mainly applied in cases of stable conditions, no visible internal abdominal haemorrhage, low and declining levels of serum hCG, smaller annex blocks, and the most common drug is amamamite, which causes embryonic tissue to deteriorate, fall off and absorb by inhibiting the growth of fertilizing cells, destroying wool.
The prevention of extra-uterine pregnancy is essential. Women should take care of personal hygiene, especially sexual hygiene, and reduce the incidence of gynaecological diseases such as pelvis. Actively treating gynaecological diseases such as tubal infections and endometriosis. (c) Avoiding cervix operations such as multiple abortions, which may cause damage to the uterine membrane and fallopy tubes and increase the risk of extrauterine pregnancy. Where pregnancy preparedness programmes exist, pre-pregnancy examinations, including gynaecology examinations, and open tubal examinations, are recommended to ensure that the body is fit for pregnancy.
Extrauterine pregnancy is a dangerous pregnancy situation, and female friends should raise awareness of extrauterine pregnancy, its symptoms and hazards and, in the event of anomalous conditions such as abdominal pain after menopausal period and vaginal bleeding, should be treated in a timely manner in order to allow early diagnosis and treatment and avoid serious consequences.
Extrauterine pregnancy
