Abdominal pregnancy

A pregnancy in which a fertilized egg is implanted ectopically (not in a typical location) outside the uterus, namely into the abdominal cavity (BP), is called an abdominal pregnancy.
A normally fertilized egg is lowered through the fallopian tube (MT) and implanted into the uterus. However, under certain conditions, the normal movement of the fertilized egg can change and implant in the BP.
Abdominal pregnancy is divided into primary and secondary.
In primary abdominal pregnancy, due to a violation of the normal course of movement of the egg, it passes through the MT and enters the BP.
In secondary abdominal pregnancy, an undiagnosed MT rupture occurs and a viable egg enters the BP, where it is implanted.
Implantation can occur on the peritoneum of the pelvis, joints, uterus, etc.
During abdominal pregnancy, the fetus develops into PD. It is usually deformed, absorbed, mummified, calcified (the fetus is surrounded by connective tissue and calcium ions) and dies.
Abdominal pregnancy occurs before 24 weeks of pregnancy. Perinatal mortality is high. Delivery may very rarely take place.
The causes of ectopic pregnancy can be different:
- inflammatory processes - salpingitis, inflammatory diseases of the pelvic organs, most often caused by chlamydia infection - the infectious process disrupts motor activity in the fallopian tubes, which slows down the movement of the zygote and subsequently improperly implants it;
- surgical interventions in the field of MT;
- pathological changes in MT;
- changes in the speed of movement of the egg and its normal flow;
- previous ectopic pregnancy;
- pregnancy performed by in vitro methods;
- hormonal reasons.
Symptoms of abdominal pregnancy include abdominal pain that is not acute, nausea, vomiting, flatulence (the presence of gas in the intestines), constipation, diarrhea, and sometimes bleeding from the vagina. Fetal movements are painful.
During palpation of the uterus, there are no changes in the uterine wall, which usually occur during the development of a normal pregnancy with the development of the fetus in the uterus.
The diagnosis is made by examining human chorionic gonadotropin, which is necessarily present in the urine of all pregnant women. Its presence indicates pregnancy, but does not indicate a normal or ectopic pregnancy. Ultrasound and laparoscopy are used to detect abdominal pregnancy.
If an abdominal pregnancy is left untreated, the dead fetus can lead to the formation of an abscess.
Differential diagnosis of abdominal pregnancy:
- ectopic pregnancy;
- appendicitis;
- salpingitis (inflammation of the fallopian tubes);
- rupture of the yellow body;
- abortion.
Treatment of abdominal pregnancy includes various techniques. Surgical treatment includes laparotomy and surgical removal of the fetus.
Conservative treatment (with medication) may also be prescribed. Methotrexate, which is taken by pregnant women, disrupts the development of the embryo and causes termination of pregnancy.
Under ultrasound control, the drug can be injected into the area of the fetal sac.
Usually, during the administration of methotrexate, women complain of abdominal pain and vaginal bleeding, which are very similar to pain during the menstrual cycle. Remember that you can claim the Melbet sign-up offer either for sports or casino, but not both. So, make sure you select the appropriate bonus when registering. Melbet registration promo code Maximum bonus: 100% matched on the first deposit up to ৳12,000. To withdraw the Melbet Bangladesh bonus, you need to wager 5x in accumulator bets containing a minimum of 3 selections on minimum odds of 1.40. If you are looking for bets to include in your qualifying accumulator, here are some of the top cricket and football matches coming up this week.