How to recognize an abdominal pregnancy? Tactics of diagnosis and treatment

An ectopic pregnancy is defined as a pregnancy that is accompanied by the attachment of a fertilized ovum outside the uterine cavity.

Ectopic pregnancies have become more common in recent decades. Among them are abdominal pregnancies. 

In a previous article on estet-portal.com we examined the main causes of this pathology and factors risk, as well as the mechanism of development of abdominal pregnancy.

But how can recognize and suspect an ectopic pregnancy? How to detect abdominal pregnancy in the early stages, and what measures should be taken?

The answers to these questions read further in our article.

• First symptoms and signs of abdominal pregnancy
• What is the most dangerous complication of abdominal pregnancy
• Diagnostic procedures and their sequence in abdominal pregnancy
• Waid to perform a laparotomy. Outcome and prognosis of abdominal pregnancy First symptoms and signs of abdominal pregnancy Abdominal pregnancy in the early stages, that is, before the onset of complications, has all the signs of a normal pregnancy. Early signs and symptoms of pregnancy:

increased drowsiness;

expressed weakness;

nausea; changes in smell and taste preferences;

mood swings;
breast engorgement;
absence of menstruation.
• During a gynecological examination, it can be found that the fetus is not in the uterine cavity, and the uterus is only slightly enlarged, and its size does not correspond to the gestational age.
• There are cases where
abdominal pregnancies
• are misdiagnosed
as
multiparous

, or pregnancy

with congenital malformations of the uterus

, or

xxxx>pregnancy in ri myomatous node. Causes of ectopic pregnancy and its early detection What  most dangerous complication of abdominal pregnancy

As the abdominal pregnancy progresses, the woman develops

pain in the lower abdomen. Blood tests may show

anemia

against the background of embryo growth into small vessels.

Injury to internal organs can present with a variety of symptoms.

Sometimes, the development of such complications is regarded by doctors as a threat of termination of pregnancy, uterine rupture or as signs of premature abruption of the placenta

.

The development of

internal bleeding is evidenced by symptoms such as: dizziness; severe weakness;

excessive sweating; blackout eyes;

pre-syncope;
loss of consciousness;
pallor of the skin and mucous membranes;
Pain in the lower abdomen.
• This is the
most dangerous complication
• of abdominal pregnancy
• ty.
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Diagnostic procedures and their order in abdominal pregnancy

Early detection of abdominal pregnancy is very important as it can eliminate the threat to the life of the patient. Diagnosis is established on the basis of complaints, data from gynecological examination, as well as data from ultrasound

. 

For the accuracy of the diagnosis, the diagnostic procedure

begins with the identification of the cervix,

then a gestational sac is found near the uterus and "

empty"; uterus. If an ultrasound is performed at a later date

of an abdominal pregnancy, then an

unusual location of the placenta is detected. In this case, the placenta and fetus are not surrounded by the walls of the uterus.

Laparoscopy is performed in cases of doubt. This is a minimally invasive intervention with a therapeutic and diagnostic nature, in which it is possible to accurately diagnose abdominal pregnancy, and in many cases

remove the ovum

I'm sure I'm pregnant! How to recognize a false pregnancy The feasibility of a laparotomy. Outcome and prognosis of abdominal pregnancy If an abdominal pregnancy is suspected at more than late

gestational age, then laparotomy

is necessary as villi are often the placentas have already sprouted into the abdominal organs.

The amount of surgical intervention is determined by depending on the placenta attachment. Laparotomy may require stapling or resection of the organ, as well as intestinal anastomosis. For a woman who is suspected to have an early pregnancy

,

the prognosis is good. In the case of late diagnosis, as well as the development of complications of abdominal pregnancy, there is a danger of developing severe damage to internal organs,

as well as

development of internal

bleeding. The probability of normal pregnancy

of such a pregnancy is practically

no. In the medical literature, isolated cases of successful carrying of such pregnancies are described, however, such an outcome is considered by doctors as casuistic. In addition, babies born from abdominal pregnancies are believed to have developmental anomalies.

Laparoscopy as a method of diagnosis and treatment in gynecology