Signs and symptoms of abdominal pregnancy. Diagnosis and treatment

An ectopic pregnancy is defined as a pregnancy which is accompanied by 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 reasons for this pathologies and risk factors, as well as the mechanism of development of abdominal pregnancy. But how to 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.
Read also: 
• Causes of ectopic pregnancy and its early detection

There are cases when 

abdominal pregnancies

 mistakenly

  multiplesor pregnancies with congenital malformations uterus

, or 

pregnancy inri myomatous node. What  most dangerous complication of abdominal pregnancy With the progression of abdominal pregnancy, a woman develops pain in the lower abdomen. Blood tests may show 

anemia

 against the background of the embryo growing 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 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.
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This is the  

the most dangerous complication abdominal pregnancyty. 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 gynecological examination, as well as data ultrasound

. 

For the accuracy of the diagnosis, the diagnostic procedure 

begins with the identification of the cervix,

 then a fetal egg is found near the uterus and "

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

 abdominal pregnancy, then 

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

 

Read also: 

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 fetal egg without major surgeryee.

The feasibility of a laparotomy. Outcome and prognosis of abdominal pregnancy If an abdominal pregnancy is suspected at a later late gestational age, then a laparotomy

should be performed, so how often the villi of the placenta have already sprouted into the organs of the abdominal cavity.

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

, 

the prognosis is favorable. In case of late diagnosis, as well as with 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 chance of a normal pregnancy

      

is virtually non-existent. Read also: Laparoscopy as a diagnostic and treatment method in gynecology

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, it is believed that babies born as a result of abdominal pregnancy have developmental anomalies.

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