Ectopic pregnancy: Can be prevented

According to ThS.BS Dang Le Dung Hanh, ectopic pregnancy appeared at a rate of 1-2% of all pregnancies. Particularly in Hung Vuong Hospital, this rate is over 2.5%. The cause of increased incidence of ectopic pregnancy is due to an increasing number of genital infections and abortion.

Abortion: Egg occlusion inflammation

The uterus, also known as the uterus, is the reproductive organ of a woman. During pregnancy, the fetus will develop there. For some reason, the ovary is blocked or narrowed, or because the egg moves more slowly than usual, the fertilized egg stays behind the uterus and grows there, leading to an ectopic pregnancy. .

For some reason, the ovary is blocked or narrowed, or because the egg is moving slowly, the egg will lie down and develop into a pregnancy outside the uterus.(Photo: VNN)

Ectopic pregnancy can occur in many different locations such as the ovary (most common), or sticking on the ovary, even in the abdomen or lying in the cervix. In particular, ectopic pregnancy in the immediate position between the fallopian tube and uterus is the most dangerous because it is difficult to diagnose early. When the fetus breaks, it will cause a lot of blood loss and quickly affect the ability to become pregnant later.

Genital infections will clog, narrow the fallopian tube and easily cause ectopic pregnancy. Inflammation often occurs and develops silently after abortion.

The ovary may also block or narrow due to congenital or previous intervention on the fallopian tube. Abdominal surgery may also cause inflammation of the inside or outside of the fallopian tube and alter the direction of the fallopian tube. Therefore, the spout can be stretched, angled .

Postmenopausal, abdominal pain, and vaginal bleeding are the three most common signs in women with ectopic pregnancy.

Vaginal bleeding appears late because the fetus develops in the fallopian tube can cause cracks. The amount of blood is usually small, dark and prolonged. Sometimes, bleeding appears close to the period of menstruation (periodic), making the person mistakenly believe that he or she is having periods, or having menorrhagia, and going to the hospital to treat these conditions.

Ectopic pregnancy may be mistaken for diseases:

- Epilepsy or menstrual disorders

- Early pregnancy: It can also cause bleeding and less or severe pain in the lower abdomen

- Threatening a miscarriage: There is also abdominal pain and vaginal bleeding

- Damaged fetus (stillbirth) in the early stages will have long-term melon bleeding, when a miscarriage occurs naturally there is also abdominal pain.

Abdominal pain is often caused by stretching of the egg tube, dull abdominal pain on one side of the abdomen under the navel. The pain may be temporarily reduced when taking painkillers, but it will return after the painkillers have stopped working.

When a rupture occurs, the patient will experience severe pain, pale skin and a feeling of exhaustion. This condition will be exacerbated by excessive blood flow in the abdomen and cannot be held by itself, which can lead to death.

Treatment: Removal of fetal mass

The ectopic pregnancy block is difficult to develop into a normal pregnancy, enough for a full day because of insufficient nutrition. The pregnancy block will rupture and bleed, sooner or later depending on the position of the fetus. The principle of treatment is to remove the fetus, or make the fetus block not continue to develop the wrong position and dissolve itself.

Surgery is a major treatment so far, including open abdomen and endoscopic surgery. In recent times, endoscopy has been widely applied. Endoscopic surgery is to open a few small holes in the abdominal wall, put surgical instruments into and through these devices to perform operations to remove the fetal mass.

Although laparoscopic surgery requires many technical conditions, equipment ., but compared to open surgery, patients are less prone to postoperative abdominal abdomen. When the pregnancy has broken, or there is too much blood in the abdomen, the endoscopy cannot be performed but forced to open.

In addition, medical treatment is indicated when the ectopic pregnancy is not broken, 3cm in size, the fetal heart is not active. One can use a cytotoxic substance to inject into the body or fetal mass, the purpose of killing the cells of the fetal mass.

The substance currently used is Methotrexate, which is a competitive substance with folic acid, an important ingredient in cell growth and cell growth. In the US, since the 1950s, the drug has been used in cancer treatment and until 1980, used to treat ectopic pregnancy.

Pregnant women should seek antenatal care early for unusual abdominal or bleeding pain in the early stages of pregnancy.Artwork(Photo: health.state.pa.us)

The drug may be injected into the muscle only once or multiple times, or injected directly into the fetus. After injection, patients are monitored for 3-4 weeks, longer than surgical treatment.

After treating an ectopic pregnancy, the patient can still become pregnant again normally. However, the risk of recurrent ectopic pregnancy may be over 10%. However, if there is an infection that causes narrowing of the fallopian tube, the likelihood of relapse is even higher.

Recurring ectopic pregnancy can be repeated on the rest of the fallopian tube, on the opening of the fallopian tube (if the previous surgery is to try to retain the fallopian tube) or on the dead end of the cut egg nozzle.

Preventing ectopic pregnancy

According to ThS.BS Dung Hanh, to prevent ectopic pregnancy, women should limit abortion; use contraceptive measures; Good hygiene for menstruation, especially during postpartum and breastfeeding.

"When there is genital infection, patients should go to the doctor to receive adequate treatment. Periodical gynecological examination and gynecological examination immediately when there are signs of genital inflammation to be treated appropriately, avoiding inflammatory sequelae stick the egg nozzle, harm to reproductive ability later, " BS. Dung Hanh said.

Pregnant women should go for an early pregnancy checkup when they have irregular abdominal pain or bleeding in early pregnancy. In particular, pregnant women who have had an ectopic pregnancy or had previous genital infections.

Early detection of a non-broken ectopic pregnancy will help patients reduce the loss of pregnancy-induced blood loss, reduce the risk of shock and death, and increase the likelihood of retaining eggs to maintain the ability to become pregnant. normal again.

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