What is tubal pregnancy abortion?

Girls will all get pregnant. Pregnancy is very hard and they can also have miscarriages. You won’t know unless you have experienced it yourself. You must be cautious when you are pregnant and pay attention to your diet and medication. There will be many unknown conditions waiting for pregnant mothers at this time. What is tubal pregnancy miscarriage? Let’s take a look at what these are.

A concept

The egg is fertilized in the ampulla of the fallopian tube. For some reason, the fertilized egg is blocked in the fallopian tube, and implants and develops in a certain part of the fallopian tube, resulting in tubal pregnancy. The most common pregnancy is in the ampulla, accounting for 50-70%; followed by the isthmus, accounting for 30-40%; the least common are the fimbria and interstitial parts, accounting for 1-2%.

Tubal pregnancy abortion will bring great pain to the patient. If it is a miscarriage, it is not a big deal, but if there is a rupture, the consequences are still quite serious. The patient will bleed heavily, and the damage to the patient's reproductive organs is also very serious. Even more serious is that their lives are in danger. Tubal pregnancy abortion is more common in the ampulla of the fallopian tube during 8-12 weeks of gestation. We cannot ignore tubal pregnancy abortion. It will seriously affect the health of women and cause fertility problems in the future. Therefore, we should do a good check before pregnancy to determine whether the fallopian tubes are blocked, and then do corresponding checks after pregnancy. This will minimize the damage and allow us to have a smooth pregnancy.

Second treatment measures

The main method for treating tubal pregnancy has always been surgery. In the past decade, due to the development of high-sensitivity radioimmunoassay of β-hCG, high-resolution B-ultrasound and laparoscopy, the early diagnosis of ectopic pregnancy has been significantly improved. Therefore, conservative surgery and drug treatment should be more used in clinical practice.

(1) Salpingectomy: Regardless of whether it is a miscarriage or ruptured tubal pregnancy, salpingectomy can stop bleeding in time and save lives. For women who already have children and no longer plan to have children, the contralateral fallopian tube can be tied at the same time. In women who need to preserve their fertility, salpingectomy should be performed if the fallopian tube lesion is too large, the rupture is too long, the fallopian tube mesentery and blood vessels are damaged, and/or vital signs are in a serious state. If tubal bleeding cannot be controlled during conservative surgery, the fallopian tube should be removed immediately.

The operation can be performed under acupuncture anesthesia or local anesthesia. After laparotomy, the bleeding should be stopped first, and the bleeding should be clamped with forceps.

The pregnancy point in the fallopian tube stops the bleeding. In case of shock, blood transfusion should be performed quickly. After the shock improves, the fallopian tube on the affected side should be removed according to the steps. If the ipsilateral ovary is normal, it should be retained. If the contralateral fallopian tube is normal, sterilization should be performed if the patient requests it. If there is lesion in the contralateral fallopian tube, the operation should be treated according to the patient's condition, requirements and the severity of the lesion. In principle, the operation time should be shortened as much as possible, and salpingostomy should not be considered during acute blood loss or inflammation. For those with no obvious infection in the free blood in the abdominal cavity, autologous blood transfusion can be given. Especially in the case of a blood shortage, autologous blood transfusion is an extremely effective measure to rescue patients with hemorrhagic shock. At this time, the blood does not coagulate, is not viscous, has no odor, and no more than 30% of the red blood cells are destroyed under a microscope. Add 10 ml of 3.8% sodium citrate to every 100 ml of blood. If more than 500 ml of autologous blood is transfused, 10-20 ml of 10% calcium gluconate should be given to avoid citrate poisoning. Autologous blood transfusion can replenish blood volume in time without blood matching, which is very necessary for patients with severe shock due to internal bleeding. It can save banked blood and reduce economic burden. In addition, the patient's own red blood cells are fresh and have strong oxygen-carrying capacity, and can also avoid infectious diseases such as serum hepatitis. In recent years, some people have proposed that autologous blood transfusions can be performed without anticoagulants and have applied it clinically. However, the coagulation degree of recovered blood transfusions varies from person to person. In order to give full play to the advantages of autologous blood transfusions, it is advisable to add sodium citrate or ACD solution for anticoagulation.

(ii) Conservative surgery: The so-called conservative surgery is, in principle, to remove the ectopic pregnancy.

I believe that after reading the above article, everyone will have some understanding of the relevant content of fallopian tube abortion, and probably know the preliminary care plan. If you encounter similar situations in the future, you will not panic. You will feel confident when looking at your belly, and you will not be like an ignorant person. It is good to know more medical knowledge, so pregnant mothers should take good care of themselves. Every baby deserves to be cared for.