Can I have an ectopic pregnancy without hospitalization?

After the patient enters the hospital, the doctor will use B-ultrasound, blood tests and other technical methods to diagnose whether the patient has an ectopic pregnancy. At present, the treatment standard for ectopic pregnancy is mainly surgical treatment. Some mild patients can also be treated with medication. Let’s talk about whether ectopic pregnancy can be treated without hospitalization.

Can ectopic pregnancy be treated without hospitalization?

First: traditional medication. It is mainly suitable for young patients with early tubal pregnancy who need to preserve their fertility. This method can be used if the following criteria are met: 1) normal kidney and stomach function, no contraindications to medication; 2) no rupture of the fallopian tube pregnancy; 3) gestational sac diameter < 4cm; 4) blood HCG < 2000u/l; 5) no obvious capillary rupture. Key taboos: 1) Unstable ECG monitoring; 2) Ectopic pregnancy rupture; 3) Gestational sac diameter ≥4cm or ≥3.5cm with fetal heartbeat. Drug treatment is divided into chemotherapy and traditional Chinese medicine treatment, and it is advisable to combine the two. It may be treated with surgery, but it may not cause pelvic adhesions. The future fertility rate is normal. Compared with surgical treatment, it avoids surgical and postoperative complications and is suitable for young women who want to have children.

Second: Radical surgery - bilateral salpingectomy: It is especially suitable for those who are adapting to existing children, have normal fallopian tubes on both sides, have general damage to both fallopian tubes during pregnancy, and have interstitial pregnancy and severe vascular shock.

Third: Traditional surgical treatment: Suitable for those who have not split in the early stage or the diameter of the split is ≤75px, and the bilateral fallopian tubes can be preserved ≥125px after the operation and those who are required to maintain fertility. Extrusion surgery: suitable for pregnancy at the fimbria and distal end of the ampulla, but the rate of recurrent ectopic pregnancy and persistent ectopic pregnancy after surgery is high, so it is not considered to be suitable; ostomy (window ventilation) and incision suture surgery: suitable for pregnancy at the ampulla; post-excision resection: suitable for pregnancy at the proximal end of the muscle wall or ampulla, ensuring that the posterior length is ≥125px.

Things to note

Specific guidance for hospitalization: sexual intercourse is strictly prohibited for one month, pay attention to contraceptive measures, pay attention to cleanliness, prevent reverse infection, and follow up if you feel any discomfort. The treatment of ectopic pregnancy should be based on the advice of regular hospital doctors.