What to do if you have a hysterectomy pregnancy

What to do if you have a hysterectomy pregnancy

Hysterotomy pregnancy is a very dangerous condition. It is an ectopic pregnancy, which means that the ovary is found at the hysterotomy incision. If it is not discovered in time, the uterus may rupture and cause heavy bleeding as the embryo grows. If not handled properly, it may lead to infertility and endanger the physical and mental health of women. So what should women do if they have a hysterotomy pregnancy?

Because hysterotomy pregnancy can lead to life-threatening uterine rupture and massive bleeding, once diagnosed, active treatment is required, including conservative treatment and surgical treatment. Conservative treatment aims to kill embryonic tissue, reduce bleeding, preserve the uterus, and retain the patient's fertility. The main methods are: systemic or local (interventional) application of methotrexate (MTX) and/or mifepristone treatment. MTX directly kills the villi, and mifepristone can reduce the blood supply to the placenta, causing ischemia, degeneration, and necrosis of the villi and decidual tissues, making them easy to peel off. When the local blood flow signal in the uterus is significantly reduced or disappears, and the blood β-HCG is <100UL/L, curettage can be performed under ultrasound guidance to remove the lesion. This method is safe and reliable, but the hospitalization time is long. The principles of surgical treatment are to remove the lesion and control bleeding. The main methods include wedge resection of the lesion, scar repair or hysterectomy according to the situation. This method has a short treatment time and reduces the risk of massive bleeding during treatment.

The above is the treatment method for hysterotomy pregnancy. Hysterotomy pregnancy is a very dangerous condition, so when you discover it, you must go to the hospital in time for treatment. You should choose a method of termination of pregnancy that will cause less harm to yourself. After the termination, you should replenish your nutrition and restore your body's energy. Finally, I wish all women good health.

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