Positive ectopic pregnancy

Ectopic pregnancy is a special kind of pregnancy that mothers least want to see. Because once an ectopic pregnancy occurs, the fetus will stop developing, and the pregnant mother may even experience vaginal bleeding, miscarriage, etc. Therefore, once the hospital detects a positive ectopic pregnancy, pregnant mothers will have to undergo an abortion. In fact, ectopic pregnancy is mainly caused by fallopian tube blockage, and the occurrence of ectopic pregnancy can be reduced after treatment.

An abnormal pregnancy process in which the fertilized egg implants and develops outside the uterine cavity. Also called "ectopic pregnancy". The most common type of pregnancy is tubal pregnancy. The cause of the disease is often due to inflammation in the fallopian tube lumen or its surroundings, which causes poor patency of the lumen, hindering the normal operation of the fertilized egg, causing it to stay, implant, and develop in the fallopian tube, leading to miscarriage or rupture of the fallopian tube pregnancy. There are often no obvious symptoms before miscarriage or rupture, but there may also be amenorrhea, abdominal pain, and a small amount of vaginal bleeding. After rupture, symptoms include acute and severe abdominal pain, repeated attacks, vaginal bleeding, and even shock. Examination often shows signs of intra-abdominal bleeding and a mass next to the uterus. Ultrasound examination can assist in diagnosis. Treatment is mainly surgical. While correcting shock, laparotomy and removal of the diseased fallopian tube are performed. If you want to preserve your fertility, you can also cut the fallopian tube and remove the fertilized egg.

1. HCG determination

It is currently an important method for early diagnosis of ectopic pregnancy.

2. Progesterone determination

The serum P level in ectopic pregnancy is low, but it is relatively stable at 5 to 10 weeks of gestation, and a single measurement has a great diagnostic value. Although there is overlap between normal and abnormal pregnancy serum P levels, making it difficult to determine the absolute critical value between them, a serum P level lower than 10 ng/m1 (radioimmunoassay) often indicates abnormal pregnancy, with an accuracy rate of about 90%.

3. Ultrasound diagnosis

Type B ultrasound examination is particularly commonly used for the diagnosis of ectopic pregnancy, and vaginal ultrasound examination is more accurate than abdominal B-type examination.

4. Diagnostic curettage

When ectopic pregnancy cannot be ruled out, a diagnostic curettage can be performed to obtain the endometrium for pathological examination. However, the endometrial changes in ectopic pregnancy are not characteristic and may be manifested as decidual tissue, highly secretory phase with or without A-S reaction, and various secretory and proliferative phases. Changes in the endometrium are related to whether the patient has vaginal bleeding and the duration of vaginal bleeding. Therefore, the diagnosis of ectopic pregnancy based solely on diagnostic curettage has great limitations.

5. Posterior fornix puncture

Posterior uterine fornix puncture is widely used to assist in the diagnosis of ectopic pregnancy. Blood can often be drawn out and does not coagulate after being placed, and contains small blood clots. If no fluid is removed, the diagnosis of ectopic pregnancy cannot be ruled out.