Symptoms of abdominal pregnancy

Pregnancy reaction is a particularly happy thing for many people, especially some pregnant women. Because even pregnancy reactions occur, which means that you have symptoms of pregnancy. For some pregnant women, there will even be some pregnancy reactions, and some specific symptoms will appear in some parts of the body. So when you have this reaction, what specific symptoms will appear in your abdominal cavity?

Symptoms of abdominal pregnancy

Abdominal pregnancy patients usually occur in older women who have given birth in the past. In the early stages, patients will have symptoms of tubal pregnancy, such as amenorrhea, vaginal bleeding, early pregnancy reactions and abdominal pain. Many patients will have obvious abdominal pain. This is all caused by miscarriage or rupture of fallopian tube pregnancy. Slowly, the abdominal pain will ease, but the patient's abdomen will gradually enlarge. During pregnancy, patients may also experience abdominal discomfort, accompanied by symptoms such as nausea and vomiting, constipation, diarrhea, and abdominal pain. The abdominal pain conditions are also different. It is obvious when the fetal movement occurs, and the abdominal pain disappears when the fetal movement disappears. Some patients may experience anemia due to excessive internal bleeding during tubal pregnancy miscarriage or rupture.

Pregnant women often feel abdominal pain during fetal movement, and the symptoms gradually worsen as the fetus grows. During the abdominal examination, it will be found that the outline of the uterus is unclear, but the fetal position is abnormal, with shoulder or breech presentation, the fetal presenting part is high, the fetal heart rate is abnormally clear, and the placental murmur is loud.

Causes of abdominal pregnancy

There are many reasons for abdominal pregnancy. Primary abdominal pregnancy is relatively rare. This type of abdominal pregnancy refers to the fertilized egg being directly implanted in the peritoneum, mesentery, omentum, or ectopic endometrium in the pelvic cavity and continuing to develop and grow. The main reason is that the fertilized egg is implanted in the peritoneum, which is derived from the body cavity epithelium and has the potential function of the paramesonephric duct epithelium. For example, the decidual reaction of the posterior wall of the uterus is an example. The endometrium is implanted on the surface of the parietal or visceral layer, which is conducive to the implantation of the fertilized egg.

Another possibility is that there is a defect in the uterus, such as a scar that has not healed, a diverticulum, spontaneous rupture of the uterus due to uterine hypoplasia, or a ruptured uterus and peritoneal fistula. In most cases, the fertilized egg is first implanted in the fallopian tube, then ruptures or miscarries, and the embryonic sac falls into the abdominal cavity, attaches to the greater omentum, mesentery, organs, etc., and continues to grow and develop into an abdominal pregnancy. The embryonic sac may still be connected to the fallopian tube, uterus, and ovary, or may show signs of damage.

Treatment of abdominal pregnancy

The treatment of abdominal pregnancy is relatively complicated, but with the advancement of medicine and the improvement of surgical methods, the maternal mortality rate of abdominal pregnancy has dropped a lot in recent years.

The presence of products of pregnancy in the abdominal cavity may lead to infection, abscesses and sinus tracts, so surgical treatment should be considered once the patient is diagnosed. The operation mainly involves cesarean section to remove the fetus. The placenta should be handled with extreme caution, and its treatment should be determined based on its attachment site, fetal survival, and duration of death. Because the placenta is implanted in the intestine or mesentery, arbitrary removal will cause heavy bleeding. If the placenta is attached to the uterus, fallopian tube, or broad ligament, the placenta can be removed along with the attached organ. If the fetus is alive or dead soon (less than four weeks), the placenta cannot be touched. The umbilical cord must be ligated and cut close to the placenta to remove the fetus, leaving the placenta in the abdominal cavity, which will gradually be absorbed in about half a year. If the fetus has been dead for a long time, such as more than several weeks or months, and the area of ​​placental implantation is not large, the placenta has shrunk and the blood sinuses have mostly closed, you can try to completely peel it out. Generally there is not much bleeding.