What are the symptoms of ectopic pregnancy embryo death?

Ectopic pregnancy is a very familiar disease. The chance of fetal death due to ectopic pregnancy is very high. Once the patient with ectopic pregnancy develops the disease, it will cause severe abdominal pain and vaginal bleeding. Therefore, heavy vaginal bleeding means that he and she can no longer survive. More serious patients will be accompanied by fainting and shock. If these symptoms occur during pregnancy, it means that it is abnormal and you need to go to the hospital for examination.

What are the symptoms of ectopic pregnancy?

1. History of amenorrhea

Women who have always had regular menstruation experience amenorrhea. Generally, menopause lasts for 6-8 weeks. When irregular vaginal bleeding occurs a few days after the menstrual period, patients often mistake it for menstruation and neglect to go to the hospital for treatment. Especially women with irregular menstruation would not even think of going to the hospital for examination.

What are the symptoms of ectopic pregnancy?

2. Abdominal pain

The abdominal pain caused by ectopic pregnancy occurs approximately within 6-8 weeks after pregnancy. The abdominal pain is caused by the rupture of the fallopian tube. It is often a tearing pain in one side of the lower abdomen, accompanied by nausea, vomiting, and a feeling of heaviness in the anus. If there is excessive bleeding, the pain will be unbearable. Not only will there be abdominal pain, but there will also be vaginal bleeding.

3. Vaginal bleeding

It often presents as irregular bleeding after a brief period of amenorrhea, with a small amount of bleeding, spot-like, dark red or brown color. Some patients have heavy bleeding, similar to menstrual flow.

4. Syncope and shock

It can cause dizziness, pale complexion, thin pulse, low blood pressure, cold sweat, syncope, shock, etc. Syncope resulting from an ectopic pregnancy can easily be mistaken for hypoglycemia.

5. Other symptoms

There may be nausea, vomiting, and frequent urination. The symptoms of ectopic pregnancy are often atypical. Some patients may go into shock due to heavy bleeding, become pale, and have low blood pressure.

Diagnosis of ectopic pregnancy

The diagnosis of ectopic pregnancy is based on symptoms and examination to confirm whether it is an ectopic pregnancy.

1. Pregnancy test

When the embryo is alive or the trophoblast cells are viable, the syncytial cells secrete hCG and the pregnancy test may be positive. Since the hCG level in patients with ectopic pregnancy is lower than that in normal pregnancy, the general hCG determination method has a low positive rate, and a more sensitive β-hCG radioimmunoassay or monoclonal antibody enzyme-labeled method must be used for detection.

2. Endometrial pathology examination

Diagnostic curettage is only suitable for patients with heavy vaginal bleeding and is intended to exclude intrauterine pregnancy. Uterine discharge should be routinely sent for pathological examination. If villi are seen in the section, intrauterine pregnancy can be diagnosed.

3. Ultrasound diagnosis

In early tubal pregnancy, B-ultrasound images show an enlarged uterus, but an empty uterine cavity and a low-echo area beside the uterus. This image is not the sonographic feature of tubal pregnancy, and the possibility of early intrauterine pregnancy with corpus luteum of pregnancy needs to be excluded. Ultrasound detection of the gestational sac and fetal heartbeat is very important for diagnosing ectopic pregnancy. If the pregnancy is located outside the uterus, it can be diagnosed as an ectopic pregnancy; if the gestational sac is located inside the uterus, ectopic pregnancy can usually be ruled out. B-ultrasound has important clinical significance for early diagnosis of interstitial pregnancy, as it can show protrusion of one uterine horn, local thickening of the muscle layer, and an obvious gestational sac inside.