Patient's question:
Last menstrual period was on 6.2, now pregnant for 45 days, sometimes there is pain in the abdomen. Besides vaginal bleeding, an examination said it was an ectopic pregnancy and needs surgery. How exactly should this ectopic pregnancy be treated?Doctor's answer:
Ectopic pregnancy, also known as tubal pregnancy, is a condition where a fertilized egg implants outside the uterus. It can occur in the fallopian tubes, ovaries, abdomen, broad ligaments, and cervical canal, among other locations. The majority of ectopic pregnancies occur in the fallopian tubes, where the fertilized egg grows and develops. This can lead to severe bleeding in the fallopian tube, endangering the pregnant woman's life.Most patients with ectopic pregnancy will experience dark brown vaginal bleeding, accompanied by the discharge of tubular tissue. The main symptom is sudden, sharp abdominal pain on one side, which may later spread to the entire abdomen. The rupture rate is 90%, and heavy bleeding can lead to hypotension and rapid, weak pulse.
Treatment is primarily surgical, with the goal of correcting shock while performing laparotomy to remove the affected fallopian tube or incise the tube to remove the pregnancy. After surgery, it is essential to pay close attention to any abnormal symptoms and seek medical attention promptly.