Ectopic pregnancy is a significant risk to the health of the pregnant woman. It can cause a breakdown of trunk and internal bleeding. It is for this reason that it is important to diagnose early.
We talk about pregnancy extra uterine (GEU) when the fertilized egg is implanted outside the uterine cavity.
Four cases: the egg can develop at the level:
-of a uterine Horn
-of an ovary
-of the abdominal cavity
-of the cervix
Diagnose a GEU
It is quite difficult to detect an ectopic pregnancy because there is no specific symptoms. Signs of a normal pregnancy are present at the beginning, starting with the stop rules.
Some symptoms must nonetheless alert, such as bleeding or pelvic pain (in the lower abdomen) that radiate to the shoulder.
Some examinations (blood test and ultrasound) allows to update a ectopic pregnancy. Where the importance of being followed very early early in your pregnancy.
Monitor risk factors
Certain factors increase the risk of ectopic pregnancy. Particularly in cases:
-A history of ectopic pregnancy;
-of voluntary interruption of pregnancy by aspiration.
-a history of sexually transmitted diseases;
-of tubal surgery;
-from port of an IUD;
-of taking the pill the next day;
Treat ectopic pregnancy
The treatment has several objectives: stop the bleeding, stop pregnancy before the destruction of the uterine Horn, preserve fertility… Two types of treatment: medical or surgical
In the case of medical indication, is the injection of methotrexate on the uterine Horn. It is a drug that stops cell division locally.
For surgical treatment, two types of gesture: the surgeon extracted the egg fertilized without having to remove the uterine Horn either egg is too big, in which case he proceeds to the removal of the trunk.
A practice of the CNGOF recommendations, national College of gynecologists and obstetricians french: support of pregnancy ectopic (2003)
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