An ectopic pregnancy that occurs in a place other than the normal location… Safe birth at 29 weeks
Entered 2023.12.13 14:46 Views 95 Entered 2023.12.13 14:46 Modified 2023.12.13 14:51 Views 95
Left photo = Scanned photo of the woman with the story. The yellow circle with an asterisk shows that the uterus is empty, and the red circle with an arrow shows that the fetus is growing in the peritoneal cavity. [사진=’데일리메일’ 보도내용 캡처/ 우측사진=게티이미지뱅크 *임신 배 이해를 돕기 위함]A case was recently published in the New England Journal of Medicine in which a woman who went to the hospital with persistent abdominal pain and severe abdominal distension without knowing she was pregnant was diagnosed with an ectopic pregnancy and gave birth safely.
According to multiple foreign media reports, including the British daily The Sun, this woman (37), who lives on Reunion Island, located in the Indian Ocean near Madagascar and Mauritius, visited a hospital in France with abdominal pain symptoms that had persisted for 10 days. The woman thought she had a stomachache, but tests showed she had an ectopic pregnancy. When she arrived at the hospital, the woman was 23 weeks pregnant and her fetus was growing inside her abdominal cavity.
Among them, it was an extremely rare intraperitoneal pregnancy, and a normally formed fetus was growing within the peritoneal cavity. The placenta was attached to the upper part of the pelvis. Doctors said the chances of this happening were very slim, but it could be possible. This means that the fetus may implant in the fallopian tube and grow until the fallopian tube ruptures and ‘escape’ into the abdominal cavity.
The medical staff recommended waiting until the 29th week of pregnancy to give birth to increase the baby’s chances of survival, and the baby was delivered safely through an abdominal incision at the 29th week. The baby was immediately transferred to the neonatal intensive care unit. And the mother underwent a separate surgery to remove the remainder of her placenta 12 days after giving birth.
It is reported that the mother and baby were discharged from the hospital 25 days and 2 months after giving birth, respectively, and did not receive additional medical treatment after that. The woman already has two children and has previously suffered a miscarriage.
Ectopic pregnancy, which can be dangerous for both the fetus and the mother
An ectopic pregnancy occurs when a fertilized egg does not implant in the lumen of the uterine body, which is its normal location, but is located elsewhere, such as the fallopian tubes (fallopian tubes) that carry eggs from the ovaries to the uterus, the ovaries that produce eggs, various ligaments that support the uterus, the abdominal cavity, etc. This refers to a pregnancy that implants in the cervix.
When fertilization of an egg and sperm occurs normally in the fallopian tubes, the fertilized egg passes through the fallopian tubes and reaches the uterus. However, if the fallopian tubes are blocked or damaged, the fertilized egg cannot travel to the uterus and may implant in the fallopian tubes, resulting in an ectopic pregnancy. Most ectopic pregnancies are tubal pregnancies.
Although intra-abdominal pregnancies like the one in this case are very rare, there are cases where the fetus can be saved through surgical delivery. The abdominal cavity is a space surrounded by the peritoneum, separated from the thoracic cavity by the diaphragm above, and adjacent to the pelvis below. There are many organs located in the abdominal cavity, and the peritoneal cavity, which is the space between the parietal peritoneum (the membrane surrounding the inner wall of the abdominal cavity) and the visceral peritoneum (the membrane surrounding the organs and structures within the abdominal cavity), contains a small amount of serous fluid and contains a small amount of intestinal fluid. It prevents friction and allows organs to move freely.
Symptoms of ectopic pregnancy vary greatly. Typically, menstruation may stop and abdominal pain or irregular vaginal bleeding may occur. In addition, people may complain of dizziness, a heavy feeling in the lower abdomen, breast pain, or nausea.
The problem with ectopic pregnancy is that as the fetus grows, the area where the ectopic pregnancy occurred (especially the fallopian tubes) cannot withstand the size of the fetus and ruptures. If this happens, a large amount of blood may bleed at once, putting the mother’s life at risk.
2023-12-13 05:48:45
#23week #fetus #womb.. #mother #didnt #pregnant
