Progressive pregnancy: signs, diagnostic methods, indicators

2024 Author: Priscilla Miln | [email protected]. Last modified: 2023-12-16 00:21

Progressive pregnancy - what does it mean? This is a situation where the fetus develops outside the uterus. May attach to fallopian tubes. This pathology is very dangerous for a woman's life. At a short time, it cannot be distinguished from a uterine pregnancy. All the same symptoms: softened uterus, delayed menstruation, drowsiness, mood swings, colostrum may appear. But before the 7th week, the ultrasound shows that the uterus is lagging behind in development. And this is not typical for a normal pregnancy.

Features of pathology: what does it mean?

Progressive pregnancy can very often develop after a mini-abortion. Statistics show that not all cases end well. With a short gestation period, the baby is more likely to stay attached. In particular, with medical abortion, 5% of women can remain pregnant. The reasons for this may be:

1. Using medicines in the wrong order.
2. Good immunity and he alth of the woman, the protective function worked, and the fetus remained alive.
3. The baby really wanted to live and fought.

Even if the child remains, the abortion should be completed. Medicines have already greatly affected the development of the fetus. And if you leave him, then he can be born with great pathologies and organ defects. Taking this step, you should take the process extremely seriously and follow the instructions of specialists.

The need for ultrasound if a similar pathology is suspected

There are cases when a progressive pregnancy is detected in the later stages. When it is no longer possible to have an abortion. There are people who were born under this condition, but they remained disabled for life. Although very grateful for being alive. Therefore, with a short pregnancy, you should always be examined by a doctor, do an ultrasound scan and take tests. You can’t go all pregnancy without a hospital, and then just go to give birth. This is fraught with consequences.

What is the danger?

Progressive ectopic pregnancy is a great grief for a woman who really wanted a child. But when the fetus begins to develop in the tube, the question arises between the life of the baby and the mother. Doctors have an unequivocal opinion that with a progressing tubal pregnancy, an interruption should be done. This will save the woman's life, and it is also not known how the fetus would develop in such conditions.

Still, there are similar cases of bearing a child, but there are very few of them. And in allsituations such courage ended badly for women. Damage to the intestines and other organs, and always done by caesarean section before 26 weeks. And this is a very short period for the birth of a child. In the future, this can also tell on development.

Almost 100% of tubal pregnancies ended before 10 weeks, with tubal rupture and internal bleeding. After that, the removal of the tube is done, and it will not be possible to think about a subsequent pregnancy for a long time. It is worth listening to doctors, they have more experience and practice, it is better to interrupt on time than to lose the opportunity to have a child at all.

Signs

What does it mean - the pregnancy is progressing? How can you discover it yourself? Let's look at the signs of an advanced pregnancy:

1. After an unsuccessful interruption, you can independently notice that the pregnancy has remained. There will be the same nausea, breast swelling and so on. Also, the bleeding will end quickly, and then again there may be a delay. In this case, only an ultrasound can confirm the presence of a developing fetus.
2. It is very difficult to notice deviations in the early stages. There may be contractions and pain in the lower abdomen. On palpation, the doctor may feel a swelling on the side of the uterus. When you press it, there will be pain and pulsation. But such a change in the tube may be old, for example, the inflammatory process of the ovaries.
3. If the pregnancy hormone level is low. For an accurate diagnosis, the doctor collects information about menstruation, various diseases, childbirth. They will definitely do an ultrasound. At 11 weeks, the fetus will be the size of a large egg.
4. Bleeding or not abundant, but bloody discharge. In this case, the test will show a positive result. This suggests that the fetus may not have attached to the uterus.
5. There may be strong cramping pains, cutting. This is due to compression and stretching of the internal organs. Every week the discomfort will get worse.
6. Tangible abdominal pain. Fainting, which will be a clear sign that you need to go to the hospital. The pipe is severely deformed and may eventually burst. Abdominal bleeding occurs, due to which blood pressure drops and fainting occurs. A pregnant woman turns very pale, and cyanosis in the form of a hematoma will appear in the navel. It also indicates internal bleeding. After a progressive pregnancy is detected, the woman is immediately admitted to the hospital and an operation is performed. After an abortion, there are chances of getting pregnant again. They are not so big, but they are. Also, gynecologists recommend using oral contraceptives.

Reasons

Let's look at some more causes of uterine progressive pregnancy:

1. With frequent surgical operations of the small pelvis, adhesions and scars begin to form inside, which form a film. It is she who can prevent a fertilized egg from entering the uterus.
2. Tumours in the uterus, ovaries and pelvis, having a benign or malignant basis.
3. When using hormonal drugs, you may experienceimbalance of hormones in the body.
4. Consequences of using an intrauterine device.
5. Inflammatory processes of the urinary system.
6. A large number of sexual partners.
7. Long infertility.
8. Pregnancy after 40.
9. Abnormal pelvic structure.

Diagnosis

Girls who are predisposed to these pregnancies should receive a proper diagnosis of their condition. In this case, the following procedures are carried out:

• In a small pregnancy, even ultrasound is not always able to correctly diagnose, so doctors use blood tests for hCG. During uterine pregnancy, the amount of the substance will be sufficient, and will increase every few days. And with an ectopic pregnancy, it will be much lower.
• In the later stages, with ultrasound, you can see the accumulation of fluid in the abdomen, which indicates internal hemorrhage. Urgent surgery is needed here.
• Sometimes pregnant women may be prescribed laparoscopy, which can confirm the diagnosis and immediately eliminate the problem, remove the embryo, without major surgical intervention.

Treatment

How to treat a progressive pregnancy? There are two ways:

• The first method is a surgical intervention, an abortion. But in a gentle way - laparoscopy. With this procedure, a part of the organ is removed along with the embryo. After that, the woman may well become pregnant again.
• The second method is done onlate pregnancy. In this case, as a rule, the pipe may already burst and there may be bleeding. In this case, a completely damaged organ with an embryo is possible. After such an operation, it is difficult for a woman to become pregnant again.

Complications

If a progressive pregnancy is not treated on time, it becomes life-threatening for the woman. The simplest thing that can happen with a running form is infertility. But if the operation is not carried out in time, the woman will burn to die from abdominal bleeding.