Tan Yuanyuan, 35 years old, in the 36th week of pregnancy, came to the hospital for a B-ultrasound examination today. It showed that everything was normal for the fetus.
This is the third time that Tan Yuanyuan is pregnant. As early as 2012, Ms. Tan had a second pregnancy. Due to her busy work, she was pregnant for almost two months and she did not have time to go to the hospital for examination. She started to feel intense pain in her lower abdomen suddenly in the morning of March 12, accompanied by A small amount of blood was bleeding from her lower body, and her first consciousness was a miscarriage. So he quickly called her husband back to take a taxi and rushed to the hospital with her. On the way, Tan Yuanyuan's condition changed drastically, her limbs became cold, her whole body was sweating non-stop, and she entered a state of lethargy. When she went to the emergency department of the hospital, the doctor quickly opened a green channel through ultrasound. Upon examination, the diagnosis was: a large amount of fluid in the abdominal cavity with a mixed mass in the right appendage. In fact, the ectopic pregnancy is ruptured and bleeding. Immediately sent to the operating room for emergency surgery. After nearly two hours of surgery and blood transfusion of nearly 12,000ml, the person was finally rescued.
Mixed mass (pregnancy) in the right appendage area
This experience left a huge psychological shadow on Ms. Tan. In the following years, she adopted strict contraception and did not dare to go beyond the thunder pond.
Ms. Tan’s Dabao is a girl, 11 years old this year. The husband likes children very much and has always wanted a second child. If he gets the word "good", then it is best. Ms. Tan's husband and wife are very affectionate, and her husband understands her very well, so they haven't mentioned the second child to her for so many years. Ms. Tan is a careful person. She knows her husband's heart knot. Over the years, she has seen many cases of ectopic pregnancy and then pregnant and giving birth to children. As one's own age grows, if you don't have another birth, you may have to leave a lifetime regret. After countless collisions of thoughts, I finally mustered up the courage and decided to prepare for the second child. First of all, of course, go to the hospital and consult relevant obstetrics and gynecology experts. Under the guidance of doctors, through a series of preparations for half a year, she was finally pregnant smoothly at the beginning of 2021. In less than a month, Ms. Tan will become a happy mother for the second time.
Then,If you have had an ectopic pregnancy, can you get pregnant and have children again? This is also a common confusion among women who have had an ectopic pregnancy. Today we will talk about this topic.
First come to understand what ectopic pregnancy is, as the name implies, pregnancy outside the uterine cavity, the most common is tubal pregnancy , as well as ovarian pregnancy , uterine pregnancy, span_span span3span and so on.
Ectopic pregnancy treatment can be divided into non-surgical conservative treatment and surgical treatment.
Conservative treatment. is to take medication to stop the embryo from developing and then be absorbed by the body. The commonly used medication is methotrexate . However, most obstetricians and gynecologists do not recommend conservative treatment, especially for women who want to have another child. Unless it is determined to be intra-abdominal pregnancy. Reasons 1. In the early stage of taking the medicine, the embryo will continue to develop, and will rupture and hemorrhage at any time, endangering the life of adults. 2. If it is a tubal pregnancy, self-absorption by taking medicine will cause blockage of tubal or local stenosis, which is very easy to cause ectopic pregnancy again when pregnant again. 3. There are many side effects of drugs, which can cause endocrine disorders.Make it difficult for women who want to give birth to get pregnant.
Surgical treatment Surgical methods are mainly open surgery and laparoscopic surgery. Now most hospitals do laparoscopic surgery. Laparoscopy is a minimally invasive surgery, which has less trauma to the patient and lighter postoperative abdominal adhesions. During the operation, it can be determined whether the fallopian tube is removed or preserved according to the situation.
fallopian tube surgery is divided into salpingectomy (radical surgery) _span31 _strong span1 _strong span1 _strong span34 conservative surgery.
Conservative surgery It is suitable for pregnant women whose embryos have not yet ruptured and hemorrhages and have fertility requirements. The operation is different according to different parts.
1) Umbrella pregnancy The pregnancy can be squeezed out during the operation.
2) Fallopian tube pregnancy can be incised, and the pregnancy can be removed and then sutured.
3) During the isthmic pregnancy, the diseased variable segment is excised and then anastomosis is performed.
Do you see it? The purpose of conservative surgery is to preserve the fallopian tubes as much as possible,Create conditions for reproducing.
radical operation It is suitable for tubal pregnancy in which the embryo has ruptured and hemorrhages and has shock symptoms and no fertility requirements. The surgical method is to directly remove the affected fallopian tube.
After an ectopic pregnancy operation, if you become pregnant again, it is definitely more likely than normal people to have an ectopic pregnancy. Therefore, if you want to give birth again, it is recommended that you have to do a salpingogram test before you get pregnant again to make sure that both fallopian tubes are unobstructed and try pregnancy again. And in the early pregnancy, do a B-ultrasound examination as soon as possible to determine whether the pregnancy is intrauterine or ectopic pregnancy as soon as possible.
Conclusion It can be seen from the treatment method of ectopic pregnancy that both sides of the fallopian tubes are preserved, regardless of whether it is conservative medication or conservative surgical treatment. Even if radical surgery, one side of the fallopian tube is still preserved. Therefore, after an ectopic pregnancy operation, as long as you prepare for another pregnancy, you can get pregnant again and have a baby.
As for how long you can get pregnant after ectopic pregnancy, there is no clear statement. It should be decided according to the patient's physical recovery and personal fitness. Most patients can consider getting pregnant again about six months to one year after the operation. .
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