Xiaoyu and her husband have not conceived a baby for 3 years after marriage, and last year they tried to undergo IVF, and a month after the embryo transfer, they went to the hospital for ultrasound examination.
When Xiaoyu returned home after doing the examination, her husband snatched the B ultrasound report:
So cattle! Pregnant with two babies. 'A gestational sac is seen in the uterine cavity and in the left adnexal area, and fetal buds and primitive heart canal beats can be seen'. What does the left attachment area mean?
The doctor said that it was a simultaneous pregnancy inside and outside the uterus and that it needed to be hospitalized for surgery as soon as possible...
Why? This is obviously pregnant with two, why not twins?
I also want to know...
1. Why does intrauterine and intrauterine pregnancy occur at the same time?
Simultaneous intrauterine and intrauterine pregnancy refers to a pathological condition in which a normal pregnancy in the uterine cavity is present at the same time as an ectopic pregnancy.
We know that there is a possibility of ectopic pregnancy, whether it is a natural pregnancy or a IVF pregnancy. For people who do test tubes, the embryos transferred in are more active and will swing around in the uterine cavity until they find a place to rest. But sometimes the embryo is too naughty, and instead of taking root in the "designated area", it chooses the fallopian tubes, cervix, intra-abdominal cavity, broad ligaments, and ovaries, etc., forming an ectopic pregnancy.
Some patients who do test tubes transfer two embryos into the uterus, if one of the embryos is more honest, growing and developing in the uterine cavity, and the other embryo mistakenly chooses a location outside the uterine cavity, it will lead to ectopic pregnancy, which becomes both inside and outside the uterine pregnancy. This explains why ultrasound B shows two gestational sacs but cannot be twins, because the embryo in which the ectopic pregnancy occurs is basically difficult to preserve.
2. How to deal with intrauterine pregnancy?
Intrauterine and intrauterine pregnancy is more difficult to find than simple ectopic pregnancy, if it is only ectopic pregnancy, after determining that there is no gestational sac in the uterine cavity and other parts of the pregnancy sac and fetal heartbust fetal buds can be found, treatment can be carried out, such as conservative treatment or surgical treatment, and if necessary, even chemotherapy drugs can be used to "dispose" of the embryo that cannot be retained, so as to avoid the rupture of the ectopic embryo, which will then endanger health.
Nevertheless, sometimes after the discovery of the gestational sac and fetal heartbump in the uterine cavity, the "suspicious suspect" in other parts cannot be immediately identified. Even if it is finally determined that it is a simultaneous intrauterine pregnancy and an ectopic pregnancy, the doctor will handle it with caution as appropriate, because the size is a small life.
It is necessary to ensure the normal growth of embryos in the uterine cavity, and to remove the "lost embryos", which can be said to be quite tangled. So, how to deal with both intrauterine and intrauterine pregnancy?
1. If both embryos are poorly developed, they can be temporarily observed and treated conservatively:
After all, sometimes the embryo itself will slowly stop developing, and there is no need to "make a big fuss". If it is found that none of the embryos in the utero are suitable for continued development retention, they are treated as ectopic pregnancies, using medication or surgery to make the embryos inside and outside the uterus clear.
2. If the intrauterine embryo develops normally, and the ectopic embryo develops poorly:
Observe the embryonic development first to see if there are any tenacious survivors. When choosing conservative treatment, be sure to be prepared for rescue at any time when ectopic pregnancy rupture and bleeding occur.
3. If the intrauterine embryo does not develop well, the ectopic embryo develops better:
Without saying a word, deal with it decisively.
4. If the embryos inside and outside the uterus are thriving:
Consider open and laparoscopic surgery. Laparoscopic surgery can effectively prevent pelvic sub-adhesions, prevent recurrence of ectopic pregnancy, and be safe to use during pregnancy, so it is clinically more inclined to lactoscopic surgical treatment. Moreover, the chance of intrauterine embryogenesis stopping development after surgery is not significantly increased. However, an experienced hospital or doctor should be chosen as much as possible to perform the operation, because any improper operation of the operation may affect the normal development of the intrauterine embryo.
Now let's look at the patient Xiaoyu in the opening chapter, who after timely surgical treatment, cut off the embryo of the ectopic pregnancy and successfully gave birth to a baby girl more than 8 months later. Now, she has begun to plan her second child!
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