expert
family
at
body
side
Pregnancy and childbirth are a great joy in life. But for 27-year-old Xiao Ming (pseudonym), this pregnancy experience almost made her walk around from the ghost gate.
Shang Hongkai, deputy director of the Department of Gynecology of Hangzhou First People's Hospital, who has rich medical experience, said bluntly that such a situation is also the first time he has encountered it.
01
Unexpectedly conceived with a second child
Ultrasound checks that the fetus is not in the womb
Having a second child was not in Xiao Ming's plan. Two months ago, she found that her menstruation was not normal, and the following month she stopped menstruation directly, and went to the hospital to check that she was pregnant.
After some ideological struggle, the two decided to give birth. But unexpectedly, during the first prenatal checkup, Xiao Ming suffered a blow to the head. During the ultrasound, the doctor found that there was a fetus about 13 weeks old outside the uterus and in the abdominal cavity!
The incidence of abdominal pregnancy is about 1 in 10,000, which is a type of ectopic pregnancy. It is important to know that the placenta is very implantable, and wherever it slips, it will take root, and it is very likely that it has been "planted" on the mesentery, and once heavy bleeding occurs, it is life-threatening.
In addition, if the amniotic fluid is discharged, there is a risk of infection leading to an acute abdomen, which requires immediate surgical removal.
02
Heavy bleeding can occur at any time
Emergency Surgery "Bomb Defusal Successful"
After Wanquan's preparation for surgery, Xiao Ming was pushed into the operating room. During the operation, it was found that the placenta adhered to the mesentery and could rupture and bleed at any time.
The surgical team composed of Shang Hongkai and Qian Jing worked closely together to peel off the placenta adhered to the mesentery little by little and remove it.
After 2 hours of hard work, the team finally succeeded in "defusing the bomb" and won this special "life defense battle"!
Shang Hongkai said that common ectopic pregnancies are often in the fallopian tubes, ovaries and other places. Like Xiao Ming, it is rare for a fertilized egg to implant on the mesentery and be found for more than three months.
The fertilized egg may get lost during implantation and swim into the abdominal cavity, or it may implant in the fallopian tube, and after the breakthrough, fortunately does not cause heavy bleeding, it accidentally falls into the abdominal cavity.
03
Doctor's Reminder:
At 50 days of pregnancy, an ultrasound examination should be done
Recalling his thrilling encounter this time, Xiao Ming also had palpitations, because he had production experience, he did not have the first prenatal examination after this pregnancy, which almost caused a catastrophe.
The abdominal cavity is like a large plain for the fertilized egg, and the zygote is like a dandelion seed "floating in the wind", which can "take root and sprout" on the surface of any organ in the abdominal cavity, and once it takes root in the wrong place, it will become a "time bomb".
Shang Hongkai emphasized that after pregnancy, it is necessary to rule out ectopic pregnancy in a timely prenatal examination, and B ultrasound examination should be done 50 days after pregnancy to clarify the embryo status.
Women who are trying to conceive
Pay attention to pre-pregnancy check-ups to completely remove all kinds of gynecological diseases, especially women with fallopian tube problems.
Pregnant females
Common symptoms of ectopic pregnancy are abdominal pain, menopause, irregular vaginal bleeding, abdominal discomfort, etc. If these conditions occur during the first trimester, seek immediate medical attention.
Shang Hongkai is the chief physician
Deputy Director of the Department of Gynecology of Hangzhou First People's Hospital, leader of gynecology reserve discipline, doctor of medicine, master's tutor, graduated from Charite Medical School of Humboldt University in Germany (ranked first in Germany), served as a youth member of the Gynecologic Oncology Branch and the Obstetrics and Gynecology Branch of Zhejiang Medical Association, a high-level talent in Zhejiang Province, and a Class C talent in Hangzhou. He has presided over 2 projects of the National Natural Science Foundation of China, 2 projects of the Natural Science Foundation of Zhejiang Province, 1 key project of the Science and Technology Bureau, won the first prize of the Zhejiang Medical and Health Science and Technology Award, and won the grand prize of the surgical video competition for many times. He specializes in the diagnosis and treatment of various difficult gynecological diseases, minimally invasive surgical treatment of benign and malignant gynecological tumors, and the diagnosis and treatment of pelvic floor dysfunction such as urinary incontinence.
Outpatient Hours (Hangzhou First People's Hospital)
All day every Friday (closed on April 12)
- Contributed by: Hangzhou First People's Hospital
- Please indicate "Healthy Hangzhou"
WeChat revision
There are often readers who miss the push
🌟 Star "Healthy Hangzhou"
Receive every freshly baked tweet in a timely manner
Previous Review
Hangzhou is "snowing"? Please note that it will last for more than half a month
More and more people are being recruited, and the youngest is only 12 years old
The virus is easily activated in the hot and cold spring! The patient said: It is more painful than an electric shock
This "black spot" is here again! You can't shoot it! You can't pull it out! Be careful when you go out and sweep the graves