Complications
Ectopic Pregnancy: Diagnosis and Treatment
Diagnosis
It is difficult to make, it is estimated that up to 12% are misdiagnosed, resulting in serious complications for the delay in correct diagnosis. Identifying the disease early is a necessary measure to prevent breakage of some of the structures or risk of maternal death from excessive bleeding. The doctor referred Based on the statements and findings on physical examination, together with the presence of risk factors, have the elements to establish a timely diagnosis. The pregnancy test should be positive. In case of doubt, request imaging examinations.
Treatment
Because this is an aberration of pregnancy that is incompatible with the baby’s life and endangering the life of the mother, it can not be left to develop. Without complications, the treatment is abortion, which is performed through minimally invasive surgical procedures (laparotomy).
Complications
Are mainly due to the tissue breakdown caused by growth of the fertilized egg. The principal is bleeding, which can lead to shock and death on the pregnant woman. For some women, fertility may be affected.
Ectopic Pregnancy
It is a complication of early pregnancy and is a major cause of maternal death in the world and in some countries it is in the first place. In recent years their frequency has increased six times.
Considerations
Ectopic pregnancy is the implantation of the fertilized ovum outside the uterus or womb. There are several structures where the nest egg can abnormally, but between 70 and 90% of cases occur in one of the two fallopian tubes (the tubes through which migrates the egg or female sex cell, but also can be implemented in the ovaries (where eggs are produced) in the cervix and in some cases less, out of the reproductive organs in the abdominal cavity.
Causes
This condition is due to any factor that generates blocked fallopian tubes, which causes the egg can not reach the uterus. There has been a correlation between this condition and suffering or have suffered from sexually transmitted diseases that cause infections in the fallopian tubes, suffering or have suffered from pelvic inflammatory disease, smoking over 20 cigarettes a day, surgical sterilization, and use intrauterine device among others. Furthermore, this disease has a high recurrence rate.
Events
The woman complains of pain mainly in the lower abdomen or pelvic area also may have abnormal vaginal bleeding, nausea, vomiting and signs of pregnancy include: suspension of the menstrual period and swelling and breast pain. In severe cases, severe abdominal pain, dizziness and loss of consciousness, which, if due to internal bleeding can lead to shock and death of the person concerned.
Preventing The Complications of Premature Birth
Preventing the complications of premature birth prenatal therapy of corticosteroid administration significantly reduces respiratory distress syndrome (RDS), intraventricular hemorrhage (bleeding in brain) and infant death.
The most noticeable benefits concern the reduction of severe cases of RDS, a problem that affects 40 thousand children a year in the U.S. and that becomes the leading cause of infant mortality. The average duration in hospital was reduced and approximately one third of children were treated with corticosteroids.
This therapy has been available since 1972 but has ceased to be used is not very clear about the level of effectiveness and cases of treatment with potential complications.
However, after reviewing the scientific work and listen to some experts, one can conclude that corticosteroids generate many benefits for prenatal management and reduce potential risks.
Corticosteroids are hormones produced by the adrenal gland. These hormones have been synthesized and administered when the woman is pregnant, accelerating the maturation of specific organs, including lungs in the fetus.
The medication is effective in pregnant women between 24 and 34 weeks. Studies in children over age 12 who received treatment showed no adverse effects on motor skills, language, cognition, memory, concentration and academic performance.
Previously, antenatal corticosteroid treatments showed great effectiveness in mothers who were given the substance two or 7 days before delivery. There are still many areas of research: the biological mechanism of action of the hormone, the dissemination of clinical practice of this therapy and its impact on women with premature rupture of the uterine membranes.