Is it dangerous to remove the gestational sac during pregnancy?

There are many pregnant women who feel confused and worried when they are diagnosed with 5%, 10%, 15%... So what is gestational sac dissection and is it dangerous to the fetus or human health? mother or not? Take a look at the article below.

A gestational sac dissection is a hematoma around the gestational sac, which occurs when the placenta separates from the lining of the uterus instead of attaching as usual.
The placenta has an important role in helping to provide nutrients and oxygen from the mother to the fetus and transport waste from the fetus to the mother. Therefore, the removal of the gestational sac will interfere with the circulation between the mother and the fetus, preventing the fetus from receiving nutrients to maintain life from the mother.

The gestational sac detaches due to many reasons, possibly because the abnormal pregnancy cannot continue to develop, the fetus dies and is pushed out of the uterus. Some factors that increase the risk of dissection are caused by the mother, such as:
The mother moves a lot. The mother has diseases such as uterine fibroids, uterine adhesions, ovarian cysts, scarring in the uterus. uterus, endometriosis, a history of placental abruption, previous gestational sac separation The mother has uterine malformations such as bicornuate uterus, septal uterus,... The mother has a history of tangles Blood clotting disorders, high blood pressure The mother is addicted to tobacco, alcohol, coffee or strong stimulants Having bacterial, viral, parasitic infections or toxic metals such as lead, mercury Have abnormalities about amniotic fluid, luteal insufficiency, thyroid disease, diabetes,...

Dissection of the sac is a condition that leads to threatened miscarriage during the first 3 months of pregnancy. In many cases, dissection of the gestational sac also causes heavy bleeding, affecting the mother's life.
The sizing of the dissection area is important. The relationship between the rate of gestational sac dissection and the degree of danger of gestational sac dissection is as follows:
The rate of gestational sac dissection 10%: If the mother fully complies with the doctor's instructions for pregnancy care, the possibility The ability to retain the fetus is very high. Dissection rate is about 20%: The ability to stay pregnant is also related to the cause of threatened miscarriage and compliance with the treatment instructions of the doctor. If there are signs of placental detachment, but the embryo sac is still there and the fetus is still developing, the pregnant mother does not need to worry too much, should pay attention to rest, abstain from sex, eat nutritious food, do not travel much, avoid stress, ... to increase the ability to keep the pregnancy. If the dissection rate is about 30% in the first 3 months of pregnancy, the risk of stillbirth, stillbirth, and miscarriage can be up to 50%. If the rate of gestational sac dissection is 50%, this is an extremely dangerous condition, the risk of miscarriage is up to 90%, it is very difficult to keep the pregnancy. Details of fetal development week by week, every parent should learn:

When the gestational sac is dissected, the pregnant woman will have some signs such as:
Vaginal bleeding Tingling pain in the lower abdomen or lower abdominal cramping pain accompanied by contractions, dull back pain, lasting. A gestational sac detachment can also cause abdominal pain. Therefore, when pregnant women have abdominal pain in the first 3 months, they should actively go to the hospital to be checked.

When there are signs of fetal dissection, pregnant women should quickly go to medical facilities for ultrasound and examination. On the basis of assessing the condition of dissection and the mother's health, the doctor will offer appropriate treatment. In all cases, pregnant women must be calm and understand the risks they are facing, if the rate of dissection is over 50%, it is very difficult to keep the pregnancy, in many cases, the doctor will discuss with the pregnant woman. fetal viability, thereby deciding whether to continue or terminate the pregnancy.

If the doctor judges that the dissection can be treated, during the treatment to keep the pregnancy, pregnant women must absolutely follow the doctor's instructions. Use pregnancy medications as indicated, adhere to the dosage, and instructions for use. Get plenty of rest, travel lightly, and avoid working too much. You should let your mind relax, avoid stress and anxiety. Eat enough nutrients, should eat thin, easy to digest food, drink plenty of water every day to reduce the risk of constipation. Abstain from marital relations to avoid affecting the stability of the gestational sac. In particular, you must go to the doctor for a follow-up appointment to monitor the progress of the pregnancy. The prognosis of how long the pregnancy will return to normal depends on many factors such as the lining of the uterus, the gestational sac, the development of the fetus and the health of the mother.
Ultrasound is a method that can detect gestational sac dissection. Therefore, choosing ultrasound methods and reputable medical facilities for examination is essential during pregnancy months.
Currently, Vinmec International General Hospital systems have been using modern generations of color ultrasound machines. One of them is GE Healthcarecar's Logig E9 ultrasound machine with full options, HD resolution probes for clear images, accurate assessment of lesions. In addition, a team of experienced doctors and nurses will greatly assist in the diagnosis and early detection of abnormal signs of the body in order to provide timely treatment.
The first 3 months is the most sensitive time during pregnancy, easy to occur separation of the gestational sac. In order for mother and baby to be healthy, parents need to pay attention to:
Understand early signs of pregnancy, pregnancy poisoning, bleeding during pregnancy. Timely, correct and sufficient first prenatal check-up, avoiding too early/too late. Fetal malformation screening at 12 weeks detects dangerous fetal malformations that can be intervened early. Distinguish between normal vaginal bleeding and pathological vaginal bleeding for timely intervention to maintain pregnancy. Screening for thyroid disease in the first 3 months of pregnancy avoids dangerous risks before and during delivery. Vinmec currently has many maternity packages (12-27-36 weeks), in which the 12-week maternity package helps monitor the health of mother and baby right from the beginning of pregnancy, early detection and timely intervention of health issues. In addition to the usual services, the maternity monitoring program from 12 weeks has special services that other maternity packages do not have such as: Double Test or Triple Test to screen for fetal malformations; Quantitative angiogenesis factor test to diagnose preeclampsia; thyroid screening test; Rubella test; Testing for parasites transmitted from mother to child seriously affects the baby's brain and physical development after birth.
For more information about the 12-week maternity package and registration, you can contact the clinics and hospitals of Vinmec health system nationwide.