Guidelines for follow-up examination after ectopic pregnancy

The article was written by Specialist Doctor I Tran Thi Thu Ha - Doctor of Obstetrics and Gynecology, Obstetrics Department - Vinmec Times City International General Hospital.

An ectopic pregnancy is when a fertilized egg implants and grows in a location other than the endometrium, usually the fallopian tube (95%), the ovary, abdomen, or cervix. The implantation site does not have the function of containing the fetus, so the risk of rupture can cause a lot of blood loss and quickly affect the life of the mother if it is not detected early and intervened in time.

1. Methods of treating ectopic pregnancy

When diagnosing an ectopic pregnancy, the doctor will consider whether the pregnancy has broken or not to give an appropriate treatment plan: medical treatment or surgery.
There are two types of surgery, depending on the case, the doctor will appoint in accordance with the clinical situation
Laparoscopic surgery: 01-02 days hospital stay Open surgery: 02-03 days hospital stay How surgery There are two types:
tubal-conserving surgery.

Phẫu thuật nội soi ổ bụng — Phẫu thuật nội soi điều trị thai ngoài tử cung

2. Postoperative follow-up problems

Changes after surgery; + Reduce morning sickness:
+ Vaginal bleeding after surgery 2-3 days like menstruation but less volume (due to hormonal decline or bleeding on time), forming a new menstrual cycle.
After surgery, women are scheduled for a follow-up visit after about 1-2 weeks. If after surgery: When feeling fever, abdominal pain, vaginal bleeding a lot, swelling bleeding incision .... it is imperative to go to the hospital for re-examination immediately Depending on the surgical method to guide follow-up In general, laparoscopic surgery and open surgery:
If the fallopian tube is preserved, the time for re-examination after 1 week: + Re-check the incision and overall condition.
+ Quantify and monitor beta HCG .
+ Ultrasound if needed.

Kết quả siêu âm ổ bụng có thể cho biết điều gì? — Siêu âm kiểm tra sau phẫu thuật

If the fallopian tube is not preserved: re-examination after 2-3 weeks.
Maternity and family planning counseling: If women want to have children, they need to have a gynecological check-up and advice on planning to get pregnant again after 2-3 months (depending on the woman's health status). women), should choose contraception during this period.
If you don't want to have children, you will be consulted about contraceptive methods: condoms, oral contraceptives, implant (contraindication to IUD)
In case of ectopic pregnancy combined with sterilization, medical examination 2 weeks after surgery and regular gynecological examination every 6 months
Life and nutrition counseling: Eat a variety of foods rich in vitamins and iron.
Rest to recuperate for at least 2 weeks.

Khám phụ khoa — Tái khám theo lịch hẹn của bác sĩ chuyên khoa sản

Vinmec International General Hospital is one of the hospitals that not only ensures professional quality with a team of leading medical doctors, modern equipment and technology, but also stands out for its examination and consultation services. comprehensive and professional medical consultation and treatment; civilized, polite, safe and sterile medical examination and treatment space.

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Bài viết này được viết cho người đọc tại Sài Gòn, Hà Nội, Hồ Chí Minh, Phú Quốc, Nha Trang, Hạ Long, Hải Phòng, Đà Nẵng.