Symptoms of ruptured ectopic pregnancy

The article is expertly consulted by Master, Doctor Le Nhat Nguyen - Obstetrician-Gynecology Specialist - Vinmec Danang International General Hospital.

There are many causes of ectopic pregnancy such as tubal infection, multiple abortions, pelvic inflammatory disease. There are also other causes such as adnexal tumors, ovarian cysts, previous surgeries to the fallopian tubes...

Ectopic pregnancy is at risk of rupture at any time, when ruptured, there will be massive bleeding into the abdomen, pregnant mother fainting, death if not detected and treated promptly.
It is necessary to understand the symptoms and signs of a ruptured ectopic pregnancy for effective and timely preventive treatment. Specifically, in cases of ruptured ectopic pregnancy, the patient has the following typical signs:
Delayed period, heavy bleeding, lower abdominal pain. There is a sharp sharp pain, then there is a feeling of being very tired, maybe about to faint, if not operated in time, it can lead to death on the way to emergency. The pulse is fast and light, and the blood pressure drops gradually. When examined in these cases, the bag will be clearly seen with pain and tenderness, aspiration will draw out thin, non-coagulated black blood. Ultrasonography will show blood in the abdomen, with blood in the abdomen Laparoscopy or laparotomy, to treat tubal ablation on the side of ectopic pregnancy. The cases of hematoma in the wall of the cyst are the rupture of ectopic pregnancy, the bleeding oozes and collects in the posterior sac. The omentum will come to envelop the blood mass and fallopian tubes into a cyst. In addition, the patient will have signs such as an ectopic pregnancy that has not ruptured such as heavy bleeding, prolonged lower abdominal pain, sometimes sharp pain, pain that subsides, and then a feeling of wanting to go to the toilet. giving birth, the urge to push, or the need to urinate frequently.

When an ectopic pregnancy is suspected, the patient needs to be hospitalized to be examined, monitored and treated in a timely manner.
During the monitoring of the condition, the patient will be instructed by the doctor to monitor whether the abdominal pain is more or less, whether there is bleeding, more or less bleeding, if there is a feeling of heaviness in the anus, whether there is any infection. Thereby, patients can clearly explain their disease and need to closely monitor their pulse and blood pressure for early diagnosis and treatment, to avoid ruptured ectopic pregnancy, causing heavy bleeding, dangerous to their health. network.
Patients can self-monitor their ectopic pregnancy such as late period, need to take a urine test to know they are pregnant, abdominal pain, prolonged bleeding, accompanied by sudden, severe abdominal pain symptoms. dizzy, want to faint, pale, pale... need to think about this situation right away.
A ruptured ectopic pregnancy will cause a lot of blood loss, forcing the retransfusion of the lost blood, complicating treatment, and possibly dying during the hospital visit.
Therefore, when going to the doctor, the patient should be honest with the doctor about all his symptoms and signs so that he can best diagnose and treat, minimize the danger caused by the ruptured ectopic pregnancy. .
Currently, at Vinmec International General Hospital, laparoscopic surgery is applied, which is an effective treatment for ectopic pregnancy and brings many advantages to patients such as:
No pain after surgery No Need antibiotics a lot Health recovers quickly Return to work, activities earlier, saving recovery time No bad scars after surgery The hospital stay is shortened after 48 hours, you can be discharged.

Because of the above advantages, laparoscopic surgery is chosen to diagnose and treat unruptured ectopic pregnancy, avoiding prolonging the risk of ectopic pregnancy for the patient.
Currently, with the program "Maternity package" at Vinmec International General Hospital, mothers will be monitored, ultrasound, and tested regularly throughout pregnancy until childbirth and after birth, helping The birth becomes more comfortable and gentle, grasp and promptly handle health during the period.
Doctor Le Nhat Nguyen has more than 20 years of experience in the field of Obstetrics and Gynecology. Formerly a doctor of obstetrics and gynecology at Gia Dinh People's Hospital in Ho Chi Minh City. BS has high expertise and strength in the diagnosis and treatment of Obstetrics and Gynecology diseases. Currently a Doctor of Obstetrics and Gynecology - Vinmec International Hospital Da Nang.