Will ectopic pregnancy lead to spontaneous abortion? What are the treatments for ectopic pregnancy abortion?

Any pregnancy in which the fertilized egg implants anywhere other than the uterine cavity is collectively called an ectopic pregnancy, commonly known as an ectopic pregnancy. Depending on the location of implantation, there are fallopian tube pregnancy, ovarian pregnancy, abdominal pregnancy, cervical pregnancy and uterine rudimentary horn pregnancy. Among ectopic pregnancies, fallopian tube pregnancy is the most common. Will an ectopic pregnancy lead to spontaneous abortion?

Will ectopic pregnancy lead to spontaneous abortion?

Ectopic pregnancies mostly occur in the abdominal cavity and generally will not result in spontaneous abortion, but sometimes some symptoms of spontaneous abortion may appear. Patients with ectopic pregnancy should go to the hospital for examination and cooperate with treatment as soon as possible after experiencing such symptoms.

Treatment of ectopic pregnancy abortion:

1. Drug treatment of ectopic pregnancy: The purpose of drug therapy is to preserve the fallopian tubes. The specific method is to use drugs to kill the embryo of ectopic pregnancy. Commonly used drugs are methotrexate and mifepristone. The former is safe and harmless and can be administered by intravenous or intramuscular injection. The latter is an abortion drug with a similar principle to artificial abortion. However, drug treatment of ectopic pregnancy is not suitable for all patients with ectopic pregnancy. First, the gestational sac must be small (less than 3.5 cm). Secondly, the patient's blood routine and liver and kidney functions must be normal.

However, this method has two shortcomings. First, if the drug does not kill the embryo, it will cause the embryo to grow larger and larger, causing the fallopian tube to rupture and cause heavy bleeding. Or, if part of the embryo is killed while the other part survives, an old embryo will appear, causing infertility in women.

2. Surgical treatment of ectopic pregnancy: There are two surgical treatments for ectopic pregnancy: laparotomy and laparoscopy. Laparotomy is to directly remove the ectopic embryo after opening the abdomen. It can cure ectopic pregnancy at one time and preserve the fallopian tube, but it is easy to cause adhesion of pelvic organs after surgery, which will affect future fertility; laparoscopy is a minimally invasive surgery. It only requires puncturing a few small holes in the patient's navel and lower abdomen to complete the surgery. The operation method is roughly the same as laparotomy, and it can also be cured at one time. Its biggest advantage is that it has little trauma, fast recovery, is not easy to cause adhesion of pelvic organs, and has little impact on future fertility.

However, it should be noted that surgery for ectopic pregnancy must be performed in a regular and professional hospital, because surgery for ectopic pregnancy not only has certain requirements for surgical facilities, but also has corresponding requirements for the doctors performing the surgery.