Abdominal Pregnancy - Bleeding In Early Pregnancy

 Abdominal Pregnancy 

This is a rare condition. The fetus develops outside the uterine cavity following abortion or rupture. Uterine tube placenta attaches to neighbouring organs. Majority do not survive. If it occurs in early pregnancy, the product gets re-absorbed . Infection may occur leading to abscess – peritonitis or septicaem ia. Rarely proceed to term

 

Diagnosis:

On Palpation – lie is abnormal, fetal part is readi ly felt

 

Management:

Delivery is by laparatomy

Plaenta may or may not be removed – later is safer. 

Prophylatic  antibiotic is given.

 

Baby:

May have compression deformities due oligohydramnios

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