Ectopic Pregnancy Or Nidation Process?
Good afternoon doctor, I want to ask you about the condition of my pregnancy, like this doctor, my HPHT on 28 January 2018, I have PP test the results were positive, had experienced spots on 25 March and immediately rushed to the hospital for fear of anything happening to my pregnancy remembering this is first pregnancy, well when I was examined by the SpOG doctor who handled saying that the pregnancy was only 5 weeks, and there were only pregnancy pockets, there was a fetus, he revealed that there were 2 possibilities, 1. I was wrong to remember hpht, 2. My fetus is not developing, well for my case, he suggested that a 1-week ultrasound be returned again, what should I do, where’s the bleeding from? While the condition of my pregnancy bag is fine and intact, is it an ectopic pregnancy or a nidation process? Maybe the doctor’s explanation, thank you doctor
Hello Fitriaty Satria,
Ultrasonography is a medical examination that utilizes ultrasonic sound waves to get an overview of organs in the body. Ultrasonography in pregnancy is useful for estimating gestational age, estimated delivery dates, and detecting abnormalities in the fetus. The most accurate ultrasonography to determine gestational age up to 13-14 weeks gestation. At 5 weeks gestation, what appears is gestational sac / pregnancy sac, yolk sac (egg yolk sac / embryo). At 8 weeks' gestation, it is expected that from ultrasonography the fetus will be seen and the fetus's heart will beat, the fetus's size can reach 18 mm. The gestational age from HPHT can usually be 2 weeks (older) compared to the ultrasound results. However, the difference in the outcome of gestational age can be caused by the fetus not developing (blighted ovum) or the mother incorrectly remembering the date of LMP.
Bleeding in early pregnancy in the form of spots experienced by about 20% of pregnant women. It can be caused due to bleeding oxidation, normal changes in the cervix, or due to other causes such as miscarriage or ectopic pregnancy. Ectopic pregnancy is a pregnancy outside the uterus, usually can be seen from the results of ultrasonography where the sac of pregnancy and the fetus is not in the womb. If the doctor does not say your pregnancy outside the womb, it does not mean an ectopic pregnancy.
If you experience spots in early pregnancy it is better to do bedrest for several days, avoid strenuous activities, do not have sex for a while, avoid drinking herbs or drugs carelessly. If more bleeding is accompanied by abdominal pain that is getting worse, consult a doctor immediately. For your case, you should follow the doctor's advice for pregnancy evaluation 1 week later, it aims to see whether your pregnancy is developing or not. Thus the explanation from me, may be useful.