Pregnancy Occurs With An Ectopic Pregnancy?

Illustration of Pregnancy Occurs With An Ectopic Pregnancy?
Illustration: Pregnancy Occurs With An Ectopic Pregnancy? mayoclinic.org

Hello, 1 oct. Ago I had an ectopic pregnancy at the age of 7 weeks, I had a cesarean. But my doctor saw that there was still a fetal sac in the womb, at this time the count of doctors who handled the age of 8 weeks. I told you a little that my husband was born twin. My question: r n1. Can my pregnancy be considered normal? What is the age of the pregnancy that KET is different from? Is it dangerous for the mother and fetus to see that my cesare is new? R n3. Are there the same cases as me, can I recommend doctors who have handled things like this? Because I searched for the same article as the case I did not find. R nThank you in advance for your time.

1 Answer:

Hello Niarejono,

Cases of pregnancy that occur together namely pregnancy in the womb and pregnancy outside the womb (ectopic) are referred to as heterotopic pregnancy. Such cases are very rare, but possible. The normal pregnancy process begins with the process of fertilization that usually occurs in the fallopian tube. Fallopian tubes are channels that channel eggs from the ovaries into the uterus. In the normal pregnancy process fertilization results will implant (embedded) in the uterus. In the process of ectopic pregnancy, the results of fertilization can not enter the uterus, one of the causes is because there is a blockage in the fallopian tube.

In heterotopic pregnancies, eggs from each ovary (right and left) are successfully fertilized by different sperm. Thus, there were 2 results of fertilization. If normal, both of them will be implanted in the uterus, causing a twin pregnancy (gemelli). However, if one of the fallopian tubes is disrupted, then one of the results of fertilization will develop into an ectopic pregnancy. Heterotopic pregnancy has the same risk as an ectopic pregnancy, which is to be an ectopic pregnancy disturbed (KET). In KET, the greater the pregnancy will cause rupture / rupture of the place where the pregnancy is attached (for example in the fallopian tube) because it is not an appropriate place to develop. Bleeding will occur and can cause complaints of sharp pain in the lower abdomen, the mother's condition is usually bad, shock can occur due to bleeding, which if left untreated can lead to death. The operation performed to manage a KET case is Laparatomi. If an ectopic pregnancy occurs in the fallopian, the operation will not cut the uterus, so that the pregnancy in the uterus can still take place.

The gestational age is checked using an ultrasound device, there will definitely be a deviation of about 1-2 weeks, it's still normal. So usually the age of the womb is mentioned with a range of 6-8 weeks and so on.

It is best to consult directly with an obstetrician to check the progress of the pregnancy found in the uterus. If it really develops, then in the following weeks the fetus will begin to appear in the fetal sac.

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