Secondary abdominal pregnancy-A series of three case reports
Journal Title: Indian Obstetrics & Gynaecology - Year 2016, Vol 6, Issue 1
Abstract
Abdominal pregnancy is a rare obstetric complication with a high maternal morbidity and mortality. It can be primary or secondary. Secondary abdominal pregnancy results after early rupture of tubal ectopic pregnancy into the peritoneal cavity. Incidence is 1 in 10,000, where as a case of advanced secondary abdominal pregnancy with live birth is 1 in 25,000 pregnancies. When it is recognized, immediate laparotomy with removal of foetus is usually recommended. Expectant management carries a risk of sudden life threatening intra-abdominal bleeding and generally poor foetal prognosis. In advanced cases, overall mortality rate of mother is 0.5 to 8%. If laparotomy is done in emergency, then placenta should be removed as much as possible without compromising the maternal condition. Later on methotrexate, if required, is a good treatment option with supportive therapy of blood transfusion in postoperative period. Many authors have described pregnancies carried to term with live births with various foetal congenital malformation, poor foetal outcome and high neonatal mortality. We have a series of three cases of secondary abdominal pregnancy out of which two resulted in live births of babies and another one was terminated at 24weeks of gestation
Authors and Affiliations
Dr. Rajeev Sood, Dr. Pranav Sood, Dr. Rita Mittal, Dr. Anupa Sood
Keywords
Related Articles
- EP ID EP456965
- DOI -
- Views 119
- Downloads 0
Pelvic Floor Disorders are Associated with Vitamin D Deficiency
Background: A strong relationship between serum vitamin D concentration and muscle function has been documented in various studies. Vitamin D deficiency can lead to impairment of pelvic floor muscle strength and hence pe...
An Unusual Location of Misplaced Copper-T: A Case Report
Copper-T is one of the most important family planning measures in developing countries. It can rarely be associated with serious complicationssuch as bleeding, perforation and migration to adjacent organ or omentum. Here...
To study the efficacy of vaginal misoprostol in second trimester abortion
Aim - To provide a review on mid trimester abortion with vaginal misoprostol which is effective, safe and acceptable with minimal side effects lasting for a transient period. Material & Method - A Prospective study was...
Ultra-short bladder decompression in repaired vesico-vaginal fistulas (VVFs)
Purpose: To get rid of the morbidities incurred with prolonged use of trans urethral Foley catheter, supra-pubic Malecot catheter and intra-abdominal pelvic drain by doing ultra short decompression of bladder for three d...
IODINE DEFICIENCY IN PREGNANCY
Iodine is an essential nutrient required for the biosynthesis of thyroid hormones thyroxine (T4) and triiodothyronine (T3),which are responsible for regulating growth, development and metabolism. For many people, the maj...