This is an automatically translated article.
The article was professionally consulted by MSc.BSCK II Nguyen Thi Huong Linh - Obstetrician and Gynecologist, Vinmec Times City International Hospital.Pregnancy – a disease that makes every mother think it's a joke when she hears it for the first time. But in fact, this disease not only makes the mother happy because she thinks she is pregnant, but also has to face many dangers.
1. Strange morning sickness but not pregnant
Busy work, difficult again, so 32 years old, Hoai Anh just got married. Two years after the wedding day, although she did not take birth control, she still did not enjoy the happiness of motherhood.
She was pregnant, but had prolonged bleeding. After examining her, the doctor diagnosed her with "pregnancy" disease, but in fact there was no fetus in her belly.
Hearing what the doctor said, Hoai Anh hugged her face and sobbed. Because obviously the pregnancy test showed two tight lines, and then she also had morning sickness. The whole family celebrated, her husband even frantically called to inform all his wife's relatives that "has good news".
Faced with indications of early abortion to preserve the uterus, she felt infinite sadness.
“ I am very confused, do not understand how this disease is, is it dangerous and what is the cause. I heard the doctor said that after the curettage, I had to take a break for two years before I should continue to have children, while I am old, the opportunity is not much," said Hoai Anh sadly.
Talking about this disease, Dr. Nguyen Thi Huong Linh, Head of the Maternity Inpatient Unit, Vinmec Times City General Hospital explained: “Egg pregnancy is an abnormal pregnancy. In which part or all of the placenta is degenerated into large and small fluid-filled sacs that stick together in bunches like bunches of grapes, occupying the entire area of the uterus, overwhelming the development of the fetus.
Therefore, the mother mistakenly thinks she is pregnant when she notices her stomach rapidly growing, stops her period, has morning sickness, even up to 30% has severe morning sickness. The egg pregnancy is completely devoid of fetal organization, the vegetable spines are enlarged, the cell layer is strongly proliferated. Partial ovum has a fetus or part of a fetus. Most of the vegetable spines turn into water sacs, while a part of the vegetable spines is normal.
“So far, medicine has not found the exact cause of pregnancy. Only a few factors have been identified, such as genetic errors during fertilization leading to abnormalities in chromosomes. About 90% of ectopic pregnancies originate from the father and 10% from the mother. Ovulation is common in women over 40 years old or under 20 years old. In addition, inadequate nutritional factors, lack of nutrients such as protein, folic acid, vitamin A, maternal abnormalities in the uterus are among the high risk factors for ovulating," said Dr. Huong Linh said.
2. How dangerous is egg pregnancy?
The first important symptom, which accounts for over 90% of ovulatory cases, is vaginal bleeding, which is dark black or red in color. With ultrasound, the doctor can diagnose early pregnancy. Pregnancy is benign but can cause unpredictable consequences if the mother is not monitored and handled early. Dangerous complications when the egg is deep into the uterine muscle layer, and causes uterine perforation and intra-abdominal bleeding.It is estimated that about 30% of egg pregnancies can cause dangerous complications, even malignant complications into trophoblastic cancer.
“The safest and fastest way to detect pregnancy is to go for regular antenatal care as recommended and when there are any unusual symptoms, thereby avoiding unfortunate complications. Once an ovum is diagnosed, the mother needs to be dilated or aspirated as soon as possible. For mothers who want to have children or are over 40 years old and in case of invasive egg pregnancy with perforation of the uterus, a total hysterectomy is required. Women need to closely monitor their health for 2 years after treatment for pregnancy. During this time, it is necessary to take appropriate birth control measures to ensure health and be ready for the next pregnancy ", recommended doctor Huong Linh.
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