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SPECIAL
PREGNANCY
CASES
The following sections will help you with
understanding and coping with special pregnancy
cases such as obesity, ectopic pregnancy,
malpresentation, multiple gestation, grand
multipara and others.
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How
is Ectopic Pregnancy Treated?
The aim is to remove the pregnancy while maintaining the
fertility.
If an ectopic pregnancy is suspected you will probably be
taken to theatre for a laparoscopic examination (where a narrow
viewing instrument is put into your abdomen through a tiny cut)
to inspect your tubes.
If an ectopic is discovered, the surgeon can remove this
using the laparoscope to cut the tube and remove the pregnancy,
leaving the tube intact.
If the tube has ruptured, sometimes abdominal surgery is
needed rather than laparoscopic surgery (although not always)
to remove the pregnancy and tubal damage. In some cases a blood
transfusion may be needed to replace lost blood.
In some hospitals the drug methotrexate, which terminates
the pregnancy, can be used instead of surgery. This treatment
is most effective in very early pregnancy and it can be used
where there is no bleeding and the tube has not ruptured. The
pregnancy is lost and reabsorbed by the mother, who will then
experience bleeding for a couple of weeks.
The HCG levels should decrease after this treatment, which
indicates that the pregnancy has been terminated.
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