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Sagot :
One of the reasons the number of ectopic pregnancies has been increasing in the United States is that there has been an increase in pelvic inflammatory disease caused by chlamydia infections.
The pregnancy issue known as ectopic pregnancy occurs when the embryo attaches outside of the uterus. Traditional signs and symptoms include vaginal bleeding and abdominal pain, however less than half of affected women experience both. The discomfort may be described as dull, acute, or cramping. If there has been bleeding into the abdomen, pain may also radiate to the shoulder. The effects of severe bleeding can include shock, a rapid heartbeat, and fainting. The foetus cannot survive, with very few exceptions.
Through screening and treatment, risk factors including chlamydia infections can be reduced as part of prevention. While some ectopic pregnancies will miscarry on their own without treatment, an abortion is the usual course of action. In some circumstances, the drug methotrexate is just as effective as surgery. It functions best specifically when the ectopic's size is modest and the beta-HCG level is low. In cases where the tube has burst, there is a foetal heartbeat, or the woman's vital signs are unstable, surgery such as a salpingectomy is still frequently advised. The procedure can be performed laparoscopically or via a laparotomy, a bigger incision. Treatment lowers maternal morbidity and death.
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