Peritoneum: What is an abdominal pregnancy?

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Peritoneum: What is an abdominal pregnancy?

It is rare, but sometimes the egg (fertilized egg) is implanted in the peritoneum instead of implanting in the uterine wall. This is called peritoneal pregnancy or abdominal pregnancy: different treatments may be considered depending on the case.

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Peritoneum: What is an abdominal pregnancy?
Peritoneum: What is an abdominal pregnancy?

Implantation in the peritoneum: how to explain it?

  • In France, ectopic pregnancies are relatively uncommon: they account for about 2% of pregnancies. In most cases, instead of implanting into the uterine lining, the egg begins to develop in a fallopian tube. More rarely, it can also be attached to the peritoneum, a membrane lining the inside of the abdominal cavity. Unfortunately, this place is not at all adapted to the development of a baby: very often the egg does not even evolve to the fetal stage, and when a fetus is formed, the chances of bringing the pregnancy to term Are virtually nil …
  • The exact causes of abdominal pregnancy – and more generally all ectopic pregnancies – are still poorly understood but several risk factors have been identified. These include mainly fallopian tube damage such as salpingitis (tubal inflammation usually caused by sexually transmitted infections) or a history of surgery in the fallopian tubes. The endometriosis and smoking could also promote these ectopic pregnancies.

Peritoneal Pregnancy: Symptoms and Diagnosis

  • After the implantation of the egg in the peritoneum, the first symptoms of abdominal pregnancy may resemble those of a “conventional” pregnancy: firm breasts, nausea, delayed menstruation … Moreover, the results of the first tests Pregnancy is positive.
  • In the end, in most cases, it is the examinations performed during pregnancy follow-up that distinguishes between abdominal pregnancy and uterine pregnancy. First, ultrasound examination reveals that the volume of the uterus does not increase. Also, blood tests indicate that the level of chorionic gonadotropin (HCG) hormone does not change as steadily as in healthy pregnancy.
  • Namely: a more advanced peritoneal pregnancy can lead to complications such as severe hemorrhage. Consult emergency in case of significant blood loss, severe pelvic pain, discomfort or loss of consciousness.

Peritoneum: What are the treatments for abdominal pregnancy?

  • In many cases, the egg does not develop after implantation in the peritoneum: abdominal pregnancy then ceases on its own. However, if the egg begins to grow, it is better to stop ectopic pregnancy as soon as possible.
  • If detected early enough, medications can be used to prevent cell division. Otherwise, surgery is required to aspirate the embryo and prevent complications. Most often, it is a laparoscopy, also known as laparoscopy: this technique of minimally invasive surgery allows to intervene in the abdominal cavity via tiny incisions.
  • Nice to know: Having an abdominal pregnancy will not stop you from later pregnancy.

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