Ectopic pregnancy surgery, how many days to discharge?

Written by Jia Rui
Obstetrics and Gynecology
Updated on September 12, 2024
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As everyone's physique and condition are different, the specific needs vary from person to person. Clinically, most people can be discharged in about 7 days. Women must pay attention to bed rest after ectopic pregnancy surgery, avoid vigorous exercise, and only shower with the doctor’s approval, avoiding baths. It is important to maintain personal hygiene, wear loose underwear, change frequently, and avoid sexual activity for the time being. Attention should also be paid to diet; avoid spicy and irritating foods, favoring a light diet instead. It is vital to identify ectopic pregnancy early and take timely treatment measures to not miss the best treatment window.

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Written by Tang Mei Xiang
Obstetrics and Gynecology
1min 8sec home-news-image

What are the early signs of ectopic pregnancy?

Ectopic pregnancy is a common term for what is known as a displaced pregnancy; that is, a condition where the fertilized egg implants outside of the uterine cavity. Therefore, ectopic pregnancy and intrauterine pregnancy are different. In the early stages of an ectopic pregnancy, if there is no splitting of the pregnancy sac or bleeding, there generally are no symptoms. However, the condition can be understood and assessed through some auxiliary examinations. For example, after the cessation of menstruation, an ectopic pregnancy might be accompanied by a small amount of vaginal bleeding, and blood tests for HCG might show that the HCG levels do not double as expected. Or, at a certain gestational week, such as six or seven weeks, an ultrasound might not reveal a pregnancy sac. These are all precursors to an ectopic pregnancy, and if these signs appear, the likelihood of an ectopic pregnancy is very high.

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Written by Yue Hua
Obstetrics and Gynecology
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ectopic pregnancy early symptoms

First, there will be a cessation of menstruation, followed by a brief period of amenorrhea, and then irregular vaginal bleeding will occur. This vaginal bleeding is usually light and droplet-like, and the color is dark red. Additionally, most women will experience pain on one side of the lower abdomen, which manifests as a distension pain. At this time, because the ectopic pregnancy in the fallopian tube has not ruptured, the enlarging embryo causes the fallopian tube to expand, leading to spasms of the tube, and thus these symptoms occur. If the condition continues to progress, the fallopian tube may rupture, resulting in acute and severe pain on one side of the lower abdomen.

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Written by Du Rui Xia
Obstetrics
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ectopic pregnancy rate

The probability of an ectopic pregnancy occurring is generally quite low, with an incidence rate of about 2%-3%. An ectopic pregnancy refers to a fertilized egg that does not implant within the uterine cavity, and occurs outside the uterine cavity; the most common site for an ectopic pregnancy is the fallopian tube, followed by the ovaries and the abdominal cavity. These are the common sites for ectopic pregnancies. The main causes of ectopic pregnancies are chronic inflammation or congenital diseases, which lead to adhesions and blockages in the fallopian tubes, affecting the migration of the fertilized egg.

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Written by Du Rui Xia
Obstetrics
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What is the best treatment for ectopic pregnancy?

In cases where an ectopic pregnancy is diagnosed, timely treatment is necessary. Generally, around 50 days into the pregnancy, there is a possibility of the ectopic pregnancy rupturing, so early treatment is crucial. If it is discovered before rupture, conservative treatment can be an option. However, if an ectopic rupture has already occurred, surgical treatment is required. The type of surgery depends on the specific situation; women who wish to preserve their fertility may undergo a salpingostomy, whereas those without fertility needs may undergo salpingectomy.

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Written by Liu Qin
Obstetrics and Gynecology
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Causes of ectopic pregnancy

Ectopic pregnancy refers to the implantation of a fertilized egg outside the uterine cavity, among which tubal pregnancy is the most common type, accounting for about 95% of ectopic pregnancies. There are many causes of ectopic pregnancy, with the main cause being inflammation of the fallopian tubes. The inflammation can cause the mucous membrane of the fallopian tube to become sticky, narrowing the lumen of the tube, or impairing the function of the cilia inside the tube, leading to obstruction of the fertilized egg's movement within the tube and resulting in implantation at that location. Other causes include surgery on the fallopian tubes, poor development or abnormal function of the fallopian tubes, further development of assisted reproductive technologies, and the use of emergency contraceptive pills, also known as contraceptive failure, among others. (The use of medications should be under the guidance of a doctor.)