This website uses cookies to ensure you have the best experience. Learn more

Advanced Pregnancy Essay

1243 words - 5 pages

Abdominal pregnancy is one of the rarest types of ectopic pregnancy. About 1% of ectopic pregnancies in the United States are abdominal (10 out of every 100,000 pregnancies) [1]. The importance of such variety is not only related to the rarity of the diagnosis but also for the seriousness of its sequels; the maternal mortality rate is estimated to be about 5 per 1,000 cases, about seven times the rate for ectopic pregnancy in general, and about 90 times the rate for a normal delivery [2]. The term advanced abdominal pregnancy refers to pregnancy with a gestational age beyond 20 weeks with a living fetus or one that has shown signs of life with the entire progress inside the abdominal cavity [3]. Though very rare, delivery of a term living abdominal pregnancy has been reported. However, more than 90% of the survivors have serious malformations [4].The Diagnosis of abdominal pregnancy may be more difficult than classic tubal pregnancy. Ultrasonography of both abdominal and transvaginal scanning combined with ß HCG estimation has made early diagnosis [5]. More recently combined ultrasonography and Magnetic Resonance Imaging (MRI) is emphasized for accurate diagnosis of late abdominal pregnancy cases.
Case Presentation

A twenty-two years old woman, G2P0+1, pregnant ± 30 weeks based on a reliable dating of last menstrual period presented to Women’s Health Hospital outpatients’ clinic ,with abdominal pain and absent foetal movements for 7 days. She described pain as being diffuse non-radiating, located in the left hypochondrial fossa, of gradual onset, and with no relieving factors. She gave no history of vaginal bleeding or discharge. The patient has been married for 6 years during which she had a single first trimester miscarriage (8 weeks) 5 years prior to this pregnancy; this miscarriage was spontaneous and uncomplicated. It was followed by a period of infertility during which she received repeated courses of induction of ovulation. She had regular antenatal visits in which ultrasound scanning being performed about three times. First scan was in the first trimester, and she was told that her baby is doing well, However during her last antenatal visit her physician noticed markedly decreased or rather completely absent amniotic fluid around the fetus who was in transversely lie with good fetal heart rate.
On examination, the patient was conscious with stable vital signs. Abdominal examination revealed tenderness on the left hypochondrial region and easily palpable fetal parts .The pelvic examination revealed a well-formed firm cervix.
Abdominal ultrasound scan revealed an empty uterus with extrauterine placenta adherent to the fundus of the uterus. A thirty weeks fetus in left hypochondrial region also was detected. An advanced extrauterine pregnancy was suspected; MRI was done and confirmed data in the ultrasound report. The patient was scheduled for laparotomy two days after admission to the hospital and corticosteroid was give.

Find Another Essay On advanced pregnancy

High Dose Vitamin D Supplementation During Pregnancy Does Not Increase Adverse Pregnancy Outcomes

1858 words - 8 pages Supplementation during the Third Trimester of Pregnancy in Dhaka, Bangladesh. Nutrients 2013;5(3):788-810. 6. Marjamaki L, Niinisto S, Kenward MG, et al. Maternal intake of vitamin D during pregnancy and risk of advanced beta cell autoimmunity and type 1 diabetes in offspring. Diabetologia 2010;53(8):1599-607. doi: 10.1007/s00125-010-1734-8. 7. Lieben L, Stockmans I, Moermans K, Carmeliet G. Maternal hypervitaminosis D reduces fetal bone mass and mineral acquisition and leads to neonatal lethality. Bone 2013;57(1):123-31. doi: 10.1016/j.bone.2013.07.029.

Fertility Drugs VS. Natural Fertility Secrets

526 words - 2 pages Chinese herbs will help you get pregnant now and will also preserve the reproductive system for future pregnancies. Couples of advanced age are also able to conceive. 4- Many couples cannot conceive because they do not take proper care of themselves. Natural fertility secrets make positive changes in your diet and lifestyle to achieve pregnancy. Converting your diet and including food items that are proven to help couples get pregnant will improve


2520 words - 10 pages Teenage pregnancy is a social problem that affects the entire community. It is important to examine the causes of this problem, the effects the problem has on our society and the individual, and some of the possible ways of combating this problem. In every city in the United States teenage girls and boys face premature parenthood. If they chose to accept the responsibility of their actions and not opt for either abortion or adoption, they have

Research Proposal: Exploring the Causes of Teenage Pregnancy in the UK

3110 words - 12 pages Literature Review 11 3.1 Introduction 11 3.2 High rate of Teenage Pregnancy in UK 11 3.3 Negative outcomes of Teenage Pregnancy 12 3.4 Conclusion 13 References 14 1.0 Proposed Title of Research Exploring the Causes of Teenage Pregnancy in the UK 1.1 Introduction As a matter of fact, one of the most alarming social issues of the 21st century is teenage pregnancy. Teenage pregnancy is commonly known as

Netball:PLAY IT SAFE !

1498 words - 6 pages association in mind". Critics rush to attack decision The reaction has been as swift and furious as any top-class game of netball could ever be. The Australian Medical Association (AMA) described the decision as "ridiculous". It said all its evidence shows there is no problem with pregnant women playing sports such as netball, even up to an advanced stage of pregnancy. Sports Medicine Australia also condemned the move. It said the ban sends

Human Reproduction Should Not be Controlled

1385 words - 6 pages process of ovulation. Oestrogen and progesterone are 2 hormones that direct many of the processes surrounding the menstrual cycle. Artificial analogues of these have proven an efficient form of birth control. To prevent pregnancy a woman takes a pill daily which contains both these hormones. This is the combination pill or simply “the pill”. The oestrogen works by preventing an egg of being released from the ovaries most

Race and Infant Mortality in the United States

1010 words - 4 pages that of babies born to White women (infant mortality rates of 18.0 and 7.6, respectively), a sizable gap that suggests large differences in the quality of life between the two populations. This mini-lecture examines three of the common schools of thought which have been advanced in trying to account for the racial difference in infant mortality and suggests a fourth, more promising perspective.The first common perspective, or school of thought

Henderson´s Nursing Needs Theory

1831 words - 7 pages illness (Brown, 2011, p. 104). Eating and drinking are needs that often go overlooked or ignored by adults, but children naturally have the ability eat proper amounts easily (Brown, 2011, p.273). The importance of eliminating bodily wastes is well known, however, it is crucial in pregnancy as the elimination of feces and urine affects labor. Soft bowel movements in succession could be a sign for pregnancy (Waller-Wise & Renece, 2013, p. 32


2938 words - 12 pages pregnancy tend to be complete. When the pregnancy is further advanced, it is more likely to be incomplete. Usually the physician removes the retained tissue in the uterus surgically when there is an incomplete abortion. If the fetus dies and is retained in the uterus for eight weeks or longer, the condition is referred to as a missed abortion. Women who lose three or more consecutive pregnancies of less than 20 weeks

Should the Unthinkable Happen: Are you prepared?

1497 words - 6 pages The Realities of Advanced Directives: With increases in human lifespan due to major advances in modern medicine, there is a growing need for legal documentation to express their wishes due to their incapacity (advanced directives) (Casey, 2001, 429). As humans age the quality of life diminishes, and our elderly population are simply kept alive by ventilators. These machines are only prolonging the inevitable, “pain, suffering, and death”(Casey

Women in the Workplace

1246 words - 5 pages Women in the Workplace All over the world, patriarchy controls and dictates the way society works. Every day stories are told of women in third-world countries who have fallen victim to said patriarchy. These women seem distant from people who live in the first-world, causing many to think that patriarchy is not present in more advanced cultures. However, they could not be more wrong. It encompasses almost every aspect of western life. Even in

Similar Essays

Pregnancy: Is It For All Ages?

1801 words - 8 pages controversial views as whether advanced age pregnancy renders women more prone to pregnancy complications and adverse outcomes” (p. 1142). This statement provides credibility behind the fact that there are many risks developed during pregnancies in older women. Within the media today there are stories about pregnancies in the younger generation and the controversy in children raising children, but how detrimental is the case in which older women

Teen Pregnancy Prevention Essay

1422 words - 6 pages based on teenage pregnancy prevention help develop a better and more advanced understanding on how to avoid consequences that are life changing. In order to avoid situations that lead to pregnancy and for prevention methods to be effective, sex education needs to be considered. Comprehensive sex education equips teens with the knowledge to perform safe sexual practices. This method requires a special teacher that can easily get through to an

Public Health Questions Essay

647 words - 3 pages that one in every three women in the United States undergoes a cesarean operation. The C-section rate in the country is high because of the increasing accessibility and availability of technology. The United States’ system has often sought to embrace systems with advanced technology and stay ahead of other countries. This rise has been attributed to the shifting priority in health care provision, enhancing the capabilities of women having a

Cases Of Cancer During Pregnancy Essay

1328 words - 6 pages In this series of patients there were four cases of nasopharyngeal carcinoma, four cases of the major or minor salivary glands and three tongue carcinomas. Diagnosis of head and neck cancer during the pregnancy had an impact on gestation of delivery with the majority delivered preterm to accommodate further treatment intervention. One patient had a termination of pregnancy to undergo treatment. However all infants recovered well and there were