Cervical pregnancy is very rare. This is a severe pathology, often leading to death. If suspicious symptoms, discharge, or a deterioration in well-being are found, a woman should urgently seek medical help.
What is cervical pregnancy and why is it dangerous?
You need to know
This pathology refers to one of the forms of ectopic pregnancy. The fetal egg with this diagnosis is attached outside the uterine cavity, namely in its cervical canal. Symptoms of the course of an abnormal process are most often bleeding of varying severity.
In gynecology, ectopic pregnancy (cervical form) is divided into the following types:
- proximal (abdominal, ovarian and tubal);
- distal (cervical and cervical-isthmus).
The first type of pathology is much more common than the second. Distal ectopic pregnancy is very rare.
Such a diagnosis poses a great danger to a woman and entails a series ofirreversible processes that threaten her life. Severe internal bleeding and purulent inflammation are the main problems that, in an unfavorable situation, can lead to death.
Cervical Pregnancy: Symptoms
Since the place where the fetal egg was attached in this case has a completely different purpose, the decidua does not develop. The chorionic villi begin to break through the walls of the neck, tearing its vessels. As a result, heavy bleeding occurs.
Symptoms of cervical pregnancy depend on the degree of implantation of the ovum and the current gestational age. The first sign of this pathology is slight bleeding after a long delay in the menstrual cycle.
Pain during cervical pregnancy does not appear. The nature of bleeding can be of different intensity - scanty or heavy.
It's hard to imagine what an ectopic pregnancy is fraught with for a woman. In the early stages (6-8 weeks), severe bleeding may occur. In this case, the woman needs urgent hospitalization.
Cervical isthmus pregnancy
This is a rare and unusual pathology. It is characterized by the attachment of a fetal egg outside the uterine cavity, in the area of \u200b\u200bits isthmus (lower section). This anomaly refers to the distal form of ectopic pregnancy.
There are no clinical signs during the diagnosis of the vagina. The main symptoms are also not detected. Very common cervical isthmus pregnancymistaken for placenta previa.
It is difficult to identify this form of ectopic pregnancy. The doctor may assume its presence with spotting, which increases with increasing gestational age.
What does a pregnancy test show?
In the presence of such a pathology, the first wake-up call may be spotting, much poorer than usual. Therefore, a woman may not even suspect that she is in a position. It is best to see a doctor who will find out the reason for the changes in the menstrual cycle, or do the test yourself.
Mostly his result is positive. However, the stripes on the test are not brightly colored, barely visible. Low levels of chorionic hormone (hCG) in the blood, the detection of which is a sign of pregnancy, may directly indicate the existence of pathology.
If you have a missed period, spotting, and a weakly positive test, a woman needs to see a doctor urgently. During the examination, the gynecologist will immediately pay attention to the discrepancy between the size of the uterus and the gestational age. If more than 4 weeks have passed, the doctor will easily detect pathological formations in the uterine tubes.
Diagnosis
If an ectopic pregnancy is suspected, the gynecologist prescribes an ultrasound procedure and a blood test to determine the level of hCG (hormone). Very often, during a diagnostic examination, other pathologies can be detected, namely:
- fibromyoma;
- miscarriage;
- myomauterus.
To diagnose the cervical form of ectopic pregnancy, a complete gynecological examination is performed. This reveals:
- blueness of the cervix;
- moving the external os to the side;
- attachment of the fetal egg to the walls of the cervix, bleeding occurs on palpation;
- the size of the cervix is enlarged and much larger than her body.
Ultrasound gives the most accurate and reliable indicators. With the lumen of the cervical canal, an attached fetal egg is immediately detected.
Reasons
Cervical pregnancy can last up to 12 weeks. It usually ends in spontaneous miscarriage. Cervical isthmus pregnancy can develop from 16 to 24 weeks. In very rare cases, these forms of distal gestation proceed until the end of the due date.
The main causes of these pathologies are:
- frequent abortions;
- endometritis;
- difficult childbirth with external and internal injuries;
- isthmic-cervical insufficiency;
- conducting gynecological curettage;
- ECO;
- uterine fibroids.
The main cause of cervical pregnancy is the abnormal state of the endometrium and underdevelopment of the trophoblast.
Treatment
For a woman's he alth, it is cervical pregnancy that poses a very great danger. Treatment is carried out immediately. A woman is admitted to the hospital and undergoes a procedure to stop bleeding using a tighttamponade sewn on the sides of the vagina.
A circular suture is applied in the cervical region, a Foley catheter is inserted into its canal. Ligation and embolization of the internal arteries is performed. With the help of such manipulations, it is possible to extract the fetal egg. It is possible to perform an operation to remove one or two fallopian tubes.
Incorrect attempt at curettage of the uterus or separation of the placenta can lead to profuse bleeding with a fatal outcome. Tamponade or suturing does not help in this case, as large vessels are opened.
In rare cases, the only way out is to remove the uterus. This operation is carried out as a matter of urgency if it is impossible to stop the blood or save organs, which often results in a cervical pregnancy. Treatment after such a surgical intervention is difficult and long.
Prevention
In order to avoid any form of ectopic pregnancy, a woman needs to carefully monitor her he alth and avoid unwanted conception.
The main preventive measures are:
- use of contraception;
- timely visit to the gynecologist;
- avoiding abortions;
- treatment of any gynecological ailments;
- regular menstrual calendar;
- compliance with sparing conditions of the recovery period after any gynecological surgery (to avoid complications).
The first thing a woman should do with a positive pregnancy test is to visit a doctor and register. An experienced gynecologist is able to identify any pathology at an early stage and help to avoid terrible consequences.
Rehab
Cervical pregnancy is a very unusual and unpredictable pathology. Usually it is interrupted in the first half of the gestational period. A serious problem is the difficult diagnosis, which leads to rupture of the uterine tubes and the occurrence of fatal bleeding.
The termination of an ectopic pregnancy is a huge stress for a woman. However, do not despair. It is necessary to make every effort to undergo a successful treatment, recovery period and prepare for a second, favorable pregnancy.
A woman experiences severe depression after undergoing surgery to remove her uterus. It is prescribed if there has been a cervical ectopic pregnancy. After the operation, the patient needs psychological help, as it is very difficult to survive such a loss on her own.
There is a chance
Pregnancy is possible if a woman even has both fallopian tubes removed. In this case, IVF is performed. Be sure to tell the patient about this possibility after the operation.
If one tube is removed, the risk of another ectopic pregnancy is very high. A woman needs to go through a long recovery period, use contraception for a while.
During pregnancy planning and its courseit is necessary to follow the recommendations of the doctor, listen to his advice. If a woman has undergone surgery, she should strictly adhere to bed rest, do not lift weights, eat well.
Take care of your he alth, lead an active life, be happy, and then you will have a strong he althy baby!
