May 24, 2012
Abdominal pregnancy is a type of ectopic pregnancy (one in which the embryo is not attached to the uterus), wherein the embryo gets implanted into the abdomen, usually the intestines.
The foetal death rate is high with some reports stating it to be around 95 per cent. As the symptoms of an abdominal pregnancy do not vary a lot from those of the normal uterine pregnancy, it is important to identify the minute details in order to diagnose it.
In the secondary abdominal pregnancy, the foetus starts to grow in the fallopian tube or ovary, but after a small rupture, the embryo goes into abdominal cavity and gets implanted there. In cases of primary attachment of embryo, it gets implanted directly in the abdomen but this is extremely rare. In cases of secondary pregnancy, the pain experienced is similar to that during tubal pregnancy. Abdominal pains start after 26-28 weeks into pregnancy if foetus continues its growth.
In case of secondary abdominal pregnancy, the fallopian tube rupture can happen in the first trimester of pregnancy. The resultant bleeding accumulates in the abdominal cavity leading to pain skin becoming pale. The maternal death rate in cases of abdominal pregnancy is very high as a lot of bleeding occurs at the time of delivery.
The foetal movements in case of an abdominal pregnancy are likely to be more than normal as well as more painful. Moreover, foetal movements would not be felt in the normal areas of the body. This is because the foetus lies in a sideways position across the abdomen. It may also be in an oblique position with regards to the abdomen.
In abdominal pregnancy, noises can be heard which indicate ectopic placental expansion and ovarian artery getting thicker. You can hear inside the abdomen for murmur of activity at the site of placenta. If you are not able to hear any sound whatsoever, try shifting your ear to the site of the abdomen. If you hear certain murmurs, it indicates abdominal pregnancy.
Some serious complications can also occur due to abdominal pregnancy such as intestinal obstruction symptoms, which can cause high fever. It is important that this rare form of pregnancy gets detected as early as possible.
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