What are the items included in the examination for ectopic pregnancy?

Nowadays, many women are worried about ectopic pregnancy. After worrying about it, they decide whether to find out about it or not. This is a rather puzzling question. I believe you have experienced some tension after becoming pregnant because you are afraid that the baby will be unhealthy or have other problems.

The reason why you feel nervous is because you don’t understand, so if you want to fully understand ectopic pregnancy and your own body, you must first know some examination items for ectopic pregnancy.

(i) Posterior fornix puncture: Since blood in the abdominal cavity is most likely to accumulate in the rectouterine pouch, even if the amount of blood is not large, it can be sucked out through posterior fornix puncture. Use an 18-gauge long needle to pierce the rectouterine pouch from the posterior fornix of the vagina. Aspirating dark red, non-coagulated blood is a positive result, indicating the presence of intra-abdominal blood.

(B) When ultrasound diagnoses early tubal pregnancy, B-ultrasound images show an enlarged uterus, but an empty uterine cavity and a low-echo area next to the uterus. This image is not the sonographic feature of tubal pregnancy, and the possibility of early intrauterine pregnancy with corpus luteum of pregnancy needs to be excluded.

Ultrasound detection of the gestational sac and fetal heartbeat is very important for diagnosing ectopic pregnancy. If the pregnancy is located outside the uterus, it can be diagnosed as an ectopic pregnancy; if the gestational sac is located inside the uterus, ectopic pregnancy can usually be ruled out.

B-ultrasound has important clinical significance for early diagnosis of interstitial pregnancy, as it can show protrusion of one uterine horn, local thickening of the muscle layer, and an obvious gestational sac inside.

(III) Laparoscopic examination can be performed when conditions permit and when necessary.

(IV) Diagnostic curettage for endometrial pathology examination is only suitable for patients with heavy vaginal bleeding, with the purpose of excluding intrauterine pregnancy. Uterine discharge should be routinely sent for pathological examination. If villi are seen in the section, it can be diagnosed as intrauterine pregnancy. If only decidua is seen without villi, although ectopic pregnancy should be considered, it cannot be confirmed.

You should know what specific examination items are involved in ectopic pregnancy, so you will be calmer when you go to the hospital for examination or in your daily life. I believe you have heard before that you need to relax after pregnancy, so the most important thing for you after pregnancy is to be in a good mood. As for other problems, they can be solved, so you must not be nervous in your daily life.