Have you ever heard of the concept of abdominal pregnancy? It’s not a “recipe” for a man to have a baby, but on the contrary, it’s dangerous! Why is that? Here’s an explanation – abdominal pregnancy is a special type of ectopic pregnancy that is located in the abdominal cavity outside the fallopian tubes, ovaries and broad ligament. It has an extremely low incidence, with a ratio of approximately 1:10,000-15,000 to the number of live births, and accounts for 1-1.4% of ectopic pregnancies. Although rare, it is dangerous! Abdominal pregnancies are often implanted in the peritoneum, greater omentum, mesentery, etc. As the chorionic villi grow and the placenta forms, this process may result in rupture of the blood vessels at the implantation site, hemorrhage, causing shock and even death of the pregnant woman. Moreover, these implantation sites cannot provide enough nutrients for the embryo as the endometrium does. Therefore, embryos do not survive easily, and even if they do, they do not develop well and will have fetal malformations or growth restriction, with less than 10% surviving to full term. If the fetus dies, it will be slowly absorbed or some of the tissues will harden, and if it is infected, it may form an abscess, which may lead to more serious abdominal infection if it breaks down into the adjacent organs. If a cesarean section is performed to remove the fetus, great care should be taken to remove the placental tissue. Forced detachment of the placenta can cause hemorrhage on the detached surface and damage the implantation site organs. How do abdominal pregnancies occur? Most abdominal pregnancies are secondary. When a tubal pregnancy ruptures or miscarries, or when an ovarian pregnancy ruptures, the pregnancy tissue enters the abdominal cavity, but most of it does not survive and is slowly absorbed; however, a small percentage adheres tenaciously to the peritoneum or the surface of the abdominal organs and takes root, forming an abdominal pregnancy. Primary abdominal pregnancy is extremely rare, where various unknown causes lead to the presence of ectopic endometrium in the abdominal or pelvic cavity, which allows the early fertilized egg to implant and develop there, resulting in abdominal pregnancy. Abdominal pregnancy is very easy to miss The symptoms of abdominal pregnancy are not very specific, such as history of menopause, lower abdominal pain, vaginal bleeding, etc. These are often difficult to distinguish from other types of ectopic pregnancies and are not even distinguishable from intrauterine pregnancy in mid to late pregnancy. Data from foreign studies show that only 20-40% of abdominal pregnancies can be diagnosed before surgery, and even in developed countries, many are found on the operating table. For diagnosis, ultrasound is useful. However, in mid to late pregnancy, the fetus enlarges and can interfere with the ultrasound exploration of the uterus, so it is more likely to be missed. The typical image of abdominal pregnancy on ultrasound is the absence of muscular tissue between the maternal bladder and the fetus. If the uterus can be seen, it will be found to be actually empty and vacant …… If the ultrasound also cannot be eaten, but abdominal pregnancy is suspected, then a diagnostic laparoscopy can be considered in early pregnancy and the application of MRI can also be considered in middle and late pregnancy. What should I do if I find an abdominal pregnancy? In principle, once an abdominal pregnancy is detected, regardless of the time of day, the fetus should be surgically removed or removed immediately. In the case of early pregnancy, if a laparoscopy is performed for suspected ectopic pregnancy and an intraoperative finding of abdominal pregnancy is made, then the pregnancy can be removed immediately. In the case of mid- to late-term pregnancies, a cesarean section is usually performed to remove the fetus. Here is the real “cesarean section”, while the pregnancy in the uterus to open the knife, that is “cesarean delivery”. Don’t call it wrong again! The birth by itself? There is no “door” between the abdominal cavity and the vagina, but there is no way to pass the fetus through the long, thin tubal cavity. Of course, if it is near or full term, there is hope that the fetus will survive, and with any luck, it may be possible to add a baby to your family.