Ectopic pregnancy is one of the most common gynecological acute abdomens. Ectopic pregnancy is mainly due to various reasons in which the fallopian tube is blocked or unblocked, preventing the fertilized egg from reaching the uterine cavity smoothly. Which women are prone to ectopic pregnancy? How can expectant mothers who want to give birth safely avoid ectopic pregnancy?

So who is prone to ectopic pregnancy?

1. Women with recanalization after fallopian tube ligation: Whether it is natural recanalization or surgical recanalization, the fallopian tubes are not as smooth as before. The recanalization area is relatively narrow, and the pregnant egg is easily blocked and settled in the narrow area.

2. Women with endometriosis: This is because the endometrium in the interstitial part of the fallopian tube is ectopic, causing the lumen to be narrowed or blocked, making it difficult for the pregnant egg to pass. On the other hand, when the pregnant egg comes into contact with the ectopic endometrium, the syncytial cells differentiate from the cytotrophoblast cells and secrete a proteolytic enzyme that dissolves the mucosa to erode the ectopic membrane, forming a gap for the pregnant egg to Implantation develops, resulting in an ectopic pregnancy in the fallopian tube interstitium.

3. Women with chronic salpingitis: Under normal circumstances, the fallopian tube can transport fertilized eggs to the uterine cavity through the swing of cilia and the peristalsis of fallopian tube smooth muscle. Women with chronic salpingitis have difficulty with the fertilized egg reaching the uterine cavity due to inflammation and lesions.

4. Women with hypoplastic or deformed fallopian tubes: The fallopian tube muscle layer is underdeveloped and the intima lacks cilia, which reduces the function of the fallopian tube in transporting pregnant eggs. Fallopian tube malformations make it difficult for fertilized eggs to reach the uterine cavity smoothly.

5. Women with a mass in the cavity: Due to the squeezing and traction of the mass, the position of the uterus or fallopian tube moves and the structure is abnormal, which will prevent the pregnant egg from reaching the uterine cavity.

How to care for ectopic pregnancy?

1. Pay attention to diet and nutrition and ensure protein intake. Protein is an important component of antibodies. If the intake is insufficient, the body's resistance will be reduced. Within half a month after ectopic pregnancy surgery, protein should be given at 1.5 to 2 grams per kilogram of body weight, and the daily amount is about 100 to 150 grams. Therefore, you can eat more chicken, lean pork, eggs, milk, beans, and bean products.

2. Balance work and rest, do not do heavy physical labor, and try to reduce abdominal pressure. People with constipation can use laxatives to prevent mass rupture.

3. Follow up regularly. Come to the hospital for check-up and retest B-ultrasound one month after discharge or after menstruation is clear.

4. Pay attention to protecting the fallopian tubes. The female reproductive organs are connected inside and outside. Some pathogenic microorganisms can easily invade the fallopian tubes and even the abdominal cavity through the vaginal opening. Therefore, keeping the vulva clean regularly is a crucial means to prevent bacterial infection and protect the fallopian tubes from inflammation. However, when cleaning the vulva, you should avoid using special products for cleaning the vulva every day, so as not to destroy the "health guardian" microecological flora in the vagina and easily allow foreign bacteria to take advantage of it.

5. Use good contraception: For patients who have given birth, B-ultrasound indicates that the lump has disappeared. After the follow-up, sexual intercourse is possible. For nulliparous patients who are planning to get pregnant again, they need to do fallopian tube drainage after B-ultrasound shows that the mass disappears. Only after both fallopian tubes are unblocked can they become pregnant.

How to prevent ectopic pregnancy?

1. For the health of female friends, smoking and drinking should be avoided.

2. Women must not ignore this common gynecological disease. They should also pay attention to personal hygiene to reduce the occurrence of pelvic inflammatory disease and minimize the incidence of ectopic pregnancy.

3. Women who are not ready to have children must do contraceptive work.