Cervical Pregnancy: Causes, Symptoms, Diagnosis

Neck pregnancy is very rare. This is a serious pathology, often leading to death. If you find suspicious symptoms, secretions or worsening of well-being, a woman should immediately seek medical help.

What is cervical pregnancy, and how dangerous is it?

It is necessary to know

This pathology refers to one of the forms of ectopic pregnancy. A fetal egg with this diagnosis is attached outside the uterine cavity, namely in its cervical canal. Symptoms of the course of the abnormal process are most often bleedings of varying severity.

In gynecology, an ectopic pregnancy (cervical Form) is divided into the following types:

1. Proximal (abdominal, ovarian and tubular);
2. Distal (cervical and cervical-cervical).

The first type of pathology occurs much more often than the second. The distal form of ectopic pregnancy is a very rare phenomenon.

Such a diagnosis is a great danger for a woman and entails a series of irreversible processes that threaten her life. Severe internal bleeding and a purulent inflammatory process are the main problems that can lead to death if an unfavorable situation occurs.

Cervical Pregnancy: Symptoms

Since in a place where the fetal egg is attached in this case, a completely different purpose, the decidual membrane does not develop. The chorionic villus begins to break through the walls of the neck, tearing its vessels. Because of this, there is a heavy bleeding.

Symptoms of cervical pregnancy depend on the degree of implantation of the fetal egg and the current period of pregnancy. The first sign of this pathology is minor blood discharge after a long delay in the menstrual cycle.

Painful sensations in cervical pregnancy do not appear. The nature of bleeding may be of varying intensity-lean or abundant.

It is difficult to imagine what an ectopic pregnancy is fraught with for a woman. In the early stages (6-8 weeks), severe bleeding can occur. In this case, the woman needs urgent hospitalization.

Cardiovascular pregnancy

This is a rare and unusual pathology. It is characterized by attachment of the fetal egg outside the uterine cavity, in the area of its isthmus (lower part). This anomaly refers to the distal form of an ectopic pregnancy.

Any clinical signs during the diagnosis of the vagina are absent. The main symptomatology is also not revealed. Very often, cervico-cervical pregnancy is mistaken for placenta previa.

Identify this form of ectopic pregnancy is difficult. The doctor can assume its presence at bloody discharge, which intensifies with increasing gestational age.

What does the pregnancy test show?

In the presence of such a pathology, the first disturbing bell can be spotting spotting, much poorer than usual. Therefore, a woman may not even suspect that she is in a position. It is best to consult a doctor who will find out the cause of the changes in the menstrual cycle, or make a test yourself.

Basically, its result is positive. However, the strips on the test are not brightly colored, hardly distinguishable. The low content of chorionic hormone (HCH) in the blood, the detection of which is a sign of pregnancy, can directly indicate the existence of pathology.

With a delay in menstruation, smearing discharge 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 period of pregnancy. If more than 4 weeks have passed, the doctor will easily detect abnormalities in the area of the uterine tubes.

Diagnostics

If a pregnant woman is suspected of having an ectopic pregnancy, an ultrasound procedure and a blood test for determining the level of hCG (hormone) are prescribed by a gynecologist. Very often during the diagnostic examination, other pathologies can be detected, namely:

• Fibromyoma;
• miscarriage;
• Myoma of the uterus.

To diagnose the cervical form of an ectopic pregnancy, a full gynecological examination is performed. In this case:

• Cyanosis of the cervix;
• Moving the outer yawn to the side;
• Attachment of the fetal egg to the walls of the cervix, bleeding occurs during palpation;
• The dimensions of the cervix are enlarged and much larger than her body.

Ultrasound is the most accurate and reliable indicator. At the lumen of the cervical canal, the attached fetal egg is immediately detected.

Causes

Cervical Pregnancy May occur for up to 12 weeks. Usually it ends with spontaneous miscarriage. Cardiovascular pregnancy can develop from 16 to 24 weeks. In very rare cases, these forms of distal gestation occur until the end of the prescribed period.

The main causes of these pathologies are:

• Frequent abortions;
• Endometritis;
• Complex births with external and internal injuries;
• Isthmico-cervical insufficiency;
• Gynecologic curettage;
• ECO;
• Myoma of the uterus.

The main cause of the appearance of cervical pregnancy is the abnormal state of the endometrium and the undeveloped trophoblast.

Treatment

For a woman's health, cervical pregnancy is very dangerous. Treatment Is carried out immediately. The woman is hospitalized, she undergoes a procedure for stopping bleeding using a tight tamponade sewn on the sides of the vagina.

A circular seam is applied in the cervical region, the Foley catheter is inserted into its channel . The ligation and embolization of 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.

An incorrect attempt at scraping out the uterus or separating the placenta can threaten with profuse bleeding with a fatal outcome. Tamponade or suturing in this case does not help, because large vessels are opened.

In rare cases, the only way out is to remove the uterus. This operation is carried out urgently, if it is impossible to stop the blood or save the organs, than often turns into 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 closely monitor her health, avoid unwanted conception.

The main preventive measures are:

• Use of contraceptives;
• Timely visit to the gynecologist;
• Avoidance of abortion;
• Treatment of any gynecological ailments;
• Regular management of the menstrual calendar;
• Observance of sparing conditions of the recovery period after any gynecological operation (to avoid complications).

The first thing a woman should do when a positive pregnancy test is done is to visit a doctor and register. An experienced gynecologist is able at an early stage to identify any pathology and help avoid terrible consequences.

Rehabilitation

Neck pregnancy is a very unusual and unpredictable pathology. It is usually interrupted in the first half of the gestational period. A serious problem is difficult diagnosis, which leads to rupture of uterine tubes and the occurrence of fatal bleeding.

Interruption of ectopic pregnancy is a huge stress for a woman. However, do not despair. It is necessary to exert maximum efforts to undergo successful treatment, a recovery period and to prepare for a repeated, favorable pregnancy.

A severe depression is experienced by a woman after a surgery to remove the uterus. It is prescribed if there was a cervical ectopic pregnancy. After surgery, the patient needs psychological help, since it is very difficult to survive such a loss yourself.

There is a chance!

Pregnancy is possible if a woman has even removed both fallopian tubes. In this case, IVF is performed. Be sure after the operation the patient needs to tell about this possibility.

If one tube is removed, the risk of a second ectopic pregnancy is very high. A woman needs to undergo a long recovery period, use contraception for a while.

During the planning of pregnancy and its course it is necessary to follow the recommendations of the doctor, listen to his advice. If a woman underwent surgery, she should strictly adhere to bed rest, not to lift weights, eat well.

Take care of your health, lead an active life, be happy, and then you will have a strong healthy baby!