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Women with an abdominal pregnancy will not go into labor.
Frequently the diagnosis of an abdominal pregnancy is missed.
Delivery in a case of an advanced abdominal pregnancy will have to be via laparotomy.
MRI has also been used with success to diagnose abdominal pregnancy.
Suspicion of an abdominal pregnancy is raised when the baby's parts can be easily felt, or the lie is abnormal.
Elevated alpha-fetoprotein levels are another clue of the presence of an abdominal pregnancy.
Advanced abdominal pregnancy kills 10 percent of the women who experience it and 70 percent of their babies.
It is generally recommended to perform a laparotomy when the diagnosis of an abdominal pregnancy is made.
Generally, treatment is indicated when the diagnosis is made; however, the situation of the advanced abdominal pregnancy is more complicated.
Advanced abdominal pregnancy refers to situations where the pregnancy continues past 20 weeks of gestation.
While a fetus of ectopic pregnancy is typically not viable, very rarely, a live baby has been delivered from an abdominal pregnancy.
However, the vast majority of abdominal pregnancies require intervention well before fetal viability because of the risk of hemorrhage.
Babies of abdominal pregnancies often have birth defects due to compression in the absence of the amniotic fluid buffer.
Abdominal pregnancies also occur in women who have uteruses when the placenta, which is produced partly by the fetus, attaches to something other than the womb.
While rare, abdominal pregnancies have a higher mortality rate than ectopic pregnancies in general but, on occasion, can lead to a delivery of a viable infant.
Typically an abdominal pregnancy is a secondary implantation which means that it originated from a tubal (less common an ovarian) pregnancy and re-implanted.
In cases where there is invasion of bladder, it is treated in similar manner to abdominal pregnancy and manual placental removal is avoided.
In very rare occasions the pregnancy may find a sufficient foothold outside the ovary to continue as an abdominal pregnancy, and an occasional delivery has been reported.
In those situations, live births have been reported, so in a report from Nigeria with four live births out of a series of 20 abdominal pregnancies.
A patient with an abdominal pregnancy may just display the normal signs of pregnancy or have non-specific symptoms such as abdominal pain, vaginal bleeding, and/or gastrointestinal symptoms.
An abdominal pregnancy is a form of an ectopic pregnancy where the pregnancy is implanted within the peritoneal cavity outside the fallopian tube or ovary and not located in the broad ligament.
A primary abdominal pregnancy refers to a pregnancy that implanted directly in the abdominal cavity and its organs, save for the tubes and ovaries; such pregnancies are very rare, only 24 cases had been reported by 2007.
In normal deliveries the contraction of uterus provides a powerful mechanism to control blood loss, however, in an abdominal pregnancy the placenta is located over tissue that cannot contract and attempts of its removal may lead to significant blood loss.
The outer layer was designed to dissolve over a period of several days, releasing a supply of hormones that would, in the course of the next week, thicken the omentum and build a thick decidual layer between it and the major blood vessels, a stage intended to preempt the usual difficulty with hemorrhages during abdominal pregnancies.
To diagnose the rare primary abdominal pregnancy, Studdiford's criteria need to be fulfilled: tubes and ovaries should be normal, there is no abnormal connection (fistula) between the uterus and the abdominal cavity, and the pregnancy is related solely to the peritoneal surface without signs that there was a tubal pregnancy first.