针对既往不孕母亲腹腔妊娠保守治疗的生物心理社会方法
Biopsychosocial Approach for Conservative Management of Abdominal Pregnancy in Previously Infertile Mother.
作者信息
Indarti Junita, Saroyo Yudianto Budi, Anggraheni Beta Andewi Resti, Widyatama Andika
机构信息
Department of Obstetrics and Gynecology, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia.
出版信息
Case Rep Med. 2022 Aug 30;2022:3021097. doi: 10.1155/2022/3021097. eCollection 2022.
BACKGROUND
Abdominal pregnancy is a rare condition in which early termination is generally recommended. However, there are cases of abdominal pregnancies treated using expectant management with satisfactory outcomes. This management may be considered in special cases, such as previously infertile couples.
CASE
A case of a 27-year-old woman with infertility history complaining of vaginal bleeding was presented. Physical and ultrasound examination revealed an abdominal pregnancy with 18 weeks of gestation. Although she was ready to abort the pregnancy, she insisted to try expectant management for her pregnancy. Her baby was finally born at 25 weeks via laparotomy.
CONCLUSION
Abdominal pregnancy is a rare and highly morbid form of ectopic pregnancy. It demands a skilled approach in management. A comprehensive and holistic approach is required to deliver the best outcome for the patient and her family.
背景
腹腔妊娠是一种罕见的情况，通常建议尽早终止妊娠。然而，也有一些腹腔妊娠病例采用期待治疗并取得了满意的结果。在特殊情况下，如既往不孕的夫妇，可考虑这种治疗方法。
病例
报告一例27岁有不孕史的女性，主诉阴道出血。体格检查和超声检查显示为妊娠18周的腹腔妊娠。尽管她准备终止妊娠，但她坚持尝试对其妊娠进行期待治疗。她的宝宝最终在25周时通过剖腹手术出生。
结论
腹腔妊娠是一种罕见且病态严重的异位妊娠形式。它需要熟练的处理方法。需要一种全面、整体的方法为患者及其家人带来最佳结果。
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