How to first aid for ectopic pregnancy rupture

An ectopic pregnancy is when a fertilized egg "settles down" in a part of the body other than the uterine cavity. About 95% of ectopic pregnancies occur in the fallopian tubes. They can also occur in the abdominal cavity and ovaries. Because these parts are not suitable for pregnancy, the fertilized egg not only cannot develop into a fetus, but is also as dangerous as a "time bomb". Once it ruptures, it will cause heavy bleeding and endanger the life of the pregnant woman.

Ectopic pregnancy rupture usually occurs in the 6th to 7th week of pregnancy, with vaginal spotting, dark brown, tubular tissue discharge, and sudden abdominal pain on one side as the main symptoms. The abdominal pain is tearing pain, which then spreads to the whole abdomen. Since the pain of ectopic pregnancy is easily confused with the pain of other abdominal diseases, it should be distinguished: in intussusception, the patient presents with severe abdominal pain and blood in the stool; the pain of appendicitis generally starts from the heart and gradually moves to the right lower abdomen; intestinal volvulus has the symptoms of general intestinal obstruction, and the onset is rapid and the pain is severe.

When the amount of bleeding caused by ectopic pregnancy is large, the patient will be pale, have a low blood pressure, a weak and rapid pulse, and even go into shock. Such patients must be rescued in time, otherwise they may die.

Therefore, when an ectopic pregnancy is suspected to have ruptured, the first thing to do is to call the emergency number. Before the ambulance arrives, keep quiet, keep the head high and the feet low to prevent vibration, reduce the patient's body position changes to reduce bleeding, and keep warm. Secondly, ask the patient's medical history, menstrual history, whether there is amenorrhea, and whether there is early pregnancy reaction. Thirdly, if the grassroots unit has the conditions, it can first infuse fluids and then transfer to another hospital for emergency treatment.