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5 weeks after ruptured ectopic

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Jlea91
Posts: 8
Joined: Mon Apr 23, 2018 11:11 pm

5 weeks after ruptured ectopic

Post by Jlea91 »

I’m new to forums and have never found the need to use them until now.
On 9th Feb I found out I was pregnant with my 2nd pregnancy after 10 years.
First pregnancy was healthy. I started bleeding on 15th Feb and went to the early planning clinic. During my time here my HCG levels were monitored for over 8 has in which they wer e decreasing. I was informed I would likely miscarry and go home. The following week I contacted the early planning clinic to confirm whether I needed to come back for any follow up treatment. The nurse informed me I should have continued to be monitored unit my HCG levels were gone and to come in the hospital for more tests the following day. Upon receiving my results my HCG levels increased significantly and they insisted I would need to come back again in two days to take further tests ensuring this was not a viable pregnancy. Again my HCG levels had risen but not double and at this point an ectopic pregnancy was suspected. On the 5th March I was given methotrexate and on 14th March I ruptured. I was rushed into hospital and within 2 hours I was in theatre. I had laparotomy to remove my left tube and hadn’t three blood transfusions causing me to stay in hospital for 6 days. I’m home now attempting to get on with my life but I can’t not help but feel my fertility had been compromised due to delays in treating me in the first instance. I’m currently grieving for the loss of my baby, trying to get my head round such an invasive and frightening surgery. Additionally, coming to terms with the fact I’m 27 and the likelihood of me having a baby with one tube is going to be hard! I’m terrified of this happening again but I’m also desperate for my another baby for my son who’s 10. I attempt to talk to my family and friends but they don’t really understand and my partner tries but to be honest he can’t win whatever he says. I feel like I’m going stir crazy!!

EPT Host 20
Posts: 3176
Joined: Thu May 31, 2012 10:58 pm

Re: 5 weeks after ruptured ectopic

Post by EPT Host 20 »

Dear Jlea91,
I am so sorry to hear of your ectopic pregnancy and loss. You have been through a huge amount in such a short space of time and it is very normal to feel overwhelmed. From your words, I can imagine how frightening the experience must have been and I am sorry you have had to go though this.

When we experience ectopic pregnancy we are suddenly faced with a life threatening emergency and it's treatment, reduction in fertility, concerns about the future and the loss of our babies. Experiencing any one of these is an ordeal, putting them together is immense and your feelings are completely normal.

Experiencing an ectopic pregnancy is a huge ordeal and you are in the early stages of recovery. Your body needs time to heal from your surgery which is in itself a gruelling task. You have also had to process the loss of your baby and been through an immense rollercoaster of emotions - all of this will take time to come to terms with.

You should take it very easily for about six weeks after surgery. Your body will be using its energies to heal internally. It is normal to feel physically and emotionally exhausted during this time and please do be kind to yourself. Recovery can take time and some days will be better than others, one day you maybe ok and the next you maybe in discomfort or more emotional. This is perfectly usual and the healing process will go back and forth in this way for however long you need. It is important to listen to your body's signals and pain and feeling tired are your body's signs to tell you to rest. We suggest keeping a healthy balanced diet, drinking lots of water and resting. Once your wounds have healed, very gentle exercise such as a short walk can help, but please do take this slowly.

It is normal to feel anxious about the future. We experience a mix of emotions from wanting to try again to being petrified of what may lie ahead. We never forget but we can learn to accept what happened. It is a slow process that might be weeks or months ahead. In time, we can get to a place where we feel comfortable trying again. When this is, is individual for each person. There is no timeframe for recovery, take each day as it comes.
Importantly early scans avail. As soon as you know you are pregnant, contact your local EPU to inform them and book in for an early scan at around six weeks. Remind them of your previous ectopic pregnancy. This self refer route is the best route in our view. Hopefully you will have some comfort to know you are under the radar of medical professionals right away.
Generally, when a person has only one fallopian tube and both ovaries, they are still able to get pregnant from an egg at the opposite ovary as an egg from one ovary can travel down the tube on the other side. The fallopian tubes are not attached to the ovaries and, at the point of ovulation, some very delicate structures called the fimbriae begin to move gently creating a slight vacuum to suck the egg toward the end of the tube it is nearest to (like lots of little fingers waving and drawing the egg towards it). So, if you have only one tube then there is only one set of receptors working and one set of fimbriae creating a vacuum and so the egg is much more likely to find its way to that tube, whichever ovary it is produced from. Conservative estimates suggest that an egg produced on the tubeless side manages to descend the remaining tube around 15 to 20% of the time.

The chances of a further ectopic after a first in UK is 10%. So that's 90% chance of the embryo being in right place next time.
While generally it is possible to conceive after an ectopic pregnancy, the amount of time it takes varies from couple to couple. Factors include age, general health, reproductive health and how often you have sex, among other things. It may be comforting to know that 65% of women are successfully pregnant within 18 months of experiencing an ectopic pregnancy and some studies suggest this rises to around 85% after two years.

Many women experience feelings of isolation after an ectopic pregnancy - I did, too. It is a frightening experience. Like you, I reached out to the Trust for support and we will be here for you to lean on for as long as you need.

Sending much love and warm hugs,
Karen x

**********************************************************************************************
If we have been able to help you, are you able to help us with a small donation or by volunteering?
Further information is available at www.ectopic.org.uk
Email us at ept@ectopic.org.uk.
Our helpline is 020 7733 2653 (available Monday to Friday 10am - 4pm).
Detailed medical information can be found on our website. Please remember online medical information is NO SUBSTITUTE for expert medical advice from your own health care team.
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Ssparks87
Posts: 2
Joined: Wed Apr 25, 2018 5:00 pm

Re: Suspected C-scar ectopic

Post by Ssparks87 »

Hi all.. sorry I may not be in the right place to post this but not sure how his all works. I have never posted anything on a chat forum before.
Can Anyone offer me advise or has anyone been through the same thing...
I am 7 weeks pregnant. This is my 4th pregnancy. 2 children delivered by c-section and one abortion.
I went to the doctors as I was bleeding who transferred me to my EPU at my local hospital. They found that the bleeding wasn’t their concern it was more the fact the Fetus is very low down in myuterus and possibly implanted into my c-Section scar. I was asked to return in a few days when a consultant was present. They scanned me again and found that at present the pregnancy is viable however next to my c-section scar. They have asked me to come back in a 2weeks as they want to see the baby grow up and away from my scarring. Understandably have been in much distress as I don’t know if this pregnancy is going to continue. I don’t know what to make of what they’re saying.
Can you offer anymore advice?

Thank you.

EPT Host 20
Posts: 3176
Joined: Thu May 31, 2012 10:58 pm

Re: 5 weeks after ruptured ectopic

Post by EPT Host 20 »

Dear Ssparks87,
Less than 1%of ectopic pregnancies occur within the caesarean scar. I have added information from our website for you.

Research indicates that this kind of ectopic pregnancy appears to be increasing, most likely due to the impact of elective caesarean section delivery which was much less common 10 years ago than today. Caesarean scar ectopic pregnancies are when the fertilised egg implants into the gap in the muscle of the uterus that has been caused by the scar on the uterus from a previous Caesarean section. The pregnancy may then grow out of the uterus or onto the cervix and cause torrential internal or vaginal bleeding. In some pregnancies the placenta develops so that only part of it is within the scar and these pregnancies may proceed to delivery of a live baby, but with risk of significant bleeding from the mother and hysterectomy at the time of delivery. Early treatment options include removing the pregnancy using suction & a cervical stitch or keyhole surgery, or using methotrexate injection/s. The treatment of caesarean scar pregnancies is potentially difficult so management has to be individualised on a ‘case by case’ basis. Despite appearing to increase in incidence, they are still relatively uncommon and so some hospital see very few of them. Accordingly, there are moves to focus care in these cases to regional units with experience of these problems both to optimise care and to collate information to make sure there is a better evidence base to inform treatment decisions in the future.

Whilst I do not wish to alarm you, if you experience any unusual bleeding, abdominal pain, shoulder tip pain, bladder or bowel problems or feel dizzy and unwell please seek urgent medical advice.
It is good that you are being closely monitored and I will keep everything crossed for a positive outcome on your next scan.

Sending much love,
Karen x

**********************************************************************************************
If we have been able to help you, are you able to help us with a small donation or by volunteering?
Further information is available at www.ectopic.org.uk
Email us at ept@ectopic.org.uk.
Our helpline is 020 7733 2653 (available Monday to Friday 10am - 4pm).
Detailed medical information can be found on our website. Please remember online medical information is NO SUBSTITUTE for expert medical advice from your own health care team.
**********************************************************************************************

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