How to manage ectopic pregnancy with hemorrhagic shock in an emergency

Jan 09, 2023 Source: Cainiu Health
Disease description:

An ectopic pregnancy was discovered during examination, and hemorrhagic shock occurred during surgery. How should hemorrhagic shock due to ectopic pregnancy be managed emergently?

Doctor's answer (1)
Dr. Wang Mingxuan
Ectopic pregnancy with hemorrhagic shock generally requires emergency management such as cardiac compression and immediate intravenous fluid administration. The shock associated with ectopic pregnancy is due to blood loss, necessitating fluid resuscitation, blood transfusion, and venous access via venipuncture. At the same time, prompt surgical intervention is essential to locate the source of bleeding and achieve effective hemostasis. Ectopic pregnancy is a common gynecological emergency; pregnant women are advised to undergo an ultrasound examination at around 40 days of gestation to rule out ectopic pregnancy. If the patient experiences difficulty breathing, oxygen therapy can be administered to maintain normal respiration. After resuscitation, it is important to consume foods that help replenish blood to promote recovery.