Intrauterine Pregnancy: It is a medical condition that occurs when a fertilized egg is implanted in the uterus and starts to develop within it.
1. INTRAUTERINE PREGNANCY MEANING
Intrauterine means inside the uterus. The uterus is the small, hollow, pear-shaped organ in a woman’s pelvis in which a fetus develops.
2. BEST WAYS TO CONFIRM INTRAUTERINE PREGNANCY:
An intrauterine pregnancy can be confirmed with the help of specific tests.
Ultrasound ( transabdominal, transvaginal) is one of the most common and widely used tests for this purpose.
Visibility of Yolk Sac
A yolk sac develops in the uterus during an intrauterine germination. The yolk sac is visible during 5.5 weeks of pregnancy. An ultrasound can be used to confirm an intrauterine pregnancy.
The activity of the fetal heart
It is also possible to confirm an intrauterine pregnancy by examining the fetal heart rate. Fetal heart activity is prominent after six weeks of pregnancy. Fetal heart rate usually increases after every week and averages between 100 and 120 beats per minute.
3.DIAGNOSIS OF INTRAUTERINE PREGNANCY WITH ULTRASOUND
The following terms can describe intrauterine pregnancy:
A live intrauterine pregnancy:
When a gestational sac contains either a yolk sac or an embryo/fetal pole with fetal heart activity, it is considered a live intrauterine pregnancy.
A single-live intrauterine pregnancy:
At this stage, the pregnancy typically develops with one fetus, and the scan has identified either a single yolk sac or fetal pole with fetal heart activity.
An early intrauterine pregnancy:
A scan has found a gestational sac in a woman’s uterus, but it is too early for an embryo or fetal heartbeat to be seen. More information (likely another ultrasound scan) is needed to determine whether the pregnancy is progressing normally.
4.ICD 10 CODE FOR INTRAUTERINE PREGNANCY
O00.01 is the CD-10-CM code for abdominal pregnancy with intrauterine pregnancy.
According to WHO, ICD-10 code O00.01 indicates abdominal pregnancy with intrauterine pregnancy under the category Pregnancy, childbirth, and puerperium.
Pregnancy in the abdomen with an intrauterine pregnancy
Excluded: maternal care for a viable fetus during abdominal pregnancy (O36.7-).
This includes ruptured ectopic pregnancies.
To identify any associated complications, use additional codes from category 008
IS INTRAUTERINE PREGNANCY NORMAL?
A pregnancy in the uterus is considered normal and life-sustaining when the fetus displays a normal heartbeat. There is a high risk of miscarriage if the fetal heartbeat is less than 100 beats per minute. If the pregnancy is outside the uterus, it is not considered normal and is termed an ECTOPIC PREGNANCY
5. More than a one-lifetime sexual partner
An evaluation should begin with vital signs to identify hypotension, elevated pulse rates, abdominal rigidity, and guarding: physical examination findings can often be subtle, so they should arrange for a pelvic examination by a qualified clinician or arrange for a transvaginal ultrasound.
The diagnosis of ectopic pregnancy can be enhanced by using a ‘discriminatory cutoff.’ Determining pregnancy age by history can be complex, and beta-human chorionic gonadotropin is often used as a marker of gestational age. An intrauterine pregnancy should be visualised when beta human chorionic gonadotropin reaches a specific level, usually 1500 to 2000. Surgery is recommended when levels are below the cutoff and no intrauterine pregnancy is seen on ultrasound. The suspected presence of ectopic pregnancy should be addressed acutely by referral to a competent obstetrician.
LAPAROTOMY or LAPAROSCOPIC Treatment followed by
SALPINGECTOMY (where the whole fallopian tube is removed)
SALPINGOSTOMY (where part of the fallopian tube is removed)
CAUSES OF INTRAUTERINE PREGNANCY
The following are some of the most common causes of intrauterine pregnancy:
- Chromosomes and genes that are abnormal
- Abnormal genes, subsequent changes in DNA sequence, and extra chromosomes are the leading causes of miscarriages.
- This can cause improper and faulty fetal development in the mother’s womb. Such abnormalities don’t need to be inherited.
- Such abnormalities can develop during the embryo’s division and growth phases.
- Severe chromosomal abnormalities may cause fetal death in the womb.
Maternal Well-being is Compromised
During intrauterine germination, miscarriages can be caused by undiagnosed maternal medical issues. These include:
Since gestational diabetes is one of the primary medical conditions that may cause complications while pregnant, it is best to take necessary precautions not to compromise your and your baby’s health.
Imbalances in hormones
Keeping the uterus and lining healthy during intrauterine germination is essential. Still, hormonal issues, such as low levels of pregnancy hormones, can lead to thinning of the uterine lining. This compromises the health of the uterus, making it hard to implant the egg. Furthermore, it hinders the embryo’s development.
- Serious infections
- Infections such as
- The malaria virus
- The listeriosis virus
- The toxoplasmosis virus
- Infections with HIV
During intrauterine germination, this may lead to complications.
Issues related to the cervical region
The chances of miscarriage during intrauterine germination increase when the cervix is incompatible with holding and feeding the embryo for further development. The pregnancy is unlikely to be withheld if you suffer from an incompetent cervix or fragile cervical issues.
The age of the mother
It is more likely for women under 35 to have a healthy germination. However, those above 35 years of age have a 20% higher risk of losing their pregnancy during pregnancy. After the age of 40, miscarriage rates rise to 40%, and at the age of 45, they double to 80%.
Miscarriages in history
It is highly likely that women who have experienced a miscarriage before will experience another one. However, proper treatment and care can subsequently reduce the chances of a miscarriage. Therefore, don’t give up and consult with your healthcare provider.
Abuse of substances
All the carcinogens in tobacco and drugs can disrupt the uterus lining, reducing the ability of the mother’s womb to hold the embryo.
PREVENTION FROM MISCARRIAGES
Following are some tips for prevention from miscarriages:
- Complication-free intrauterine germination treatment
- Here are certain lifestyle aspects one can keep in mind to avoid complications that might lead to miscarriage or problems during childbirth.
Eat a healthy diet
It would help if you ate a healthy, nutrient-dense diet to maintain the health of your uterus. Additionally, you should consume antioxidants to strengthen your immune system and ensure your baby’s health. During an intrauterine germination, you can rely on leafy green vegetables for their high nutritional value.
Give up smoking and enjoy the health benefits of quitting smoking, including a sustainable intrauterine pregnancy, which is another benefit of quitting smoking.
Treatment for APS is available.
If you are suffering from APS or antiphospholipid syndrome, you have a weak cervix that interferes with the implantation of the embryo and its feeding. Therefore, you should seek proper treatment for your condition as soon as possible.
Keeping a healthy weight is essential.
Maintaining a healthy weight before and after pregnancy keeps you away from all the complications of intrauterine germination.
CONSULTATION WITH A GYNAECOLOGIST OR OBSTETRICIAN
Visit an OB/GYN if you encounter any health complications. You may have an intrauterine germination failure if you experience unexpected vaginal bleeding or brown spots.
Get medical assistance as soon as possible.
There are also questions people ask.
Is it possible to survive an intrauterine pregnancy?
Doctors estimate that 50 to 60% of intrauterine pregnancies survive with proper care and monitoring.
Is Intrauterine Pregnancy Normal?
The embryo is implanted in the uterus at the right place, and the fetus displays a normal heartbeat.
How high is the risk of an intrauterine pregnancy?
Stillbirth is one of the most significant risks during intrauterine germination, making it a high-risk pregnancy.