Causes and consequences of detachment of the ovum in early pregnancy, treatment tactics. Why does the uterus reject the embryo? Maintaining pregnancy during abruption of the ovum Why does the uterus reject the embryo in the early stages

In the initial stages, pregnancy is very susceptible to possible risks. It is in the first weeks that miscarriages most often occur, therefore, as soon as a woman finds out that she is expecting a baby, it is important for her to begin to constantly monitor her well-being. Very often, spontaneous abortion in the early stages of pregnancy can be provoked by detachment of the ovum. Read on to learn about the features of this pathology, as well as how to prevent its occurrence.

A fertilized egg is an egg that is fertilized by a sperm and attaches to the walls of the uterus. In other words, the fertilized egg is the primary environment in which the embryo resides at the very beginning of its development.

Also, the fertilized egg is the first structure distinguished by ultrasound and helps confirm the presence of pregnancy. It has the shape of an oval or circle and increases in size over time.

Around the fifth week, the presence of a yolk sac is clearly visible inside the fertilized egg. Its appearance indicates the normal course of pregnancy and means that the embryo has enough all the necessary substances. Based on the diameter of the fertilized egg, it seems possible to establish the exact term of pregnancy, as well as its possible violations (the doctor evaluates the shape and, thanks to the information received, identifies the state of uterine tone).

What happens when the ovum detaches?

The medical term “detachment” refers to two types of conditions: critical (occurring in the middle and end of pregnancy) and direct detachment of the fertilized egg (typical of the initial stages). The latter option can be caused by various injuries, as well as toxicosis.

Establishing such a diagnosis in the early stages of pregnancy is a very alarming signal and can act as a harbinger of miscarriage. Fortunately, this phenomenon occurs quite infrequently (only 0.5 to 1.7 percent of all pregnancies).

Detachment of the ovum can be mild, moderate or severe. In the case of the middle stage, there is severe pain in the lower abdomen, the uterus tenses, and bleeding is characteristic.

In the severe stage of detachment (a critical condition), dizziness, nausea with vomiting, increased heart rate are characteristic, the patient may lose consciousness, the fetus lacks oxygen, the heart rhythm is disturbed, typically the presence of uterine asymmetry and hypertonicity, bleeding (can be external and internal).

Important! If a pregnant woman experiences signs indicating possible detachment of the fertilized egg, she should immediately go to the hospital for medical help. In mild to moderate severity, you can still cope with this condition with the help of special medications.

Now let's look in more detail at the detachment that occurs in the early stages. First, let's give some anatomical data. So, the uterus is a muscular organ that is characterized by periodic contractions (mostly insignificant). When pregnancy occurs, the fertilized egg, as already mentioned above, is attached to the uterine cavity, where the process of its further development occurs.

At the same time, the formation of the placenta begins, which at the beginning of pregnancy is called chorion. The chorion is a villous membrane of the embryo that covers the entire surface of the fertilized egg. The embryo can penetrate into the uterine mucosa thanks to the villi.

The chorion occupies a very important place in the process of fetal development, because it is through it that the embryo can receive the necessary nutrients, as well as oxygen. Metabolic products leave the baby for the mother along with carbon dioxide. Of course, it is very important that the placenta develops normally, because it is the one that can replace the lungs, organs of the gastrointestinal tract, skin and kidneys at the same time for the embryo. The formation of a full-fledged placenta occurs at the end of the 1st month of pregnancy.

At the same time, characteristic changes are observed in the uterus; chorionic villi grow even more. As mentioned above, the uterus periodically contracts. But this applies only to it, the placenta does not have such a function, which is why, in the case of strong contractions of the uterus in the initial stages of pregnancy, partial or even complete detachment of the fertilized egg can occur. There are cases when this pathological process occurred due to poor blood supply or the peculiarities of the immune reactions of the body of a pregnant woman.

Causes of this pathology

Why can a normally developing fertilized egg begin to be rejected? It is quite difficult to answer this question. A whole set of factors can lead to such a pathological condition, the following stand out among them:

the presence of hormonal disorders;
abortions previously performed by a woman;
presence of disorders in the reproductive sphere;
the presence of various formations;
inflammatory phenomena occurring in the pelvic organs;
features of the anatomy of a woman’s gynecological organs;
infections and viruses that a pregnant woman has become infected with;
presence of sexually transmitted diseases;
presence of arterial hypertension;
various negative environmental factors to which pregnant women were exposed;
presence of unhealthy habits (smoking, drinking alcohol, drugs);
physical overload;
significant emotional distress;
the presence of genetic pathologies;
Rh conflict between mother and fetus;
abnormal development of the embryo or placenta.

Despite such an extensive list of factors that can provoke detachment, the most important of them is progesterone deficiency. With it, the female body does not produce enough progesterone, but it is this hormone that is responsible for the normal process of bearing a baby.

Symptoms of this condition

It is rational to talk about detachment when the process of premature rejection of the fertilized egg from the uterus has begun. This is already a real threat to the life of the embryo. The embryo is not able to exist outside the uterine cavity, so complete detachment will invariably provoke its death and end in miscarriage. In fact, detachment is the very first stage of spontaneous abortion.

Along with the detachment of the chorion, the vessels begin to rupture, due to which it penetrated into the uterus, and a hematoma forms in this area. This will be the very first symptom of detachment, which is detected on ultrasound diagnostics. In the case of partial or not very pronounced detachment, a hematoma may be the only manifestation of this pathological condition.

But for the most part, women are able to independently identify the pathology by deteriorating general health and the appearance of blood discharge from the vagina.

Blood discharge is a typical symptom of incipient detachment. The presence of brown dried blood confirms the fact that the formation of the hematoma occurred earlier, and the discharge represents its contents being expelled.

In the case when ichor appears from the genital tract, the tear begins to “overgrow”, but this in no way means that you need to do nothing! On the contrary, it is important to consult a doctor who will monitor your condition.

Bright red discharge is a critical sign of an incipient miscarriage and requires immediate calling an ambulance and hospitalization of the woman. In addition, you should be wary if you notice the appearance of cramping or nagging pain in the lower abdomen or lower back (which are very similar in nature to menstruation), and you also feel that the uterus has become hard: due to hypertonicity, it spasms and rejection begins fetus This process can feel like a hardening of the lower abdomen.

How is detachment treated?

If the diagnosis is confirmed, the woman must be hospitalized. The treatment process for this condition takes place only in a hospital setting, under the careful supervision of doctors. Of course, you have the right to refuse hospitalization and insist on treatment at home, but in this case, doctors will not give you a guarantee that such a condition will not recur and will then result in a miscarriage.

The most important point that must be observed in the event of detachment of the fertilized egg is a state of absolute rest. Not just physical activity is prohibited, but even ordinary walking (even light walking contributes to an increase in intra-abdominal pressure and, as a result, the appearance of uterine hypertonicity, which will accelerate the process of detachment).

It is important to completely relax the muscles of the abdominal wall, and this state can only be achieved in a supine position. If a woman begins to perform even minimal actions, the abdominal wall will tense.

Doctors often advise placing a special cushion or pillow under the buttock area. It promotes blood flow from the pelvis. With increased intestinal motility, there is a risk of repeated detachment, so the woman should adhere to a special diet. It is important to avoid products that have a laxative effect, as well as fastening and gas-forming properties. Also eliminate tea and coffee from your diet.

Of course, in such a situation you will have to refuse intimacy, while during the normal course of pregnancy sex is permitted. It is important not only to eliminate physical risk factors, but also to monitor your psycho-emotional state. Eliminate any stressful situations and possible worries.

A specialist can prescribe medications that help maintain pregnancy. Among them:

antispasmodics (use No-shpa, Papaverine, Magne B6);
hemostatic drugs (for example, Etamzilat);
sedatives (usually valerian);
hormonal agents (Duphaston, Utrozhestan);
vitamins (usually folic acid and vitamin E); other medications.

Of course, only the doctor is involved in the selection of the necessary funds, as well as their dosage. Avoid any attempts at self-medication, as they can cause great harm, especially in this situation.

The duration of treatment is determined purely on an individual basis. In most cases, treatment lasts about 14 days. This indicator directly depends on how clearly the woman follows all the doctor’s instructions. Therefore, if you want to leave the hospital as soon as possible, strictly adhere to all appointments and instructions.

If a pregnant woman encounters a phenomenon such as detachment at the initial stage of an “interesting situation,” she will have to be constantly checked by a doctor in the future to prevent the situation from reoccurring. Remember that routine examinations are not a whim, but a necessity. Gynecologists believe that if the process of placenta formation has not completed, the risks of relapse remain extremely high.

Possible risks

Do not forget that with partial detachment of the ovum there is a probable threat of miscarriage, and in the case of complete detachment, a spontaneous abortion has already occurred. Since very often this pathological process does not make itself felt and is detected exclusively by ultrasound, you need to be systematically examined and monitor your health.

At the initial stage of abruption, even if there is minor bleeding, it is still possible to maintain pregnancy if you go to the hospital in time.

It is important, as soon as you notice the first manifestations of detachment, to take a horizontal position and under no circumstances start taking any medications on your own. The use of medications can only “blur” the clinical picture and significantly complicate the process of diagnosis and subsequent treatment of the pathology.

Video - behavior when there is a threat of miscarriage

Preventive measures

The first thing a young couple planning to have a child should start with is planning for conception. Before this, it is recommended to conduct a full examination of the health status of both the expectant mother and father. This will help identify possible pathologies that may negatively affect the condition of the fetus in the future.

Particular attention is paid to inflammatory processes - before becoming pregnant, it is important to make sure that you are completely healthy. If the examination results show the presence of any pathologies, be sure to undergo the necessary treatment. Of course, the doctor should prescribe it, not you yourself.

When the “preparatory” stage is left behind and you see two long-awaited lines on the test, begin to carefully monitor your health. Eliminate any bad habits, stop taking medications, and reduce physical activity. Stress is one of the main enemies of the fetus; it is extremely undesirable for the expectant mother to experience severe emotional turmoil. The only exception is positive emotions, but they also must be dosed.

Healthy and adequate sleep, proper balanced nutrition, moderate walks in the fresh air, monitoring blood pressure, and avoiding possible injuries are important.

If you adhere to all these rules, do not break them and regularly see a doctor, you can protect yourself from such an unpleasant phenomenon as detachment of the fertilized egg. It is much easier to prevent any pathology than to treat it, and this condition is by no means an exception to the rule.

The beginning of pregnancy is the most dangerous period. The largest number of miscarriages occur in the first months. This means that expectant mothers need to start taking care of themselves from the very beginning of pregnancy.

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The most common type of miscarriage is abruption of the ovum in the early stages. The fertilized egg is detached from the uterus, and a hematoma begins to form near the fertilized egg due to vascular injury. If the hematoma continues to grow, complete detachment of the fertilized egg and its subsequent death will occur. If you do not pay due attention to the body’s signals, then in most cases the consequence of detachment of the ovum will be the death of the fetus. However, timely treatment can completely prevent this process.

According to doctors, this situation is of a purely individual nature. In one woman, rejection may occur due to nervous strain, while the cause of detachment in another will be the presence of bad habits. At the moment it is impossible to determine the exact reason why such a deviation occurs. But the doctors made up list of factors that can influence the development of the fertilized egg:

Deviations in the functioning of hormones (lack of progesterone);
The presence of stressful situations;
Exceeding the norms of physical activity:
Emotional abnormalities;
Various gynecological pathologies;
Presence of tumors;
Presence of viral or infectious diseases;
Conflict of Rh factor between mother and fetus;
Deviations in child development;
Having a woman in the past.

These are the most common causes that cause this disease. This can even happen due to the high tone of the uterine walls. That is why at the beginning of pregnancy you should try to avoid stressful situations, as well as exceeding the permissible level of physical activity.

Unfortunately, it is very difficult to calculate the beginning of a detachment; the problem can happen to absolutely any pregnant woman. Therefore, if any deviations from the norm appear, the pregnant woman urgently needs to undergo examination.

The most common symptom of abruption of the ovum is the presence. When detachment begins, the blood will have a coffee or ichor color. In this case, you must immediately go to the doctor. If they appear, it means that the resulting hematoma has already begun to resolve. However, this is not a reason to lose vigilance; the possibility of re-detachment cannot be ruled out.

If the color of the released blood begins to acquire a scarlet tint, then this serves as a signal of the onset of a miscarriage and requires immediate hospitalization.

It is worth mentioning that it is widely believed that in the early stages of pregnancy the fertilized egg undergoes so-called natural selection. And if the fetus is strong and has no developmental defects, then it will survive without outside help. Therefore, some women in this case prefer to refuse conservation and medical help. It is worth knowing that such stories have no scientific basis, and egg detachment is usually followed by termination of pregnancy.

Also, sharp discomfort in the lower abdomen and lower back, whose symptoms resemble menstrual pain, may also indicate the onset of this deviation; sensations of increased tone in the uterus are also possible: at the moment of embryo rejection, its contraction occurs, which provokes fetal rejection.

The presence of all these signs will allow even an inexperienced doctor to begin to suspect that the pregnant woman has experienced egg rejection. The presence and size of a detachment of the ovum can be accurately determined only by ultrasound. The devices currently available make it possible to see the beginning of the process, starting from the first days of pregnancy.

Partial detachment of the ovum in the early stages

If the ovum is detached, the prognosis for subsequent miscarriage or continued pregnancy can only be made depending on the stage of development of the pathology. If the detachment becomes more than 40% of the size of the fetus, then there is a great threat to the further development of the child. As a rule, with timely diagnosis, the development of a hematoma formed due to detachment is minimal and can still be treated. In this case, the pregnant woman is given a diagnosis that sounds like partial detachment of the ovum. Doctors will prescribe a comprehensive treatment that will help stabilize blood circulation and stop the subsequent development of pathology. In the case of partial detachment, the risk of miscarriage, if you follow all the recommendations of specialists, is close to a minimum.

This phenomenon can happen repeatedly. When a diagnosis is made, hospitalization is mandatory, as Doctors will be able to provide a full range of measures aimed at maintaining pregnancy:

Physical and emotional peace;
Taking medications that will help nourish the embryo in the uterus;
Administration of medications to stop bleeding;
Vitamin therapy;
Treatment with sedatives.

Although in any case the decision remains with the woman and the hospital can be refused, this does not eliminate the need to constantly be monitored by the attending physician. This will help avoid the possibility of miscarriage.

As noted above, one of the methods of treating detachment of the ovum is to ensure the woman’s rest.

During this period, it is recommended to follow to avoid unnecessary intestinal tension. It is necessary to avoid the formation of gases and not to abuse tonic drinks. Also, with this diagnosis, the expectant mother should exclude emotional shocks and sexual intercourse from her daily life.

In addition to these simple recommendations, it is also necessary to take medications. Only a qualified specialist can prescribe them. Even those who avoid taking medications must be clearly aware that without their help it is unlikely that they will be able to maintain a pregnancy. In case of detachment of the ovum at an early stage of pregnancy, it is necessary to have on hand hemostatic drugs (such as Etamzipat), antispasmodics (for example, No-shpa), sedatives (among them, you can take Valerian Extract) and hormonal drugs (Duphaston, Utrozhestan). It is also recommended to take additional vitamins. They are often prescribed at the stage of pregnancy planning, however, if a woman has avoided taking them, then in case of such a deviation, preparations containing vitamin E and multivitamin complexes are recommended.

On average, treatment lasts approximately 14 days, but still this time is purely individual. If the pregnant woman carefully follows all the recommendations, recovery may occur faster. It is also necessary to know that the possibility of recurrence of detachment of the ovum exists until the placenta is completely created in the body.

Even after a completely cured detachment of the ovum, until the end of pregnancy, a woman must be constantly monitored by a doctor and follow all his instructions in order to avoid the development of pathologies in the fetus.

Conclusion

If you believe the available statistics, this problem has recently become widespread. Some doctors attribute this to environmental degradation, as well as unhealthy diets. Others attribute this to abnormalities in the structure of the uterus. Regardless of everything, any expectant mother should realize that the end of her pregnancy depends on reasons that only she herself can influence.

Is there a threat? What do experienced mothers think about this:

In contact with

Women who have given birth probably know that pregnancy in the early stages is most associated with various risks. Gynecological practice shows that most miscarriages occur in the first trimester.

It is for this reason that expectant mothers need to be very careful about their health, avoiding various risks. In this article we will reveal the answers to such important questions:

For what reasons does pregnancy termination occur?
Miscarriage in the early stages of pregnancy - how does it happen?

Reasons why the fertilized egg exfoliates

Even completely healthy and strong women, unfortunately, cannot be immune from such an unpleasant process. Miscarriage in the early stages of pregnancy occurs due to detachment of the fertilized egg. This process is the first stage of spontaneous abortion.

Important! When the fertilized egg is rejected from the chorion, a small wound is formed as a result of damage to the blood vessels.Blood begins to accumulate behind the membrane, resulting in the formation of a hematoma. Doctors call it retrochorial.

The resulting hematoma tends to increase in size. And this further provokes detachment of the fertilized egg. As a result, if no measures are taken, the fertilized egg is completely rejected (pregnancy is interrupted).

However, timely medical intervention usually helps stop this negative process. It is difficult to say for what exact reason the fetus is rejected. But there are common ones that ensure an incipient miscarriage. Among them:

Recent illnesses of viral or infectious origin;
Pathologies of the structure and development of the uterus;
Excessive and frequent physical activity;
Frequent emotional stress and stress;
Hormonal disorders, in most cases - a lack of progesterone in a woman’s body;
Presence of tumors, gynecological diseases;
Negative environmental, industrial and household factors;
Alcohol abuse;
Presence of abortions;
Rhesus conflict pregnancy.

Unfortunately, it is impossible to predict the occurrence of this phenomenon. This can happen to any pregnant woman. For this reason, in the early stages of pregnancy, you should carefully consider the state of your body and respond to the most minor changes in it.

In most cases, potential fetal rejection is indicated by pain in the lower abdomen. By their nature, they are pulling, reminiscent of the pain that occurs during menstruation.

Pain may be accompanied by pain that radiates to the lower back. A woman who exhibits such symptoms should immediately go to the hospital. Traces on underwear due to placental abruption may be yellowish or brown. In some cases, a brown color indicates that the hematoma is resolving, but a re-tear may occur.

Attention! Detachment of the ovum is diagnosed using ultrasound.

If the opinion is that this process is natural selection. And if the fetus is strong and healthy, then it will survive without medical care. It also happens that detachment will occur several times during development. But in the end result, the fertilized egg, which is healthy, is fixed very firmly in the uterus and develops safely. Yes, not all pregnant women undergo preservation when symptoms of abruption appear.

Important! Gynecologists warn that the risk of miscarriage without treatment is very, very high.

Diagnostics

If there is a suspicion of abruption, an ultrasound examination and gynecological examination are required. Using an ultrasound, the doctor evaluates the condition of the chorion (this is the outer part of the fertilized egg) and looks to see if there is a hematoma.

It is mandatory to listen to the fetal heartbeat. You can listen to the baby’s heart after six weeks of pregnancy, and you can detect the fertilized egg with an ultrasound at 3-4 weeks.

Options for detachment of the ovum in the early stages of pregnancy

The membranes can peel off in different ways. There are several situations that provoke spontaneous abortion.

Biochemical pregnancy. This is the name for a pregnancy that was interrupted even before the missed period (1-2 weeks). In this case, the fertilized egg cannot be determined by ultrasound, and only a blood test for hCG can indicate conception. Often women do not even realize that they are pregnant.

What happens when the fertilized egg exfoliates at about 2 weeks? Bloody discharge appears from the genital tract, which women mistake for the onset of menstruation. At this time, the cause of miscarriage is a defect in the fertilized egg, which occurs during the formation of the embryo. The cause may also be hormonal imbalances in a woman.

Incomplete detachment

In this case, only part of the membranes begins to peel off from the wall of the uterus. A hematoma occurs, the woman experiences pain in the lower abdomen, and bleeding from the genital tract. In this case, there is a chance to continue the pregnancy.

Complete detachment

In this situation, the membranes are completely rejected from the walls of the uterus, and the death of the embryo occurs. The uterus, trying to get rid of the fetus, becomes toned. A cramping, severe pain occurs in the lower abdomen, which radiates to the sacrum and lower back. Bleeding occurs, often threatening the woman’s life. In this case, the pregnancy cannot be maintained.

Non-developing pregnancy

A regressing or non-developing pregnancy is a condition in which the embryo dies before the detachment of the ovum. The fetal heartbeat is not detected by ultrasound. All signs of pregnancy disappear, the size of the uterus decreases. There is pain in the lower abdomen and bleeding. The fertilized egg does not exfoliate immediately, but only 1-2 weeks after the embryo dies. The membranes very often do not come out on their own; they are removed surgically.

How to treat pathology?

If there is a suspicion that the fertilized egg is still exfoliating, then the pregnant woman is admitted to the hospital for preservation. Inpatient detachment is treated under the supervision of a doctor, although the woman has the right to refuse hospitalization.

Important! In the initial stages of detachment, the most important thing is complete rest for the woman.It is forbidden to perform difficult work; it is recommended to constantly remain in the healing position.

The abdominal wall should be in a state of complete rest, and this can only be in a supine position. When performing any action, the abdominal wall tenses, and when a woman walks, this creates vibration, which provokes an increase in intra-abdominal pressure. This tones the uterus and the detachment will only speed up. In addition, the doctor may advise the woman to place a cushion or pillow under the buttocks to ensure blood flow from the pelvic area.

During this period, very active intestinal peristalsis is also dangerous, which is why the pregnant woman is prescribed a gentle diet with the exclusion from the diet of foods that provoke gas formation, weaken or strengthen. In addition, you should avoid drinking tea and coffee.

During this period, you should definitely abstain from sexual intercourse - any sex is strictly prohibited if there is a threat of pregnancy. The emotional state of the expectant mother is also of great importance. Complete peace should be ensured and any worries and stress should be eliminated from a woman’s life.

Medicines

Unfortunately, this situation cannot be avoided without medications, but doctors say that they help maintain pregnancy. A pregnant woman may be prescribed:

antispasmodics (Magne B6, Papaverine, No-shpa);
drugs that stop bleeding (Etamzilat);
vitamins (vitamin E and folic acid);
sedatives;
hormonal agents (Utrozhestan, Duphaston) and others.

The attending doctor selects the drugs needed for treatment in each individual case.

Therapy and medical supervision

The duration of therapy will vary in each individual case, but will be at least 2 weeks. Treatment largely depends on how well the woman adheres to all medical prescriptions. Therefore, if you want a quick improvement in your condition, you need to strictly follow them.

In the future, a woman who has had a detachment of the ovum must undergo strict medical supervision until the end of pregnancy. Do not neglect routine examinations and examinations. Doctors say that the high risk of relapse will remain until the placenta is finally formed.

Detachment of the ovum is a fairly common pathology, occurring mainly at the end of the first and beginning of the second trimester of pregnancy. As a result of detachment from the chorion of the fertilized egg, a hematoma is formed - a cavity with an accumulation of blood. It is the hematoma that is diagnosed using ultrasound, and on the basis of it a diagnosis of “threatened miscarriage” is made.

Symptoms of detachment of the ovum are always present in the case of a large detachment area. These are bloody discharge from the genital tract and spasmodic pain. If the hematoma is very small, a few millimeters, it can only be diagnosed using ultrasound and is an accidental finding, while the woman considers herself absolutely healthy.

Many expectant mothers are interested in the causes of detachment of the ovum in order to try to prevent the development of this pathology. However, there is no one specific reason. There are a lot of them. This is an increase in blood pressure, and, possibly, a lack of progesterone, and characteristics of the chorionic vessels, etc. Therefore, it is better not to study unnecessarily what abruption of the ovum is, but to register for pregnancy in a timely manner and undergo all recommended examinations on time, Plus, follow the correct work and rest schedule and eat right.

What consequences a detachment of the ovum can have for the mother and fetus depends on its size. As a rule, when the detachment exceeds 40 percent (compared to the fertilized egg), a miscarriage occurs. With a small detachment with a tendency to reduce the hematoma, there is no threat to the development of the fetus. This diagnosis may sound like this - partial detachment of the ovum with the formation of a hematoma. With this diagnosis, the woman is admitted to the hospital and the size of the hematoma is monitored by ultrasound. They should decrease. Brown discharge during the recovery process is considered a positive diagnostic criterion - this is “old” blood coming out, the hematoma is emptied. If, on the contrary, the hematoma becomes larger, partial detachment of the ovum may become complete, and a miscarriage will occur.

As for treatment, it is mostly symptomatic. If there is uterine tone, it is relieved with the help of tocolytic drugs. For heavy bleeding, hemostatic drugs are prescribed. It also makes sense to prescribe progesterone drugs, preferably Utrozhestan, in order to prevent a possible lack of progesterone and save the fertilized egg with the embryo.

The expectant mother herself is required to adhere to bed rest and cease sexual activity for at least several weeks. Only such a detachment of the ovum in the early stages of pregnancy requires treatment, according to modern doctors. The main thing is to do everything so that nothing interferes with the emptying of the hematoma and its reduction in size.

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