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LiveScience


BABY IS BORN ALIVE AFTER GROWING IN MOTHER'S ABDOMEN FOR 29 WEEKS

By Emily Cooke,

3 days ago

A woman in France went to the hospital with abdominal pain but soon learned that
she was in the second trimester of a rare ectopic pregnancy, in which the fetus
was growing in her abdomen.

Ectopic pregnancy refers to a phenomenon in which a fertilized egg implants
somewhere other than within the uterus, and it occurs in around 2% of
pregnancies . Ectopic pregnancies are most likely to occur in the fallopian
tubes , the pair of ducts through which eggs travel from the ovaries to the
uterus. However, around 1% of ectopic pregnancies occur within the abdominal
cavity.



Ectopic pregnancies can't be carried to full term and they cannot be
transplanted into the womb. If not treated promptly, they can lead to
life-threatening bleeding and infection.

The woman in the new case, described in a report published online on Dec. 9 in
The New England Journal of Medicine , had been experiencing abdominal pain for
10 days before she sought medical attention at an emergency department. After
physically examining her, doctors suspected she was carrying a baby in her
abdomen.

Related: Cannabis use in pregnancy linked to small birth size, other poor
outcomes

Before this latest pregnancy, the woman had delivered two babies at full term
and experienced one miscarriage.

An ultrasound showed that the lining of her uterus had thickened, which usually
happens during the menstrual cycle as the body prepares for a potential
pregnancy and then continues during pregnancy. However, there was no fetus
within the uterus. Instead, the fetus had been growing in her abdomen for 23
weeks, the doctors determined.



A magnetic resonance imaging (MRI) scan showed that the baby was "normally
formed" and was attached to a placenta — the blood-vessel-rich organ that
provides nutrients to the developing fetus and normally removes waste from the
womb. The placenta was attached to the lining of the abdomen above a bone at the
base of the woman's spine.

Ectopic pregnancies can't be carried to full term , which is around 37 to 41
weeks in humans, because the fetus is not supported by the right tissues and it
doesn't have enough space to grow. These pregnancies are also extremely risky
for the pregnant person as a malpositioned egg may rupture the organ it is
implanted in, triggering heavy bleeding and possible infection . The standard
treatment is to remove the pregnancy through surgery or to use drugs that stop
it from growing.



Due to what the case report authors described as a "high risk of maternal
hemorrhage and fetal demise," the woman was transferred to a tertiary care
hospital where she could be carefully monitored throughout her final weeks of
pregnancy.

Six weeks later, in a procedure called laparotomy, surgeons cut open the woman's
abdomen and delivered her baby, who was then immediately transferred to a
neonatal intensive care unit. Premature babies, meaning those who are born
before 37 weeks , require specialized support as they haven't had as much time
to develop inside the body during pregnancy. That said, between 80% and 90% of
babies who are born beyond 28 weeks survive.

RELATED STORIES

— In rare cases, COVID-19 infection in pregnancy can cause brain damage to
fetuses



— What do we know about mifepristone, the abortion pill facing a potential
Supreme Court ruling?

— Is a 'fetal heartbeat' really a heartbeat at 6 weeks?

Part of the placenta was removed in this initial surgery, and the rest was
removed in a second procedure. Twenty-five days after the birth, the woman was
discharged from the hospital, and around a month after that, she was able to
bring the baby home.

The case report authors noted that she was then "lost to follow-up," so the
doctors don't know what happened to her and the baby after that.

This article is for informational purposes only and is not meant to offer
medical advice.

Ever wonder why some people build muscle more easily than others or why freckles
come out in the sun ? Send us your questions about how the human body works to
community@livescience.com with the subject line "Health Desk Q," and you may see
your question answered on the website!


2K+

Comments / 415
Add a Comment
Cat Neeman
2d ago
I was born like that.. my mother miscarried my twin and I was in the
abdomen...this was back in 1961...They called me The Miracle Baby
Reply(14)

205

Emanuel
2d ago
That's why abortions should be decided between the mother and doctor, not the
Supreme Court, States, and Congress. Each pregnancy and situation is different.
It's not one size fits all.
Reply(58)

145

View all comments
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