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Advanced Abdominal Pregnancy with a Viable Baby

Kohinoor Ahmed, Asst Prof, DMC,Bangladesh Ahmed Sami-Al-Hasan

An advanced abdominal pregnancy (AAP) resulting in a live birth is extremely rare. AAP is classically defined as a pregnancy that has progressed beyond 20 weeks of gestation in mother’s peritoneal cavity, exclusive of tubal, ovarian or broad ligament locations. The Pouch of Douglas (POD) is the most common location of abdominal pregnancy followed by the mesosalpinx and omentum. In many cases complete placental removal is not possible resulting in excessive haemorrhage, re-laparotomy with high maternal and fetal mortality

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