200px-Tubal_Pregnancy_with_embryoEctopic Pregnancy is a quite a severe complication of PregnancyWhen the egg following Fertilization becomes attached to another area than the Uterine wall.

Fallopian tubes are the most common location for ectopic pregnancy. Other areas include: Cervix, Ovaries, abdomen and others.

Damage of other organs and tissues arise from the implantation and initial development of the fetus.

This is considered a medical emergency and without treatment – can potentially dangerous for the mother.

1/2 of ectopic pregnancies resolve without serious complications. It is believed that an ectopic pregnancy occurs in approximately 1 out of every 50 pregnancies.

All pregnancies that resolve result in a spontaneous abortions.

 

Symptoms:

–  Vaginal bleeding
–  Severe abdominal pain
–  Pain with urination
–  Pain with bowel movements
–  Belief of miscarriage
–  Severe Weakness, Dizziness, or Fainting

 

Causes:

–  Often no risk factor is known  –  [50%]
–  An infection or inflammation of the Fallopian tube that can cause complete or partial blockage.
–  Previous surgery in the area (pelvic, Fallopian tube, or other)
–  Abnormal growth or birth defect
–  Previous ectopic pregnancy

 

Risk factors

–  Smoking
–  Tubal surgery
–  Tubal ligation
–  Endometrosis
–  Pelvic Inflammatory Disease
–  Infertility

 

Diagnosis

–  Ultrasound is an essential for diagnosis
–  Blood work may show an abnormal rise in Beta hCG levels
–  If pregnancy is suspected but unknown if ectopic pregnancy is possible, a vaginal ultrasound will show the presences or lack of intrauterine pregnancy.

 

Possible Types or Locations of Ectopic Pregnancies

1.)  Fallopian Tube –  occurs in 95% and above

2.)  Nontubal ectopic pregnancy –  occurs in around 2% of pregnancies

–  Occurs in abdomen, ovaries or cervix
–  In rare cases a live baby may be delivered by laprascopy

3.)  Heterotopic pregnancy

–  Occurs with two fertilized eggs
–  One is within the uterus and the other is ectopic
–  hCG levels may continue to rise after the treatment of the ectopic pregnancy

 

Treatment:

Medication

.   Methotrexate

–  This medication allows the body to absorb the pregnancy tissue
–  It can help save the Fallopian Tube
–  Use of this medication will depend on how far along the pregnancy is.

Surgical

–  Removal of the pregnancy alone
–  Removal of fallopian tube along with pregnancy

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