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Ectopic Pregnancy

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Sabahat Rahman

on 10 April 2014

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Transcript of Ectopic Pregnancy

Ectopic Pregnancy
Saba Rahman

Normal Pregnancy
Ovary releases egg --> Fallopian tube
If egg meets sperm:
Fertilized egg moves to uterus
Attaches to lining
Continues to grow for 9 months
Ectopic Pregnancy
aka Tubal Pregnancy
1/50 cases
Fertized egg remains and implants in Fallopian Tube
Rarer cases: end up attaching to a different organ in abdomen
Happens before you know you're pregnant
Life in danger --> Requires emergency treament
Causes:
Damaged fallopian tube that does not properly move egg to uterus
Higher risk due to:
Use of an intrauterine device (IUD), pelvic inflammatory disease (PID), some sexually-transmitted diseases, congenital abnormality (problem present at birth) of the fallopian tube, pelvic surgery (because scarring may block the fertilized egg from leaving the fallopian tube), prior ectopic pregnancy, unsuccessful tubal ligation (surgical sterilization) or tubal ligation reversal, use of fertility drugs, & infertility treatments such as in vitro fertilization (IVF)
Symptoms
Light vaginal bleeding
Nausea and vomiting
Lower abdominal pain
Sharp abdominal cramps
Pain on one side of your body
Dizziness or weakness
Pain in your shoulder, neck, or rectum
If the fallopian tube ruptures, the pain and bleeding could be severe enough to cause fainting.
Diagnosis
a pregnancy test, a pelvic exam, and an ultrasound test may be performed to view the uterus’ condition and fallopian tubes.
the health care provider will decide on the best treatment based on your medical condition and your future plans for ectopic pregnancy
some ectopic pregnancies will
resolve on their own
without the need for any intervention, while others will need
urgent surgery
due to life-threatening bleeding
because of the risk of rupture and potential dire consequences, most women with a diagnosed ectopic pregnancy are treated with medications or surgery
Procedures:
Laparotomy: an open procedure whereby a transverse (bikini line) incision is made across the lower abdomen.
Laparoscopy: inserting viewing instruments into the pelvis through tiny incisions in the skin.
Laparoscopy is preferred because of the tiny incisions used and the speedy recovery afterwards
under optimal conditions, a small incision can be made in the Fallopian tube and the ectopic pregnancy removed, leaving the Fallopian tube intact
~35% of women with ectopic pregnancies can get medical rather than surgical treatment
an anti-cancer drug called methotrexate (Rheumatrex, Trexall)
kills the growing cells of the placenta, thereby inducing miscarriage of the ectopic pregnancy
Full transcript