What is Ectopic Pregnancy? Ectopic may be defined as an organ or body part existing in an unusual form or position. Ectopic pregnancy is one which is developing in the wrong place. In an ectopic pregnancy, the fertilized egg or ovum fails to move down through the fallopian tube to the uterus. Instead, it develops outside the womb. The ovum may attach itself to the fallopian tube, the ovary, cervix, or any other organ within the pelvic and abdominal organ. Most ectopic pregnancies lead to immediate miscarriage, while others need medical attention.
Reasons for Ectopic Pregnancy
Ectopic pregnancies occur in women with damaged fallopian tubes. A history of pelvic inflammatory disease, previous surgery, scar tissue, endometriosis, or previous ectopic pregnancies increases the likelihood of such a pregnancy. Chances of ectopic pregnancies increase if you become pregnant while using a contraceptive-coil or a progestogen only contraceptive pill. Even in-vitro fertilizations are known to be ectopic despite the fact that the ovum is directly placed into the womb. The ovum may attach itself somewhere else, leading to ectopic pregnancy. Sometimes, women suffer from this despite not having any of the above risk factors.
Symptoms of Ectopic Pregnancy
Pain on one side of the abdomen is the first sign of ectopoic pregnancy. This pain is often severe and constant and starts suddenly. Pain in shoulder, which intensifies when breathing in and out, is also a sign of ectopic pregnancy. Pain while using the bathroom may also indicate towards this type of pregnancy. Other symptoms include sickness, diarrhoea, light headedness, paleness, collapse, falling blood pressure, and vaginal bleeding or unusual periods.
Diagnosis
An ectopic pregnancy is often difficult to diagnose, as the symptoms are that of a normal pregnancy, such as tender breasts, nausea, frequent urination, missed period, and vomiting. However, in case you notice any of the signs discussed above, you must consult your physician immediately.
A urine test may not be a surest way to detect ectopic pregnancy; but a positive result for a specialized HCG blood test will confirm it. An internal pelvic examination will reveal that the womb is smaller in an ectopic pregnancy than in a normal pregnancy at the same stage of pregnancy. A swelling is also a sign of this type of pregnancy. An ultrasound is the safest bet when it comes to detecting this type of pregnancy.
Treatment
Most ectopic pregnancies need to be surgically treated or need proper medication. Without such medical intervention, the pregnancy can turn fatal to the mother. With technological advancements, it has become a lot easier to detect an ectopic pregnancy. Also, the treatment of such a pregnancy has improved, for example, keyhole surgery. Techniques like laparoscopy or laprotomy can by used to remove the misplaced ovum.
Future Pregnancies
You must understand that even if you have had an ectopic pregnancy, you will be likely to have successful pregnancies in the future. It is advisable to wait for several cycles before attempting to become pregnant again. Most women are known to become pregnant again with a healthy pregnancy as soon as they attempted again.
Posts Tagged ‘Fallopian Tubes’
Vital Information About Ectopic Pregnancy
Tuesday, December 9th, 2008Ectopic Pregnancy – Causes, Symptoms and Treatment
Wednesday, May 24th, 2006
Ectopic pregnancy is a condition in which a fertilized egg settles and grows in any location other than the inner lining of the uterus. About 1% of pregnancies are in an ectopic location with implantation not occurring inside of the womb, and of these 98% occur in the Fallopian tubes. In a typical ectopic pregnancy, the embryo does not reach the uterus, but instead adheres to the lining of the Fallopian tube. The implanted embryo burrows actively into the tubal lining. Most commonly this invades vessels and will cause bleeding. This bleeding expels the implantation out of the tubal end as a tubal abortion. Some women thinking they are having a miscarriage are actually having a tubal abortion. There is no inflammation of the tube in ectopic pregnancy. The pain is caused by prostaglandins released at the implantation site, and by free blood in the peritoneal cavity, which is locally irritant. Sometimes the bleeding might be heavy enough to threaten the health or life of the woman. Usually this degree of bleeding is due to delay in diagnosis, but sometimes, especially if the implantation is in the proximal tube it may invade into Sampson artery , causing heavy bleeding earlier than usual. An ectopic pregnancy can’t proceed normally. The developing embryo can’t survive, and the growing placental tissue may destroy important maternal structures. Without treatment, life-threatening blood loss is possible. About one in every 40 to 100 pregnancies is ectopic. Thanks to earlier diagnosis and treatment, the chance for future healthy pregnancies is better than ever before.
Ectopic means “out of place.” An ectopic pregnancy is a pregnancy where the fetus is not growing in the usual location (the uterine cavity or the womb). Ectopic pregnancies can occur in a number of unusual locations, each with different characteristic growth patterns. Almost all ectopic pregnancies occur in fallopian tubes (tubes from uterus), so this is also known as “Tubal Pregnancy”. Since the fallopian tubes are not large enough to accommodate a growing embryo, the pregnancy cannot continue normally. If identified early, the embryo is removed. In some cases, the embryo grows until the fallopian tube is stretched so much that the tube ruptures. Rupture of the tube is a medical emergency that requires immediate medical attention because it can result in severe hemorrhaging. An ectopic pregnancy is a potentially life-threatening condition.
Causes of Ectopic pregnancy
An ectopic pregnancy is caused by a disruption in a woman’s reproductive anatomy or the timing of specific reproductive events. Ectopic pregnancy is common in women age 20 to 29, but the cause is not always known. However, previous damage to one of the two fallopian tubes may obstruct the passage of the fertilized egg along the tube to the uterus. The egg then implants in the wall of the tube instead of in the uterus. This prior damage may have been caused by an unsuccessful or a reversed sterilization procedure or a fallopian tube infection. Ectopic pregnancies are more common in women using an intrauterine contraceptive device, partly because these devices increase the risk of a pelvic infection in women who exposed to sexually transmitted diseases.
Symptoms of Ectopic pregnancy
1. Nausea, vomiting.
2. Dizziness.
3. Low blood pressure.
4. Breast tenderness.
5. Frequent urination.
Treatment of Ectopic pregnancy
Medicine, surgery, or a combination of the two are usually used to end an ectopic pregnancy before it endangers the mother. In a few cases, very early ectopic pregnancies can be watched closely to see whether the pregnancy will miscarry on its own. Emergency medical help is needed if the area of the ectopic pregnancy ruptured. (Shock is an emergency condition.) Treatment for shock may include keeping the woman warm, raising her legs, and giving oxygen. Fluids by IV and a blood transfusion may be needed. Surgery (laparotomy) is done to stop blood loss (in the event of a rupture). This surgery is also done to confirm the diagnosis of ectopic pregnancy, remove the abnormal pregnancy, and repair any tissue damage. In some cases, removal of the fallopian tube may be necessary. A mini-laparotomy and laparoscopy are the most common surgical treatments for an ectopic pregnancy that has not ruptured.