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Ectopic
Pregnancy Causes, Symptoms And Treatment By
Juliet Cohen Ectopic
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 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 is a 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 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 is a potentially life-threatening condition.
Causes
of Ectopic
An ectopic is caused by a disruption in a woman's reproductive
anatomy or the timing of specific reproductive events. Ectopic 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
1. Nausea, vomiting.
2.
Dizziness.
3. Low blood pressure.
4.
Breast tenderness.
5. Frequent urination.
Treatment
of Ectopic
Medicine, surgery, or a
combination of the two are usually used to end an ectopic before it endangers the mother. In a few cases, very
early ectopic pregnancies can be watched closely to see whether the will miscarry on its own. Emergency medical help is
needed if the area of the ectopic 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 that has not ruptured. Juliet
Cohen writes articles for health
care guide. She also writes articles for women
health and health diseases.
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