It is a pregnancy in which the fetus develops outside the womb,typically in a fallopian tube. Ectopic pregnancy, also known as eccyesis or tubal pregnancy, is a complication of pregnancy in which the embryo attaches outside the uterus.
Symptoms: Symptoms of an ectopic pregnancy: Light vaginal bleeding. Nausea and vomiting with pain. 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: Occasionally, the doctor may feel a tender mass during the pelvic examination. If an ectopic pregnancy is suspected, the combination of blood hormone pregnancy tests and pelvic ultrasound can usually help to establish the diagnosis. Transvaginal ultrasound is the most useful test to visualize an ectopic pregnancy.
Treament: If the ectopic pregnancy is diagnosed before your fallopian tube ruptures, you have the following treatment options: 1. active monitoring , where you receive no immediate treatment but your condition is carefully monitored 2. medication : a medicine called methotrexate can be used to stop the ectopic pregnancy growing 3. surgery : surgery can be used to remove the egg.
Epidemology: The two main risk factors for EP without contraception are a history of infection or tubal surgery and smoking. Quantitatively, their relationships with EP risk are similar. The other risk factors are age, prior spontaneous abortion, prior induced abortion, previous use of an intra-uterine device, and history of infertility. The total attributable risk of all these factor is 76%. Maternal mortality following EP is quite uncommon in developed countries.