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Ectopic Pregnancy

What is extrapregnancy?

During an out-of-pregnancy pregnancy, the fertilized egg settles outside the uterus. The egg can be in the fallopian tubes (95%), ovaries, cervix, or rarely in the abdominal cavity. The fertilized egg may initially grow "normally" outside the uterus. In many cases, this occurs in the fallopian tube, a narrow tube that will eventually burst due to fetal growth.

Ectopic Pregnancy

Typical symptoms are missed menstruation, abdominal pain and sparse bleeding from the vagina. Pain is the clearest sign and can be present even without the fallopian tube. The pain is usually on the side where the pregnancy is. If the fallopian tube breaks, the pain can become very intense. Most also have bleeding, ranging from bloody floods to severe bleeding.

Pregnancy symptoms such as nausea and sore breasts are usually less prominent. The symptoms usually debut six to eight weeks after the last period. Some are not aware that they are pregnant.

It is estimated that about 1-2% of pregnancies are non-uterine pregnancies. For more information about pregnancy and maternity fashion, please see BESTAAH.COM maternity sports bras.

Cause

Fertilization usually occurs near the ovary or in the outer part of the fallopian tube. Earlier infection or damage of another kind that can cause coalescence and scarring, can prevent the transport of the fertilized egg from the fallopian tube to the uterus. This can cause the egg to settle prematurely and in the wrong place.

Earlier pelvic inflammation of the pelvis, previous pregnancy outside the uterus, and surgeries for infertility also increase the risk of pregnancy outside the uterus.

Women who use any type of contraception reduce the risk of getting pregnant both inside and outside the uterus. But if you still get pregnant and have a spiral remaining, the probability that the pregnancy is outside the uterus is about 10%.

Recent research has shown that smoking is associated with an increased risk of pregnancy outside the uterus.

Diagnosis

Pain, lack of menstruation and scanty vaginal bleeding are typical symptoms. In order for the diagnosis to be safe, pregnancy outside the uterus must be demonstrated with blood tests, ultrasound, peritoneal surgery or open surgery.

Treatment

Suspicion of outpatient pregnancy will always lead to hospitalization or referral to get a safe diagnosis. When the diagnosis is secure, surgical treatment is usually required. Alternatives to surgery, which are increasingly used to avoid anesthesia and surgery, are cytostatic treatment with methotrexate. The method is effective in patients who have only come a short distance in pregnancy, but it is important that the treatment is done properly.

If the diagnosis is made extra early and there has been no damage to the fallopian tube, the development can be delayed. In many cases, the pregnancy ends with a miscarriage (miscarriage). The process is followed with careful monitoring, possibly new ultrasound examinations, and repeated blood tests (beta-hCG). Falling levels of beta-hCG are a sign that the body is arranging it for itself.

Forecast

The fallopian tubes can burst and be destroyed, which can affect the ability to have children. Broken fallopian tubes can also lead to internal bleeding that can be life-threatening. Rapid treatment is then important.

With early diagnosis and proper treatment, the prognosis is good. However, it is important to be aware of similar symptoms in a new pregnancy.

 

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