ECTOPIC PREGNANCY

Predisposing Age (above 25) Gender (Female) Previous Ectopic pregnancy

Precipitating PID Infertility Use of an IUD Tubal Surgery Tubal Ligation Unspecified sterility via home delivery

Signs and symptoms: Clinical presentation of ectopic pregnancy occurs at a mean of 7.2 wks. After the last menstrual period with range of 5-8 wks. 1. Pain in the lower Abdomen and inflammation 2. Pain while urinating 3. Pain and discomfort. A corpus luteum on the ovary In a normal pregnancy mat give very similar symptoms. 4. Vaginal bleeding, usually mild. An ectopic pregnancy is usually a failing pregnancy and falling levels of progesterone from the corpus luteum on the ovary cause withdrawal bleeding. 5. Pain while having a bowel movement. y Patients with a late ectopic pregnancy typically experience pain and bleeding, this bleeding will be both vaginal and internal and has two discrete pathophysiologic mechanism. 1. External bleeding- due to falling progesterone levels. 2. Internal bleeding- due to hemorrhage from the affected tube.

Severe internal bleeding may cause: 1. Lower back, abdominal, or pelvic pain. 2. Shoulder pain, This is caused by free blood tracking up the abdominal cavity and irritating the diaphragm, and is an eminous sign. 3. Cramping or even tenderness on one side of the pelvis. 4. Can mimic diseases such as appendicitis

Fertilization

Transport of the blastocyst to the fallopian tube

Implanted

Tissue damage to reach sufficient supply of blood

Burrows into tubal lining

Growth

Ruptures

Hematosalpinx