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PREDISPOSING FACTORS PRECIPITATING FACTORS

• LIFESTYLE (smoking) • STRUCTURAL FACTORS


• AGE (below 18 and above 35 years old) • HISTORY OF PELVIC INFLAMMATORY DISEASE
• RACE (blacks) • ENDOMETRIOSIS
• PREVIOUS TUBAL SURGERY
• UTERINE CURETAGE
• RENAL DISEASE OR TRANSPLANT
• IMPROVED TREATMENT FOR PID (prevents
total blockage of tubes but may cause partial
blockage)
• SURGICAL CORRECTIONS OF FALLOPIAN TUBE
OCCLUSIONS
• ELECTIVE STERILIZATION BEING REVERSED AT
LATER DATE

Fertilized ovum implants outside


the uterus LEGEND:

ABDOMINAL ECTOPIC CERVICAL ECTOPIC - MATERNAL


PREGNANCY TUBAL PREGNANCY (rare) SIGNS AND
ECTOPIC SYMPTOMS
PREGNANCY
There is already tubal (most fertilized ovum
rupture thus fertilized bypasses the uterine
ovum goes outside from endometrium
the fallopian tube
Attachment to Implantation at
some the cervical
abdominal mucus
structure (liver, Painless bleeding
spleen, begin shortly after
intestines, implantation
ovaries, broad
blastocyst burrows into the epithelium of the BEFORE RUPTURE:
tubal wall (usually in the distal/ampullary two - Abdominal pain
- Amenorrhea
thirds of the fallopian tube) - Abdominal vaginal bleeding
- Absence of common signs of
tapping of blood vessels in the pregnancy
- Abdominal tenderness
tube
- Palpable pelvic mass

There is a decreased decreased blood pressure is There is limited decidual


resistance to the muscle mass much higher in the reaction; therefore
invading trophoblastic lining the tubal arteries than human chorionic
tissue by the fallopian fallopian in the uterine gonadotropin (hCG) is
tube tubes arteries (where it is decreased and the signs
greatly limited) and symptoms of
pregnancy are limited.
DURING RUPTURE:
- Exacerbation of pain
abortion, spontaneous regression, or rupture
(depends on gestational age and location of AFTER RUPTURE:
implantation) - Faintness/ dizziness
- Abdominal pain
- Referred shoulder
pain
EMBRYONIC DEATH Maternal
- Signs of shock (due
hemorrhage to severity of

MATERNAL DEATH