Predisposing Factors

Ruptured Ectopic Pregnancy Precipitating Factors

 Age (more than
 Use of IUD or
35 years old)
progestin-only
multiparity
contraceptives
 Genetics
 Lifestyle (smoking)
ETIOLOGY  Past infection in the
fallopian tube
unknown

Disruption or scarring of the tissue specially in the fallopian tube

Dysfunction of the cilia which normally propels the fertilized ovum through the tube onto the uterine cavity

Impaired tubal motility

Slows the movement of a fertilized egg through the fallopian tube to the uterus/zygote cannot travel of the tube

Fertilized egg attaches or lodges to an area outside the uterus where it implants or grow (Ampulla 78%)

2-8 weeks after missed menstrual period, the zygote grows large enough

Tube becomes more and more distended

A.
Limited decidual reaction B.

Failing of Pregnancy
 Decrease preogesterone and
HCG Levels from the corpus Hemorrhage age from
luteum on the ovary the affected tube

External bleeding
Internal bleeding

Death of the fetus

Free blood tracking up Blood does not flow to
the abdominal cavity the body properly

Hematoperitoneum/ Shock
Intraperitoneal Bleeding

-cool, clammy skin

Peritoneal reaction to blood escaping from the tube
Irritation of the - sweating
diaphragm
-confusion
-blush color of the
-lightheadedness fingernails around the lips
Irritation of the
-nausea
phrenic nerve
-Vomiting
-Cullen’s sign
 B.

Rupture the slender fallopian tube or the trophoblast cells actually breakthrough the narrow base

Placental dislodgement, progesterone secretions

Tearing and destruction of the blood vessels stops, and uterine decidua sloughs off
in the tube

Additional bleeding
Product of contraception from the ruptured tube and accompanying blood
expected expelled into the pelvic cavity rather than into the uterus

Blood does not reach the vagina

Scant vaginal spotting (dark

red/brown)

Hemorrhage
 Decrease circulating
Shock Trauma
blood

Decrease perfusion in
-subnormal temperature Leukocytosis
the brain
-tachycardia (rapid and thread)
-tachypnea
-hypotension Increase white blood -dizziness
cells count
-faintness