ECTOPIC PREGNANCY

RISK FACTORS
MANIFESTATION PROCESS

Signs and symptoms typically Anatomic alteration of fallopian tube

begin 4-6 weeks after lmp Precipitating factors PREDISPOSING FACTORS
Disruption of smooth
• Previous ectopic pregnancy • Kartagener syndrome (ciliary
Amenorrhea Inflammation damages muscle contraction
Lower abdominal pain • Fallopian surgery( tubectomy) dyskinesia). the fallopian tube and ciliary beat within
• Endometriosis • Advanced maternal age (>35) tubes that assists
• Ruptured appendix • IUD
Normal transport of oocyte or
+ or – vaginal bleeding Nausea • Smoking • IVF embryo
signs and • Upregulation of pro-
Exposure to diethylstilbesterol • History of fertility
symptoms • inflame cytokines
Bicornuate uterus • Hormone therapy
of
Tenderness in ectopic area Breast tenderness • History of PID (SALPINGITIS)
pregnancy

Hormone dysregulation
Cervical motion tenderness Frequent urination

Promotes embryo implantation,

Tachycardia, hypotension, and syncope invasion and angiogenesis
Enlarged Uterus

Hemorrhagic shock
Slow down the transport of fertilized egg

Tubal Rupture Bleed into abdomen cavity

Increase the
intensity
Cause severe lower abdominal pain Irritate peritoneum
Can lead to shoulder pain

Phrenic nerve irritation Lead to hiccups

MANAGEMENT

MEDICAL SURGICAL NURSING INTERVENTION

1. Administration of Methotrexate 1. Laparoscopy 1. Place the patient flat on the bed
2. Administration of Mifepristone 2. Assess Vital Signs
3. Withdrawing of blood sample 2. Salpingectomy 3. Maintain accurate input/output
4. IV Therapy