This document discusses factors that can predispose or precipitate an ectopic pregnancy, where a fertilized egg implants outside the uterus, usually in a fallopian tube. Predisposing factors include lifestyle habits like smoking, age under 18 or over 35, and race. Precipitating factors include a history of pelvic inflammatory disease, endometriosis, previous tubal surgery, or improvements in PID treatment that prevent total blockage of the tubes. An ectopic pregnancy most commonly occurs when a fertilized egg implants in the fallopian tube and causes the tube to rupture as the embryo grows. Rupture can lead to hemorrhaging, shock, and potentially death if not treated.
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This document discusses factors that can predispose or precipitate an ectopic pregnancy, where a fertilized egg implants outside the uterus, usually in a fallopian tube. Predisposing factors include lifestyle habits like smoking, age under 18 or over 35, and race. Precipitating factors include a history of pelvic inflammatory disease, endometriosis, previous tubal surgery, or improvements in PID treatment that prevent total blockage of the tubes. An ectopic pregnancy most commonly occurs when a fertilized egg implants in the fallopian tube and causes the tube to rupture as the embryo grows. Rupture can lead to hemorrhaging, shock, and potentially death if not treated.
This document discusses factors that can predispose or precipitate an ectopic pregnancy, where a fertilized egg implants outside the uterus, usually in a fallopian tube. Predisposing factors include lifestyle habits like smoking, age under 18 or over 35, and race. Precipitating factors include a history of pelvic inflammatory disease, endometriosis, previous tubal surgery, or improvements in PID treatment that prevent total blockage of the tubes. An ectopic pregnancy most commonly occurs when a fertilized egg implants in the fallopian tube and causes the tube to rupture as the embryo grows. Rupture can lead to hemorrhaging, shock, and potentially death if not treated.
Copyright:
Attribution Non-Commercial (BY-NC)
Available Formats
Download as DOC, PDF, TXT or read online from Scribd
This document discusses factors that can predispose or precipitate an ectopic pregnancy, where a fertilized egg implants outside the uterus, usually in a fallopian tube. Predisposing factors include lifestyle habits like smoking, age under 18 or over 35, and race. Precipitating factors include a history of pelvic inflammatory disease, endometriosis, previous tubal surgery, or improvements in PID treatment that prevent total blockage of the tubes. An ectopic pregnancy most commonly occurs when a fertilized egg implants in the fallopian tube and causes the tube to rupture as the embryo grows. Rupture can lead to hemorrhaging, shock, and potentially death if not treated.
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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