Ectopic

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Submitted by:

1. Maliya Sano
2. Meron Asefa
3. Tesfaye germame
4. Bonto Anako
5. Segni negesso
6. Soliyana Zerihun
7. Jemal Urgessa
8. Wegayehu Alemayehu
9. Dawit Jula

1.What is ectopic pregnancy


I. Pregnancy begins with a fertilized egg. Normally, the fertilized egg
attaches to the lining of the uterus. An ectopic pregnancy occurs
when a fertilized egg implants and grows outside the main cavity of
the uterus. An ectopic pregnancy most often occurs in a fallopian
tube, which carries eggs from the ovaries to the uterus. This type of
ectopic pregnancy is called a tubal pregnancy. Sometimes, an ectopic
pregnancy occurs in other areas of the body, such as the ovary,
abdominal cavity or the lower part of the uterus (cervix), which
connects to the vagina. An ectopic pregnancy can't proceed normally.
The fertilized egg can't survive, and the growing tissue may cause
life-threatening bleeding, if left untreated.

a) Types and location of ectopic pregnancy.

I. Tubal pregnancy
A tubal pregnancy occurs when the egg has implanted in the
fallopian tube. This is the most common type of ectopic pregnancy
and the majority of ectopic pregnancies are tubal pregnancies. The
type of tubal pregnancy can be further classified according to where
inside the fallopian tube the pregnancy becomes established.
II. Non-tubal ectopic pregnancy
Nearly two percent of all ectopic pregnancies become established in
other areas including the ovary, the cervix or the intra-abdominal
region.
III. Heterotopic pregnancy
In some rare cases, one fertilized egg implants inside the uterus and
another implants outside of the structure. The ectopic pregnancy is
often discovered before the intrauterine pregnancy, mainly due to
the painful nature of ectopic pregnancy. If human chorionic
gonadotropin levels continue to rise after the ectopic pregnancy has
been removed, the pregnancy inside the womb may still be viable.
IV. Ultrasound features
There are findings on ultrasound that are indicative of possible
ectopic pregnancy. Positive findings include an empty uterine cavity,
decidual cast, a thick echogenic endometrium, or a pseudo-
gestational sac in the presence of beta hCG levels above the
discriminatory zone

2. what is partial moral pregnancy


I. A partial molar pregnancy is a type of molar pregnancy where the
embryo (fertilized egg) has too many chromosomes. This happens
when the egg gets 69 chromosomes when fertilized instead of 46. In
a molar pregnancy, the embryo either develops incompletely or
doesn’t develop at all. Partial molar pregnancy is typically treated by
removal of the embryo and placenta through a dilation and curettage
(D&C) procedure.
A partial molar pregnancy is a variation of a molar pregnancy, an
abnormal pregnancy in which an embryo (the fertilized egg) either
develops incompletely, or doesn’t develop at all. Instead, a cluster of
grape-like cysts (known as a hydatidiform mole) grows in the uterus.
In a partial molar pregnancy, an incomplete embryo and placenta
may actually start to develop.
II. Ultrasound features
An ultrasound of a partial molar pregnancy may show: A fetus that's
unexpectedly small for gestational age. Low amniotic fluid. Placenta
that appears abnormal also ultrasound will reveal the presence of
cysts in the uterus.
3. what is neural tube defect
I. Neural tube defects are birth defects of the brain, spine, or spinal
cord. They happen in the first month of pregnancy, often before a
woman even knows that she is pregnant. It starts as a flat, ribbon-like
structure that rolls together, lengthwise, to form the tube that will
normally grow into the brain and spinal cord.

If the seam of the neural tube does not close correctly, portions of
the spine, the covering of the spinal cord (meninges) or the cord
itself can push outside of the back as the fetus grows.
II. Types of neural tube defect
1. Spina bifida. This is when the spine doesn't grow normally
over the spinal cord. Babies born with spina bifida may have
minor or short-term problems. Or they may have lasting,
serious physical problems. These may include paralysis, lack
of bowel and bladder control, club feet, a buildup of spinal
fluid in the head (hydrocephaly), and intellectual disability.
In most cases, a child may need one or more surgeries after
birth. This is the most common kind of ONTD.
There are a few different types of spina bifida, including:
Myelomeningocele (open spina bifida): This NTD is
characterized by incomplete neural tube closure and a fluid-
filled sac that protrudes (sticks out) from your baby’s back. The
sac contains part of their spinal cord, meninges, nerves and
cerebrospinal fluid (CSF). Myelomeningocele is the most
severe and the most common form of spina bifida.
Meningocele: This NTD is characterized by a sac of fluid that
protrudes through an opening in your baby’s back, but their
spinal cord is not involved or damaged.
Spina bifida occulta: This NTD is characterized by a small gap
in your baby’s spine, but there isn’t an opening or sac on their
back. Their nerves and spinal cord aren’t damaged, and the
condition usually doesn’t cause any disability. This is the
mildest form of spina bifida.
2. Anencephaly. This defect is when part of the brain and skull
don't form. It occurs when the neural tube doesn't close at
the base of the skull. Babies with anencephaly often die in
the uterus after 20 weeks of pregnancy (stillborn). Or they
only live for a very short time after birth.
3. Encephalocele. This is a very rare condition. With this
defect, the brain or its coverings poke through the skull.
This can occur anywhere from the forehead to the lower
back of the skull. But it may also occur in the front of the
skull, near the nose and sinuses. In most cases, a child may
need multiple surgeries after birth.
4. Iniencephaly. Iniencephaly happens when unborn baby’s
spine is severely malformed (misshapen). It often causes a
lack of a neck, and the baby’s head is bent severely
backward. The skin of the baby’s face is connected to their
chest, and their scalp is connected to their back. Babies
with iniencephaly are usually stillborn.
III. Ultrasound features
Prenatal ultrasound. This imaging test uses high-frequency sound
waves and a computer to make images of blood vessels, tissues, and
organs. Ultrasounds let healthcare providers see the internal organs
as they function. They also show blood flow through blood vessels.
Prenatal ultrasound may be able to find an open neural tube defect.
the provider may also use ultrasound to look at some of the baby’s
other organs and body systems.

Reference:
1. http://www.nhs.uk/conditions/Ectopic-pregnancy/Pages/Introduction.aspx
2. http://www.nice.org.uk/nicemedia/live/14000/61854/61854.pdf
3. http://www.nice.org.uk/nicemedia/live/14000/61860/61860.pdf
4. www.miscarriageassociation.org.uk/.../Ectopic-pregnancy.pdf
5. www.obgyn.uab.edu/.../ECTOPIC.pdf

https://www.urmc.rochester.edu/encyclopedia/content.aspx?
contenttypeid=160&contentid=90

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