In a normal pregnancy, the ovary release an egg into the fallopian tube which met with a sperm, the egg is now fertilized, it travels down the fallopian tube to find a comfy place in the uterus to attach and grow. The fetus will develop into a healthy full-term baby.
But up to 1 of every 50 pregnancy, the egg implants itself outside the uterus. This situation is called ectopic pregnancy where the body will still response as if its a normal pregnancy and hormone are released and pregnancy test will show a positive result. Ectopic pregnancy mostly happen during the first few week of pregnancy but Doctors could discover it by the 8th week of pregnancy.
Possibilities of area the fertilized egg attached in an ectopic pregnancy:
1. Fallopian tube
3. Other organ in your abdomen
Its important to get it identify before the cells grows bigger as it will cause the fallopian tube to burst and disable to carry any fertilized egg to the uterus in future. Not only that, it could threaten the life of the mother.
Symptoms that relate to ectopic pregnancy:
1. Cramp on the abdomen
2. Abdominal pain on one side which could range from mild to severe
3. Light bleeding or browning spotting
4. Pain in your shoulder, neck and rectum
In cases where the fallopian raptures, there are expected to happen
1. Severe internal bleeding
2. Very sharp pain
3. Weak pulse
4. Feeling faint and dizzy
5. Clammy skin
If you are experiencing symptoms listed above, contact your health care provider to reduce the risk of hemorrhaging (severe bleeding) and it can preserve your fertility.
Factor that causes ectopic pregnancy
1. Fallopian tube damaged including blockage or narrowing of tube, resulting to the fertilized egg did not enter the uterus and ended up it implanted outside of the uterus.
2. Pelvic inflammatory disease (PID), infection from unprotected sex on vagina or cervix which then spread to the reproduction organs
3. Previous history of ectopic pregnancy
4. Undergone surgery previously to remove a fallopian tubes.
5. Fertility treatment such as in-vitro fertilisation (IVF) where the medication used to stimulate ovulation can increase risk of ectopic pregnancy
6. Contraception, if a pregnancy goes success while uses of pregnancy prevention such as intrauterine device (IUD) or intrauterine system (IUS), the risk is higer to be an ectopic pregnancy
7. Abnormally shaped fallopian tube
9. Advanced maternal age of 35 and above.
Diagnosing an Ectopic pregnancy :
1. Testing the level of hCG hormone in mother’s blood. If its outside of the uterus, the level will not raise compare to normal pregnancy
2. Ultrasound used to locate the location of embryo
Treating an Ectopic pregnancy:
This procedure is taken when the pregnancies detected at a more advance level and the fallopian tube has ruptured, surgery required to stop the bleeding. The fallopian tube and ovary might damaged and will have to be removed.
2. Laparoscopy procedure
This procedure is taken when the fallopian tube has not ruptured and pregnancy has not progress far, Laparoscopic surgery required to remove the egg.
A tiny incision made in the naval for the laparoscope to be inserted that function to allow a miniature scope to enable doctor to look inside of you
Another incision made at lower abdomen for the surgical instrument to enter the fallopian tube to get the egg removed.
This method is preferable compare to major abdominal surgery as its effective, recover rapidly and shorten hospital stay.
3. Medication therapy
This procedure is taken when the fallopian tube has not ruptured and pregnancy has not progress far, medicine function to stop the egg from developing. Then a followup to check on the hormone to ensure all material has been removed.
1. Lower risk of inflamed fallopian tubes which was caused by infection on the vagina and cervix from unprotected sex.
2. Health maintenance of the reproductive system include regular gynecological exams, regular STD screening and quit smoking.