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Ectopic Pregnancy

What Is Ectopic Pregnancy??

In normal condition implantation of embryo occurs inside the uterine cavity near the fundal area. When pregnancy is located outside the uterus its called Ectopic Pregnancy. Most common site is Fallopian tubes. However it can be found in the cornua area, cervix, ovary, previous scar site or abdomen.

Why is it important to meet your Gynec after missing a period?

After you miss your menstrual period date, a urine pregnancy test should be done always and if it's coming positive regardless of the fact whether you want to continue or discontinue the pregnancy, you should meet your Gynec personally to rule out if the pregnancy is located intrauterine or extrauterine.

Taking over the counter abortion/MTP pill is of grave danger without knowing the exact site of pegnany.

Why Ectopic Pregnancy develops?

  • Pelvic Inflammatory disease
  • Factors which reduces tubal motility like previous surgery on tubes
  • Hormonal imbalance
  • Hormonal imbalance

Symptoms of Ectopic pregnancy

After missing periods , patients may develop abdominal pain with vaginal bleeding. In ruptured ectopic pregnancy fainting attack, sudden collapse happens due to heavy blood loss in abdomen. Hence it is important to get yourself checked before it's too late.

How to detect?

  • Ultrasonograhy is the most important diagnostic tool
  • Serum B-hCG level along with symptoms

Treatment options

Medical management is advised only in cases where Ectopic Pregnancy is

  • Unruptured
  • S.BhCG <3000
  • No cardiac activity in embryo
  • Patient clinically stable
  • Tubal diameter <4cm

Medical management is done with Inj. Methotrexate followed by Inj. Leucovorin.

Surgical management

Laparoscopic Partial salpingectomy and hemostasis is required in 75% cases and in all cases with Ruptured Ectopic Pregnancy.