Pregnancy which occurs outside the womb in medical terms is called an ectopic pregnancy. This condition occurs when a fertilized egg grows attached and outside the pouch uteri endometrium or uterus. Pregnancy should be stopped so as not to endanger the life of the mother.
Ectopic pregnancy is different with the extra uterine pregnancy. Uterine extra pregnancy occurs outside the pouch uteri, but still in the womb. However, the extra pregnancy uterine also said to be ectopic.
If you look at the location, approximately 95-98 percent of ectopic pregnancies are tubal. The rest occurred in the uterus, ovaries (ovarian), abdominal cavity primary and secondary, as well as combinations of pregnancy. Combinations when pregnancy is called an ectopic pregnancy and intra uterin occur simultaneously.
Ectopic pregnancy occurs mainly due to transportation disruptions cell fertilized egg from the fallopian tubes (fallopian tubes) into the cavity of the uterus, as well as the existence of a fertilized ovum abnormalities.
Ectopic pregnancy occurs in 1 in 50 pregnancies and is one of the biggest causes of maternal death in the first trimester of pregnancy. Lack of early detection and treatment after an ectopic pregnancy is known to be a big contributor to maternal mortality.
Therefore, if a mother had an ectopic pregnancy, should be ended quickly given the risks. If the egg keeps growing and large in the fallopian tubes, one tube will rupture and cause heavy bleeding, and result in death.
Similar to normal pregnant
There are a number of factors that can cause ectopic pregnancy, although pregnancy can be experienced by women without risk factors. Factors included the disruption of transportation of conception, hormonal disorders, and the cause is still debated.
Transport disruption due to the conceptus can pelvic inflammatory, the use of an intrauterine device, tubal lumen narrowing due to tumor, surgery on post tubal microsurgery, as well as abortion or miscarriage events.
Hormone disorders can occur due to induction of ovulation, in vitro fertilization, the late fertile period, and ovum transport. As for the cause is still debated is endometriosis, birth defects, chromosomal abnormalities, sperm quality is not excellent.
Symptoms of ectopic pregnancy is not bothered as pregnancy can nomial, ie late period, nausea, morning sickness, and others. If the physical examination will be found rnernbesar uterus and tumors in the stomach. Also appears classical triad, ie can not menstruating, vaginal bleeding, and abdominal pain.
While the ectopic pregnancy is disrupted, symptoms can appear as ectopic pregnancies that have not been disturbed, but with symptoms of acute abdomen due to rupture of ectopic pregnancy. And usually appears in the form of hypovolaemic hemodynamic disturbance or reduction in circulatory volume due to hemorrhage.
Better issued
If an ectopic pregnancy is detected, though not yet broken (not disturbed ectopic pregnancy), recommended for expulsion. There is no point in the fetus grows in the wrong place.
The fetus would not be developed until the age of nine months. In a few weeks of age, the “breeding” can be broken. And when this happens, bleeding can occur in the stomach. These conditions would be very dangerous to the mother’s life.
General handling of ectopic pregnancy conducted by laparatomi (operations). In certain cases, can use methotrexate.
Given the risk of fatal mother could bear, do not underestimate the symptoms in women of childbearing age with symptoms late period (positive urine test results), vaginal bleeding, and pain in the abdominal area. Be examined by a gynecologist.