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You could also send an email to the <a href="https://meta.wikimedia.org/wiki/Special:MyLanguage/Stewards" class="extiw" title="m:Special:MyLanguage/Stewards">stewards</a> <a href="https://meta.wikimedia.org/wiki/Special:MyLanguage/VRT" class="extiw" title="m:Special:MyLanguage/VRT">VRT</a> queue at <kbd>stewards@wikimedia.org</kbd> including all above details.</div></div><hr /> <p>You can view and copy the source of this page. </p><textarea readonly="" accesskey="," id="wpTextbox1" cols="80" rows="25" style="" class="mw-editfont-monospace" lang="en" dir="ltr" name="wpTextbox1">'''Ectopic Pregnancy''' is a life-threatening condition characterised by the implantation of an embryo outside the uterine cavity, usually in the fallopian tube. == Epidemiology == The '''incidence''' of ectopic pregnancy is increasing in the UK and currently stands at 1 in 100 pregnancies. Risk Factors * Increased maternal age * Smoking * Previous tubal surgery * Prior recurrent spontaneous miscarriages * Prior surgical termination of pregnancy * Pelvic inflammatory disease * Previous use of an intrauterine device * History of infertility Prior oral contraception use can reduce the risk of ectopic pregnancy. == Etiology and Pathogenesis == When the ovum is released by the ovary, it travels along the fallopian tube (where it is fertilized) in the direction of the uterus. The resulting embryo does not reach its destination, however, as it implants into the wall of the fallopian tube. The subsequents trophoblastic proliferation causes erosion and bleeding. Unlike the uterus, the fallopian tube's muscle layer does not undergo hypertrophy, so rupture into the lumen and peritoneal and retroperitoneal cavities occurs. == Clinical Features == History * Severe lower abdominal colicky pain * Vaginal bleeding after a missed period * Shoulder tip pain * Dysuria * Shock Examination * Signs of early pregnancy * Mass on vaginal examination * Soft, enlarged uterus * Cervical excitation * Abdominal tenderness Investigations * Pregnancy test and serum β-hCG * Ultrasound scan - trans-vaginal == Treatment == Treat these patients as resuscitation patients. Give oxygen and gain IV access. Cross-match blood and request Rhesus status. Surgery is avoided initially using IV methotrexate and hCG monitoring. If the pregnancy continues, surgical intervention is required. == References == *Why women die. Report on confidential enquiries into maternal deaths in the United Kingdom 1994-1996. Norwich: Stationery Office, 1998. The risk factors for an ectopic pregnancy are: *Bouyer J et al. Risk Factors for Ectopic Pregnancy: A Comprehensive Analysis Based on a Large Case-Control, Population-based Study in France. ''Am J Epidemiol'' 2003 157;185-194 *O'Connor, J. Pathology 2nd ed. Mosby. Edinburgh. 2002. *McCarthy, A & Hunter, B (2003) Master Medicine: Obstetrics and Gynaecology (2nd ed.) Philadelphia: Elsevier Saunder *http://www.gpnotebook.co.uk {{CourseCat}} [[Category: Emergency Medicine|*]] [[Category:Reproductive medicine|*]] [[Category:Human pregnancy]] </textarea><div class="templatesUsed"><div class="mw-templatesUsedExplanation"><p>Templates used on this page: </p></div><ul> <li><a href="/wiki/Template:BookCat" title="Template:BookCat">Template:BookCat</a> (<a href="/w/index.php?title=Template:BookCat&action=edit" title="Template:BookCat">view source</a>) (semi-protected)</li><li><a href="/wiki/Template:CourseCat" class="mw-redirect" title="Template:CourseCat">Template:CourseCat</a> (<a href="/w/index.php?title=Template:CourseCat&action=edit" class="mw-redirect" title="Template:CourseCat">edit</a>) </li><li><a href="/wiki/Template:FULLBOOKNAME" title="Template:FULLBOOKNAME">Template:FULLBOOKNAME</a> (<a href="/w/index.php?title=Template:FULLBOOKNAME&action=edit" title="Template:FULLBOOKNAME">edit</a>) </li></ul></div><p id="mw-returnto">Return to <a href="/wiki/Obstetrics_and_Gynecology/Ectopic_Pregnancy" title="Obstetrics and Gynecology/Ectopic Pregnancy">Obstetrics and Gynecology/Ectopic Pregnancy</a>.</p> <!--esi <esi:include src="/esitest-fa8a495983347898/content" /> --><noscript><img src="https://login.wikimedia.org/wiki/Special:CentralAutoLogin/start?type=1x1" alt="" width="1" height="1" style="border: none; position: absolute;"></noscript> <div class="printfooter" data-nosnippet="">Retrieved from "<a dir="ltr" href="https://en.wikiversity.org/wiki/Obstetrics_and_Gynecology/Ectopic_Pregnancy">https://en.wikiversity.org/wiki/Obstetrics_and_Gynecology/Ectopic_Pregnancy</a>"</div></div> <div id="catlinks" class="catlinks catlinks-allhidden" data-mw="interface"></div> </div> </main> </div> <div class="mw-footer-container"> <footer id="footer" class="mw-footer" > <ul id="footer-info"> </ul> <ul id="footer-places"> <li id="footer-places-privacy"><a href="https://foundation.wikimedia.org/wiki/Special:MyLanguage/Policy:Privacy_policy">Privacy policy</a></li> <li id="footer-places-about"><a href="/wiki/Wikiversity:About">About Wikiversity</a></li> <li id="footer-places-disclaimers"><a href="/wiki/Wikiversity:General_disclaimer">Disclaimers</a></li> <li id="footer-places-wm-codeofconduct"><a href="https://foundation.wikimedia.org/wiki/Special:MyLanguage/Policy:Universal_Code_of_Conduct">Code of Conduct</a></li> <li id="footer-places-developers"><a href="https://developer.wikimedia.org">Developers</a></li> <li id="footer-places-statslink"><a href="https://stats.wikimedia.org/#/en.wikiversity.org">Statistics</a></li> <li id="footer-places-cookiestatement"><a href="https://foundation.wikimedia.org/wiki/Special:MyLanguage/Policy:Cookie_statement">Cookie statement</a></li> <li id="footer-places-mobileview"><a href="//en.m.wikiversity.org/w/index.php?title=Obstetrics_and_Gynecology/Ectopic_Pregnancy&action=edit&mobileaction=toggle_view_mobile" class="noprint stopMobileRedirectToggle">Mobile view</a></li> </ul> <ul id="footer-icons" class="noprint"> <li id="footer-copyrightico"><a href="https://wikimediafoundation.org/" class="cdx-button cdx-button--fake-button cdx-button--size-large cdx-button--fake-button--enabled"><img src="/static/images/footer/wikimedia-button.svg" width="84" height="29" alt="Wikimedia Foundation" loading="lazy"></a></li> <li id="footer-poweredbyico"><a href="https://www.mediawiki.org/" class="cdx-button cdx-button--fake-button cdx-button--size-large cdx-button--fake-button--enabled"><img src="/w/resources/assets/poweredby_mediawiki.svg" alt="Powered by MediaWiki" width="88" height="31" loading="lazy"></a></li> </ul> </footer> </div> </div> </div> <div class="vector-settings" id="p-dock-bottom"> <ul></ul> </div><script>(RLQ=window.RLQ||[]).push(function(){mw.config.set({"wgHostname":"mw-web.codfw.main-6df7948d6c-rd2zh","wgBackendResponseTime":153,"wgPageParseReport":{"limitreport":{"cputime":"0.004","walltime":"0.005","ppvisitednodes":{"value":17,"limit":1000000},"postexpandincludesize":{"value":691,"limit":2097152},"templateargumentsize":{"value":0,"limit":2097152},"expansiondepth":{"value":2,"limit":100},"expensivefunctioncount":{"value":0,"limit":500},"unstrip-depth":{"value":0,"limit":20},"unstrip-size":{"value":0,"limit":5000000},"entityaccesscount":{"value":0,"limit":400},"timingprofile":["100.00% 0.000 1 -total"]},"cachereport":{"origin":"mw-web.codfw.main-6df7948d6c-rd2zh","timestamp":"20241127182645","ttl":2592000,"transientcontent":false}}});});</script> </body> </html>