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How many pregnancies are ectopic?
More than 1% of pregnancies are ectopic, and they are becoming more common
Can you have a miscarriage with a etopic pregnancy?
I understand that approximately 50% of ectopic pregnancies (or tubal pregnancies) abort naturally. This is called a tubal abortion. Many tubal pregnancies do continue to grow and will require medical intervention to resolve. IF caught in the very early stages it is possible to treat with a drug, otherwise surgery is necessary to avoid rupture.
How many weeks in pregnancies?
There should be at least be 40 weeks in pregnancy.
Do you need an ultrasound to tell if you have an ectopic pregnancy?
Yes, you do. An ectopic pregnancy is just like a "regular" pregnancy for the first few weeks. Everything feels the same. An ultrasound is done early in a pregnancy to check things out, and if a pregnancy is ectopic, a good ultrasound technician will be able to spot it. There is no other non-invasive way to discover an ectopic pregnancy, and because of the risks posed by an ectopic pregnancy, it is critical to discover it early - if in fact there is one. Ectopic pregnancies are invariably life-threatening events, and prenatal care is important for that and many other reasons.
What are the symptoms of a epotpic pregnancy?
There are many symptoms to ectopic pregnancies, including pain in the abdomen, bleeding, shoulder pain/leg pain, strange hormone counts but ultimately ectopics must be confirmed by the doctor. This can be hard to do since many ectopics are not large enough to be seen on ultrasounds. Usually, if they are in a tube, and they get that large, the tube would rupture, so hopefully you know it's ectopic before that so your doctor can treat it a different way. If you are bleeding but your hormone levels are still rising but not normally, you may want to ask your doctor about a possible ectopic. Whatever you do, if you suspect ectopic, do not wait it out or hope it will go away on it's own. It won't and has potentially life threatening consequenses.
How many weeks are in a pregnancy for second pregnancy?
All healthy, full-term pregnancies will last an average of 40 weeks.
Can you have an ectopic pregnancy if you smoke the first two weeks of pregnancy?
In ectopic pregnancy, there are three mechanisms that occur: delayed ovulation, altered tubal and uterine motility, or altered immunity. Even though there is no study that supports a specific mechanism by which smoking causes ectopic pregnancy, there are many studies that support that smoking indeed plays a factor in having ectopic pregnancies. According to various research and studies, women who smoke are more likely than nonsmokers to have ectopic pregnancies. Apparently, smoking is associated with up to five times greater risk because of the nicotine in cigarettes. Nicotine causes contractions in the fallopian tubes resulting in muscle spasms which can alter the pathway of the embryo. Smoking even as close as the time of ovulation, can already alter the fallopian tubes and temporarily block any embryo that passes through. Therefore, I highly suggest cessation of smoking before ovulation, which is definitely even before the first two weeks of pregnancy.
How many times can you conceive afer having ectopic pregnancy?
As many times as you want. You might have Fallopian tube removed, after ectopic pregnancy as it is the most common location for ectopic pregnancy. But do not worry ! GOD has given you another tube and it will take care of further pregnancies. ( By the way, GOD has given every thing in surplus. For one kidney can do and you have two. 1/8 liver is enough to maintain healthy life and so on.)
What does gravida 2 para 2?
Gravida is how many times you've been pregnant. Para is how many of those pregnancies got to 38-40 weeks. So this means the patient was pregnant 2 times and both pregnancies were carried out to the full term.
Ectopic pregnancy?
DefinitionAn ectopic pregnancy is an abnormal pregnancy that occurs outside the womb (uterus). The baby (fetus) cannot survive, and often does not develop at all in this type of pregnancy.Alternative NamesTubal pregnancy; Cervical pregnancy; Abdominal pregnancyCauses, incidence, and risk factorsAn ectopic pregnancy occurs when a pregnancy starts outside the womb (uterus). The most common site for an ectopic pregnancy is within one of the tubes through which the egg passes from the ovary to the uterus (fallopian tube). However, in rare cases, ectopic pregnancies can occur in the ovary, stomach area, or cervix.An ectopic pregnancy is often caused by a condition that blocks or slows the movement of a fertilized egg through the fallopian tube to the uterus. This may be caused by a physical blockage in the tube by hormonal factors and by other factors, such as smoking.Most cases of scarring are caused by:Past ectopic pregnancyPast infection in the fallopian tubesSurgery of the fallopian tubesUp to 50% of women who have ectopic pregnancies have had swelling (inflammation) of the fallopian tubes (salpingitis) or pelvic inflammatory disease (PID).Some ectopic pregnancies can be due to:Birth defects of the fallopian tubesComplications of a ruptured appendixEndometriosisScarring caused by previous pelvic surgeryThe following may also increase the risk of ectopic pregnancy:Age over 35Having had many sexual partnersIn vitro fertilizationIn a few cases, the cause is unknown.Sometimes, a woman will become pregnant after having her tubes tied (tubal sterilization). Ectopic pregnancies are more likely to occur 2 or more years after the procedure, rather than right after it. In the first year after sterilization, only about 6% of pregnancies will be ectopic, but most pregnancies that occur 2 - 3 years after tubal sterilization will be ectopic.Ectopic pregnancy is also more likely in women who have:Had surgery to reverse tubal sterilization in order to become pregnantHad an intrauterine device (IUD) and became pregnant (very unlikely when IUDs are in place)Ectopic pregnancies occur in 1 in every 40 to 1 in every 100 pregnancies.SymptomsAbnormal vaginal bleedingAmenorrheaBreast tendernessLow back painMild cramping on one side of the pelvisNauseaPain in the lower abdomen or pelvic areaIf the area of the abnormal pregnancy ruptures and bleeds, symptoms may get worse. They may include:Feeling faint or actually faintingIntense pressure in the rectumPain that is felt in the shoulder areaSevere, sharp, and sudden pain in the lower abdomenInternal bleeding due to a rupture may lead to low blood pressure and fainting in around 1 out of 10 women.Signs and testsThe health care provider will do a pelvic exam, which may show tenderness in the pelvic area.Tests that may be done include:CuldocentesisHematocritPregnancy testQuantitative HCG blood testSerum progesterone levelTransvaginal ultrasound or pregnancy ultrasoundWhite blood countA rise in quantitative HCG levels may help tell a normal (intrauterine) pregnancy from an ectopic pregnancy. Women with high levels should have a vaginal ultrasound to identify a normal pregnancy.Other tests may be used to confirm the diagnosis, such as:D and CLaparoscopyLaparotomyTreatmentEctopic pregnancies cannot continue to birth (term). The developing cells must be removed to save the mother's life.You will need emergency medical help if the area of the ectopic pregnancy breaks open (ruptures). Rupture can lead to shock, an emergency condition. Treatment for shock may include:Blood transfusionFluids given through a veinKeeping warmOxygenRaising the legsIf there is a rupture, surgery (laparotomy) is done to stop blood loss. This surgery is also done to:Confirm an ectopic pregnancyRemove the abnormal pregnancyRepair any tissue damageIn some cases, the doctor may have to remove the fallopian tube.A minilaparotomy and laparoscopy are the most common surgical treatments for an ectopic pregnancy that has not ruptured. If the doctor does not think a rupture will occur, you may be given a medicine called methotrexate and monitored. You may have blood tests and liver function tests.Expectations (prognosis)One-third of women who have had one ectopic pregnancy are later able to have a baby. A repeated ectopic pregnancy may occur in one-third of women. Some women do not become pregnant again.The likelihood of a successful pregnancy depends on:The woman's ageWhether she has already had childrenWhy the first ectopic pregnancy occurredThe rate of death due to an ectopic pregnancy in the United States has dropped in the last 30 years to less than 0.1%.ComplicationsThe most common complication is rupture with internal bleeding that leads to shock. Death from rupture is rare.Calling your health care providerIf you have symptoms of ectopic pregnancy (especially lower abdominal pain or abnormal vaginal bleeding), call your health care provider. You can have an ectopic pregnancy if you are able to get pregnant (fertile) and are sexually active, even if you use birth control.PreventionMost forms of ectopic pregnancy that occur outside the fallopian tubes are probably not preventable. However, a tubal pregnancy (the most common type of ectopic pregnancy) may be prevented in some cases by avoiding conditions that might scar the fallopian tubes.The following may reduce your risk:Avoiding risk factors for pelvic inflammatory disease (PID) such as having many sexual partners, having sex without a condom, and getting sexually transmitted diseases (STDs)Early diagnosis and treatment of STDsEarly diagnosis and treatment of salpingitis and PIDStopping smokingReferencesHoury DE, Salhi BA. Acute complications of pregnancy. In: Marx JA, ed. Rosen's Emergency Medicine: Concepts and Clinical Practice. 7th ed. Philadelphia, Pa: Mosby Elsevier;2009:chap 176.Lobo RA. Ectopic pregnancy: Etiology, pathology, diagnosis, management, fertility prognosis. In: Katz VL, Lentz GM, Lobo RA, Gershenson DM, eds. Comprehensive Gynecology. 5th ed. Philadelphia, Pa: Mosby Elsevier;2007:chap 17.Barnhart KT. Ectopic pregnancy. N Engl J Med. 2009;361:379-387.
If you cannot afford a tubal reversal what are your options?
There are many cases of women having normal (uterine) pregnancies after having their tubes tied, while their tubes are STILL tied. An ectopic pregnancy, is a pregnancy within the fallopian tube-this can happen to a woman who does, or does not, have her tubes tied, as well as a woman who have never been pregnant before or who has had normal pregnancies in the past. However, woman who have had a tubal ligation reversed are at higher risk for ectopic pregnancies as her fallopian tubes will have scarring and may not be as 'free-flowing' as before the tubal ligation. This risk is especially high immediately following the reversal (for up to 60 days, while healing), as the tubes themselves are swollen due to the recent procedure. However, it is not as high of a risk as some believe. Many women go on to have a normal pregnancy. Many doctors recommend performing reliable birth control methods during this time to lessen the risk of ectopic pregnancy,as ectopic pregnancies can irreversibly damage the fallopian tube and if left undetected cause death. Invitro fertilization is possible also, but it is more expensive. Tubal reversals can cost 5-7,000 and cycles are much pricier with the fertilization. There is also a charge for EACH cycle.
What is pregnancy in which the fertilized egg is implanted to develop outside the uterus?
A fertilized egg which begins to develop and implants outside the uterus, is an ectopic pregnancy. It is often a medical emergency by the time it is discovered. Many ectopic pregnancies involve implantation in the Fallopian tubes, where it can also be called eccyesis or tubal pregnancy.
