COMPLICATIONS IN EARLY PREGNANCY – ECTOPIC GESTATION

Midwives please, what causes ectopic pregnancy???why does that HAPPEN??

A friend of mine died yesterday, she was just 2 months pregnant, she went to the office in the afternoon to relieve her colleague, started complaining of abdominal pains and was rushed to the hospital 😔 and they said she has lost a lot of blood then she died😭😭😭

🔴Incidence

It is one of the leading causes of maternal deaths in early pregnancy worldwide.

🔴Definition

An ectopic pregnancy occurs when Pregnancy occurs outside the uterus or womb.  The fertilized egg implants in the fallopian tube, ovary, cervix and sometimes the abdomen.  The embryo implants and starts to grow, it gets to a point where it  cannot accommodate it. The fallopian tube ruptures or bursts and that is what we term a ruptured ectopic. A woman can bleed to her death if she doesn’t receive care immediately.

🔴Causes

Previous surgical procedures that cause scarring, pelvic Infections and some forms of birth control increase the incidence though it can occur in every other woman. The cause may also be unknown

🔴Signs of a ruptured ectopic

There is a missed period and there is a sudden severe  lower abdominal pain at one side, later becoming generalized . There could be scanty bleeding as well.  There could be fainting due to the excessive bleeding

🔴Diagnosis

A missed period, signs as indicated above , and an ultrasound can be done to confirm ectopic gestation. A Pregnancy test can also be done to confirm Pregnancy

🔴Treatment

Both surgical and medical interventions are used and survival rate is high

🔴Fertility

If it affects one fallopian tube, talk to your health care provider about how best to keep the other and optimize your chances of getting pregnant. With modern treatment women with both tubes removed can still have babies.

🔴Caution

Report to the hospital immediately if you miss your period or have scanty menses.

Do an early scan as recommended by your doctor when pregnant.

🔴If there is sudden abdominal pain at one side with a missed period visit the hospital to rule out ectopic.

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