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Ectopic pregnancy

Also known as Extrauterine Pregnancy

An ectopic pregnancy, or eccysis, is a complication of pregnancy in which the embryo implants outside the uterine cavity. With rare exceptions, ectopic pregnancies are not viable. Furthermore, they are dangerous for the mother, since internal haemorrhage is a life-threatening complication. Most ectopic pregnancies occur in the Fallopian tube (so-called tubal pregnancies), but implantation can also occur in the cervix, ovaries, and abdomen. An ectopic pregnancy is a potential medical emergency, and, if not treated properly, can lead to death.

Source: Wikipedia

What are the symptoms?

Within all the people who go to their doctor with ectopic pregnancy, 79% report having sharp abdominal pain, 66% report having pain during pregnancy, and 60% report having spotting or bleeding during pregnancy. The symptoms that are highly suggestive of ectopic pregnancy are pain during pregnancy, spotting or bleeding during pregnancy, lower abdominal pain, pelvic pain, cramps and spasms, and intermenstrual bleeding, although you may still have ectopic pregnancy without those symptoms.


What might my doctor prescribe?

Common Tests and Procedures

Patients with ectopic pregnancy often receive hematologic tests, complete blood count, radiographic imaging procedure, urinalysis, standard pregnancy test, intravenous fluid replacement, glucose measurement and pelvis exam .

Common Medications

The most commonly prescribed drugs for patients with ectopic pregnancy include methotrexate, rho(d) immune globulin (rhogam), methylergonovine (methergine), human chorionic gonadotropin (hcg), cefoxitin, nonoxynol 9 topical, ethinyl estradiol / norelgestromin and sevoflurane .

Who is at risk?

Groups of people at highest risk for ectopic pregnancy include age 30-44 years, race/ethnicity = hispanic, sex == female and age 15-29 years. On the other hand, age 75+ years, sex == male, age 60-74 years, age 5-14 years, age 1-4 years, and age < 1 years almost never get ectopic pregnancy.

Age

< 1 years
0.0x
1-4 years
0.0x
5-14 years
0.0x
15-29 years
3.2x
30-44 years
2.1x
45-59 years
0.1x
60-74 years
0.0x
75+ years
0.0x

Sex

Male
0.0x
Female
1.7x

Race/Ethnicity

Black
1.5x
Hispanic
1.8x
White
0.6x
Other
1.1x
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