(2007) evaluated the incidence of
ectopic pregnancy in 180 subjects of frozen-thawed group vs.
Diagnostic criteria of
ectopic pregnancy were; irregular [beta]-hCG increase, ectopic implantation of pregnancy or diffuse fluid in the pouch of Douglas and abdomen, as determined using transvaginal ultrasound.
In that case, it's called an
ectopic pregnancy or a tubal pregnancy.
The 28-year-old Filipina woman was said to have suffered pregnancy pains before she called an ambulance and was rushed to the hospital to be informed that she had
ectopic pregnancy in December.
The incidence of
ectopic pregnancy is 10 to 20 per 1000 pregnancies4 which has been tripled in last three decades owing to the increased use of contraceptive devices, tubal reanastromotic procedures and increasing application of artificial reproductive techniques.5 But luckily the maternal mortality secondary to the
ectopic pregnancy has remained same because of its early detection techniques and better therapeutic options.
When evaluating for
ectopic pregnancy, it is important to be familiar with the sonographic findings of a normal intrauterine pregnancy (IUP), as this essentially rules out an
ectopic pregnancy due to the statistical rarity of a heterotopic pregnancy (a concurrent intrauterine and
ectopic pregnancy).
It is hoped that, using their randomised study as a baseline, the authors will be able to update the academic community on their progress and changing trends in the laparoscopic management of
ectopic pregnancy in a low-cost setting in a few years' time.
An
ectopic pregnancy was confirmed by pathologic examination.
The abnormal implantation site of an
ectopic pregnancy leads to denigration of the trophoblastic tissue [13], which grows by invading the adjacent structures that are prone to the implantation site where there is greater blood supply.
They are dependent on examiner experience and quality of ultrasound equipment.17 TVS is superior to abdominal scan in evaluation of
ectopic pregnancy, since it allows a better view of adenexa and uterine cavity.18 MRI provide additional information for patient who needed precise diagnosis.11,12 After the diagnosis of abdominal pregnancy become definite, it is essential to localize placenta, MRI may help in surgical planning by evaluating the extent of mesenteric and uterine involvement.
According to the World Health Organization (2007), 5% of maternal mortality in the developed countries is due to
ectopic pregnancy. Hemorrhage and infection cause half of the deaths associated with
ectopic pregnancy.