Tuesday, 10 December 2013

Ectopic Pregnancy - The Types

Ectopic pregnancy is defined as a condition in which the fertilized implant in somewhere else other than in the uterus. In most case, ectopic pregnancy occurs in the one of the Fallopian tube, causing tubal pregnancy. Ectopic pregnancy will end up in miscarriage as the fertilized can not survive outside of uterus.

Types of ectopic pregnancy
1. Tubal pregnancy
In most case, fertilized age is implant in the Fallopian tube and in some cases it can cause major internal hemorrhage. In a study of Current knowledge of the aetiology of human tubal ectopic pregnancy" by Shaw JL, Dey SK, Critchley HO, Horne AW (January 2010), researchers found that tubal ectopic pregnancy is caused by a combination of retention of the embryo within the fallopian tube due to impaired embryo-tubal transport and alterations in the tubal environment allowing early implantation to occur.

2. Non-tubal pregnancy
It is rare case of ectopic pregnancy, Non tubal pregnancy as its name is defined of ectopic pregnancy occurs in the ectopic pregnancies occur in the ovary, cervix, or are intra abdominal other than the Fallopian tube. In most case, the abdominal pregnancies require medical attention and intervention because of the risk of hemorrhage bleeding.

3. Herterotopic pregnancy
This another rare case of ectopic pregnancy, as 2 fertilized eggs, one implanted inside, the other implanted outside of uterus. Today with invention of IVF, the survival rate of herterotopic pregnancy rate is as high as 70%.

4. Persistent ectopic pregnancy
Persistent ectopic pregnancy is a condition of continuation of growth of the after removing an ectopic pregnancy surgically as the escape tissue from the surgery continue to grow.
In a study of Persistent Ectopic Pregnancy– A Case Report by N Shamini, B Chern. researcher found that The incidence of extra-uterinepregnancies has increased from 0.5% 30 years ago to 1-2%(1) in recent years. This case illustrates one of the potential problems that may arise with minimal access surgery for ectopic pregnancy.

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