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What is an ectopic pregnancy?

Ectopic pregnancies occur in about 2% of pregnancies and have certain risk factors

If your pregnancy test was positive, it’s important that you understand some facts about ectopic pregnancies.  Lately, there’s been a lot of talk about this type of pregnancy and we’d like to help you navigate some of things you might be hearing.

An ectopic pregnancy is when a fertilized egg implants outside the main cavity of the uterus.   The most common place ectopic pregnancies occur is in the fallopian tubes (90%), thus many people call it a “tubal pregnancy“.  It is possible for ectopic pregnancies to occur in other parts of the body, like the ovary, cervix, or abdominal cavity. 

But a pregnancy that is not implanted in the correct place within the uterus cannot survive. The fertilized egg cannot progress normally, and the growing tissue may cause internal hemorrhaging if left untreated.  The pregnancy can rupture, causing major internal bleeding and a life-threatening emergency. 

Ectopic pregnancies occur in about 2% of pregnancies and have certain risk factors that could increase the chances of having one, including:

  • a previous ectopic pregnancy
  • inflammation or infection of the female reproductive organs caused by Sexually Transmitted Infection (Gonorrhea & Chlamydia) or Pelvic Inflammatory Disease (PID)
  • Fertility treatments (IVF) or fallopian tube surgery
  • Intrauterine Devices (IUDs)
  • Recent cigarette smoking

Symptoms of an ectopic pregnancy that require immediate medical attention include sudden severe abdominal or shoulder pain, abnormal vaginal bleeding, or extreme lightheadedness/fainting. 

Diagnosis of ectopic pregnancy includes a transvaginal ultrasound and laboratory tests.  An ectopic pregnancy cannot move or be moved to the proper place within the uterus, so it always requires treatment. There are two methods used to treat this type of pregnancy: 1) medication and 2) surgery. Several weeks of follow-up are required with each treatment.

A medical abortion is not a safe treatment for someone who has an ectopic pregnancy. Prior to taking these medications, an ultrasound is vital to first rule out an ectopic pregnancy.

Alcove Health offers free ultrasounds to confirm the location of the pregnancy within the uterus. This valuable medical information can impact the decisions you make concerning your pregnancy very early on. Our Registered Nurses will talk with you confidentially about the next steps to take and provide local physician referrals.  Call or click here to request your free medical appointment today!

By Meg, RN, BSN

August 30, 2022

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