ECTOPIC PREGNANCY: QUESTIONS AND ANSWERS
LATEST UPDATE (GRADED A+)
Pregnancy outside the endomertial cavity; AKA extrauterine Pregnancy
Ectopic Pregnancy
Major risk associated with ectopic pregnancy
Hemorrhage due to rupture
Risk factors for ectopic pregnancy
PID; hx of ectopic pregnancy; prior tubal ligation; fertility drugs; In-Vitro procedures; IUD; Age; smoking
Clinical signs of ectopic pregnancy
Positive pregnancy test; abnormal rise in HCG levels; palpable adnexal mass; pelvic pain; shoulder pain;
fever; drop in RBS
Possible ectopic pregnancy locations
Adnexa; intrauterine but outside of the endometrium; cervix; abdomen
IUP and Ectopic Pregnancy simultaneoulsy (RARE)
Heterotopic Pregnancy
Percentage of ectopic pregnancies that occur in ampullary or isthmic portion if the fallopian tube
95%
Pregnancy implants in the cervix, occurs rarely; high mortality rate due to potential for massive
hemorrhage
Cervical Ectopic
Important way to differentiate between MAB/SAB and cervical ectopic
Apply color. MAB/SAB are not vascular and ectopics are HIGHLY vascular
Cervical appearance in MAB/SAB versus cervical ectopic
With MAB/SAB the cervix with have a thin anechoic line from the passing tissue. This does not occur
with cervical ectopics
General location of an ectopic pregnancy when it implants in a C-section scar
Lower uterine segment
Pregnancy that occurs in the fundus; very high mortality rate because of its close proximity to the
arcuate arteries and veins; aka Interstitial Ectopic
LATEST UPDATE (GRADED A+)
Pregnancy outside the endomertial cavity; AKA extrauterine Pregnancy
Ectopic Pregnancy
Major risk associated with ectopic pregnancy
Hemorrhage due to rupture
Risk factors for ectopic pregnancy
PID; hx of ectopic pregnancy; prior tubal ligation; fertility drugs; In-Vitro procedures; IUD; Age; smoking
Clinical signs of ectopic pregnancy
Positive pregnancy test; abnormal rise in HCG levels; palpable adnexal mass; pelvic pain; shoulder pain;
fever; drop in RBS
Possible ectopic pregnancy locations
Adnexa; intrauterine but outside of the endometrium; cervix; abdomen
IUP and Ectopic Pregnancy simultaneoulsy (RARE)
Heterotopic Pregnancy
Percentage of ectopic pregnancies that occur in ampullary or isthmic portion if the fallopian tube
95%
Pregnancy implants in the cervix, occurs rarely; high mortality rate due to potential for massive
hemorrhage
Cervical Ectopic
Important way to differentiate between MAB/SAB and cervical ectopic
Apply color. MAB/SAB are not vascular and ectopics are HIGHLY vascular
Cervical appearance in MAB/SAB versus cervical ectopic
With MAB/SAB the cervix with have a thin anechoic line from the passing tissue. This does not occur
with cervical ectopics
General location of an ectopic pregnancy when it implants in a C-section scar
Lower uterine segment
Pregnancy that occurs in the fundus; very high mortality rate because of its close proximity to the
arcuate arteries and veins; aka Interstitial Ectopic
