Early Pregnancy Complications

Question 1

What is Ectopic Pregnancy?

Answer 1

-Pregnancy located outside of the uterine cavity.

Question 2

Risk factors of ectopic pregnancy:

Answer 2

-History of previous ectopic pregnancy

-IUCD
Having IUCD with a positive pregnancy test increases the risk of ectopic

-Sterilisation failure
Fallopian tubes interrupted

-PID
esp by chlamydia

-Smoking
affects the cilia of the fallopian tube

-Previous pelvic surgery
Complicated c/s
Appendicectomy

Question 3

Most common place to find ectopic

Answer 3

• Ampular of the fallopian tube (93%)
• Isthmus of the tube

-Conrnual
junction at the myometrium and fallopian tube

-Ovarian
Not common

• Cervical
• C/S Scar Ectopic

-Abdominal
least common

Question 4

What is the clinical presentation of ectopic?

Answer 4

-Pain
Localised -unruptured ectopic
Generalised - ruptured, acute abdomen or peritonism
, will give rise to GIT irritability (nausea, vomitting and diarrhoea)

-PV bleeding
Usually spotting

• Positive preg test
• Haemorrhagic shock if excessive loss of blood