Questions concerning pregnancy

An ectopic pregnancy, commonly known as a tubal pregnancy, is a pregnancy in which the fertilized egg implants itself somewhere other than the uterus.
Although there have been advances in surgical technology that have caused the death rate due to tubal pregnancy to drop since 1970, there is still a death rate of about 1 out of 2000, with about 40-50 women dying each year in the U.S. If the pregnancy test comes back positive then your doctor will probably perform a quantitative hCG test to measure the amount of human chorionic gonadotropin in your body. You will be given a pelvic exam as well, to find the areas causing pain, check for an enlarged, pregnant uterus, or to locate any masses in your abdomen.
There is also a more rarely used test for tubal pregnancy, called culdocentesis, which is used to check for internal bleeding. If caught early enough, a tubal pregnancy may be able to be treated with an injection of methotrexate, which would dissolve the fertilized egg and allow it to be reabsorbed into the body. If the fallopian tubes remain intact, chances for a successful pregnancy in the future are about 60%. If you think you may be at risk of tubal pregnancy, talk to your doctor about it before attempting to conceive.
If you are pregnant and experience any of the symptoms of tubal pregnancy, contact your doctor immediately. Tip: If you have a photo of your big baby bump from the first pregnancy, then show it to your child and explain to him.

Angela Davids is the founder of Keep ’Em Cookin’, an educational organization that provides current information on high-risk pregnancy and offers online community support for women on bed rest. No woman expects her baby to be born prematurely, so we tend to skip the high-risk pages in the pregnancy books and not ask our OBs about our own risk factors.
Nearly one in four pregnant women in the United States will be placed on bed-rest due to conditions that can lead to preterm birth. The length of the cervix from 14 to 24 weeks into a pregnancy is an excellent indicator of preterm birth risk. It is referred to as a tubal pregnancy because 95% of ectopic pregnancies occur when the fertilized egg is unable to travel all the way through the fallopian tube to the uterus, and therefore implants itself in the tube.
It can be difficult to recognize symptoms of tubal pregnancy since many of the early signs mirror those of a normal pregnancy, such as missed periods, breast tenderness, nausea, vomiting, and frequent urination. If you arrive at the hospital complaining about abdominal pains, you will most likely be given a pregnancy test. Treatment for a tubal pregnancy will depend on its size and location and whether or not you would like the ability to conceive again. In many cases, the tubal pregnancy can be removed using laparoscopy, a much less invasive surgical procedure.
Those most at risk of having a tubal pregnancy are women between the ages of 35 and 45 who have had a PID, a previous tubal pregnancy, surgery on a fallopian tube, infertility problems, or medication to stimulate ovulation.

If you become pregnant while using progesterone intrauterine devices (IUDs), progesterone-only oral contraceptives, or the morning after pill, you may be more likely to have a tubal pregnancy. Although there is nothing that can be done to prevent tubal pregnancy, if monitored closely it can be detected early. Tubal pregnancy is just one of those things that you want to have checked out, even if you only have so much as a hunch. We may even ignore the warning signs our bodies send us, not realizing how common pregnancy complications can be. As you travel through your pregnancy journey, learn these four essential questions for talking to your OB about preventing preterm birth.
Fetal fibronectin is a sticky protein that keeps the baby's fetal membranes attached to the mother's uterus during pregnancy.
Ask the sonographer to record your cervical length at that time, and write it down in your pregnancy journal. This is also when a pregnancy journal comes in handy for comparison between the good days and the not-so-good days.

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