One in a hundred pregnancies is ectopic. Higher chance of ectopic pregnancy if the fallopian tubes damaged by inflammation of the stomach (eg appendicitis or chlamydial infection) or because the abdominal cavity surgery. IUD (spiral) also increases the risk of ectopic pregnancy.

symptom

If you have an ectopic pregnancy, symptoms will usually be felt at about 60-10 weeks of gestation. If you get the following symptoms, you should immediately consult with your doctor:

     * Pain on one side of the pelvis
     * Vaginal bleeding outside of menstruation
     * Pain in lower abdomen
     * Fainting
     * Nausea

In advanced stages, ectopic pregnancy can cause the following symptoms:

     * Abdominal pain is intense
     * Hypotension
     * Rapid pulse
     * Pale skin

diagnosis

Because some of the above symptoms can also occur in normal pregnancy, the doctor can be difficult to diagnose. Therefore, there are a number of tests that can be done if there is suspicion of an ectopic pregnancy.

• Using ultrasound, the doctor may be able to see an ectopic pregnancy, because of the presence of blood in the fallopian tubes are damaged or there is an embryo outside the uterus.
• Laparoscopy through a small incision in the abdomen can easily see if there is an embryo outside the womb.
• Measuring levels of pregnancy hormone hCG (human chorionic gonadotopin) is another way to detect an ectopic pregnancy. In normal pregnancy, hCG levels double approximately every two days until the 12th week. If hCG is not expected to increase, there may be something wrong in the pregnancy.

The doctor will always try to diagnose an ectopic pregnancy as early as possible. Thus, the damage is usually limited and the risk of internal bleeding and related complications are low.

treatment

Ectopic pregnancy should always be canceled and the doctor will try to restrain the rate of growth of the embryo with drugs. The sooner an ectopic pregnancy is detected, the greater the chance of pregnancy may be canceled without incurring long-term effects.

If ectopic pregnancy is detected at an early stage, the embryo can often be treated with injectable drugs and is absorbed by your body. In this therapy the fallopian tubes are usually still intact. In more serious situations, such as the fallopian tubes are inflated, it would require surgery.

Prognosis

Women who have experienced an ectopic pregnancy, there are probably around 12% will be hit again in the future. Therefore, if you’ve experienced it you should tell your doctor or midwife.

About 60% of women become fertile again after an ectopic pregnancy, 30% do not want to get pregnant because of that experience and 10% become infertile (infertile).