A pregnancy begins following a sperm cell makes its way through the cervix and uterus and into the fallopian tube, where it meets a era egg cell that has recently been released by the ovary.
The sperm cell merges considering the egg cell, and the resulting zygote begins to divide, from one cell to two to four, etc.
In a sufficient pregnancy, as the cells divide, the zygote moves through the fallopian tube to the uterus, where it becomes a hollow structure called a blastocyst. The blastocyst implants in the lining of the uterus, called the endometrium.
Some of the cells of the blastocyst become the embryo, and some become the placenta, the organ that delivers oxygen and nutrients from mother to fetus and waste products from fetus to mommy.
What Can Go Wrong
Occasionally, the fertilized egg implants somewhere subsidiary than the uterus. This is called an ectopic pregnancy, or sometimes, a tubal pregnancy.
One to 2 percent of pregnancies in the United States are an ectopic pregnancy, according to a credit in the journal American Family Physician.
In the omnipresent majority of ectopic pregnancies, the fertilized egg implants in the fallopian tube. However, it can plus implant in the uterine muscle, the abdomen, the ovaries, or the cervix.
In not quite all cases, an ectopic pregnancy is not reachable, meaning it cannot result in a healthy baby. This is because the tissues in which the egg implants cannot supply the blood and accumulation retain that the uterus normally provides for the fetus to survive.
Dangers of Ectopic Pregnancy
Any ectopic pregnancy carries the risk of catastrophic internal bleeding.
When the pregnancy is located in a fallopian tube, as it is in most cases, theres a tall risk that the fallopian tube will fracture.
Thats because unlike the uterus, which can press on in size as the embryo and also fetus grows, the fallopian tube cannot with much at each and every one one.
As the growing embryo presses closely the sides of the fallopian tube, it can cause sprightly, stabbing pains in the abdomen, pelvic place, shoulder, and neck.
A ruptured fallopian tube is a medical emergency that requires rude surgery to surgically cut off the embryo and ruptured fallopian tube.
Risk Factors for Ectopic Pregnancy
Anything that can block the lane of a fertilized egg through the fallopian tubesuch as scar tissueraises the risk of the egg implanting in the fallopian tube.
Some attainable causes for such blockages auxiliary in the works:
Infection or inflammation of the fallopian tube
Abnormally shaped fallopian tube
Previous ectopic pregnancy
Previous pelvic surgery or surgery a propos the fallopian tube
Previous pelvic surgery, including a Cesarean section (This raises the risk of an ectopic pregnancy in locations new than the fallopian tubes.)
Pelvic inflammatory disease (PID)
Endometriosis, or further details of patches of endometrial tissue outdoor the uterus
A tubal ligation, a form of long-lasting birth run in which the fallopian tubes are shorten or blocked, that fails or is reversed
Women who smoke and women whose mothers used DES (diethylstilbestrol) during pregnancy are with at remote risk for an ectopic pregnancy. DES is a synthetic form of estrogen prescribed to women in the middle of 1940 and 1971 to prevent miscarriage, premature labor, and connected pregnancy complications.
In colleague in crime, the use of fertility drugs and assisted reproductive technology has been similar taking into consideration a little accretion in the risk of an ectopic pregnancy.
Preventing Ectopic Pregnancy
Many ectopic pregnancies cannot be prevented, but some of those caused by PID may be preventable. Thats because an important cause of PID is chlamydia, the most common sexually transmitted bacterial disease in the United States.
Chlamydia is readily treated taking into consideration antibiotics, but many women behind a chlamydial infection have few or no symptoms, as a outcome they dont endeavor treatment.
Women who are sexually sprightly should discuss their dependence to be screened for sexually transmitted infections as soon as their gynecologists or primary care physicians.
Quitting smoking may also lower the risk of an ectopic pregnancy.
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