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Ectopic Pregnancy Case Studies

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Recommended: Journal of ectopic pregnancy

Abstract-
Introduction- Ectopic pregnancy is one of the leading causes of maternal mortality and morbidity in the first trimester. It is estimated that worldwide around 10-15% of maternal deaths in first trimester are contributed by ectopic pregnancy. Here I, discuss a case of young lady with culture positive UTI having ruptured ectopic pregnancy.

Case presentation- Mrs. A, 30 year old admitted to a medical ward with lower abdominal pain and urinary symptoms and found to have culture positive UTI.She was started on IV broad spectrum antibiotics and improved subsequently. On the day of discharge she collapsed while going to the washroom.
On examination she found to haemodynamically unstable with low Hemoglobin of 5.8 and positive urine Beta-HCG, …show more content…

Despite this, morbidity and mortality attributable to failure to consider the diagnosis, and therefore missed or delayed diagnosis, continues to be problematic. This is often due to misconceptions and ignorance of symptoms and signs of an ectopic pregnancy. The incidence rates vary among different countries. In developing countries, the incidence rates vary from 1in 44 deliveries to 1 in 21 deliveries, while in the developed western countries, the rates are between 1 in 233 and 1 in 280 deliveries. Mean while ectopic pregnancy is a leading cause of maternal mortality and morbidity.
The incidence of ectopic pregnancy was thought to be rising..The causes for the rising trend are multifactorial, including more liberal sexual practices and an ever increasing incidence of pelvic inflammatory disease.
In the developed countries, the detection rates for unruptured ectopic pregnancy ranges from 88% to 100%, compared to developing countries which is far more less. Classically ectopic pregnancy presents with abdominal pain and vaginal bleeding between 6-10 weeks of …show more content…

This prevents life-threatening hemorrhagic shock, excessive tubal damage and blood transfusion. Symptoms of dizziness, syncope, and shock are late signs suggestive of ruptured ectopic pregnancy. Her main symptoms were colicky lower abdominal pain, with urinary symptoms. The location, nature, and severity of pain with ectopic pregnancy may be pelvic or abdominal, unilateral or bilateral, localized, dull, sharp, cramping, intermittent or continuous. Colicky pain presents mainly in the hypogastric or iliac regions and is most likely due to small-volume intraperitoneal hemorrhage. Localized abdominal or pelvic pain is caused by acute distension of the fallopian tube at the site of trophoblast implantation. Tubal rupture is typically associated with a longer-lasting, more generalized pain due to hemoperitoneum,but rupture may also be associated with a decrease in or resolution of pain altogether. Pain referred to the shoulder, indicating irritation of diaphragm is late

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Chief of the obstetrics department at the University of Pennsylvania, Deborah A. Driscoll, told the NY Times that numerous couples are deciding not to bring a child with irregularities to life due to their unintentional deficiencies. These females do not have “the resources, the emotional stamina, don’t have family support.” (Harmon, 2007) So we see that more often than not, woman choose abortion as a last resort when they are certain they can’t provide for their child’s irregularities.

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The risk of death is fourteen percent higher during child birth then the risk of someone dying because of an abortion(http://www.huffingtonpost.com/david-a-grimes/how-safe-is-abortion_b_6391460.html). Not only do medical procedures have higher death rate than abortion but so does daily activities people do like riding a motorcycle. The death rate for abortion is 1 for every 100,000(http://www.huffingtonpost.com/david-a-grimes/how-safe-is-abortion_b_6391460.html). That is an extremely low number of

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“It has been speculated that ultrasound viewing will dissuade women from having an abortion.” However, a recent study shows that is not true. Analysis of data from a large urban abortion provider shows that when 15,575 patients seeking an abortion were given the option to view ultrasound images, 42.5% opted to do so. Those that opted to see the images terminated their pregnancy 98.4% of the time, those that chose not to, 99% of the

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It affects around 5-8% of all pregnancies. When superimposed with convulsions it is termed as eclampsia. Other high-risk factors are multiple pregnancy, hydramnios, and molar pregnancy. It is estimated that around 1400 women dye from pregnancy-related causes

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Pregnancy complications can include an ectopic pregnancy, preeclampsia and eclampsia, and so many more. In many cases, these symptoms and disorders can be so severe it can cost a woman’s life. “In 2021, 1,205 women died of maternal causes in the United States. ”(Donna L. Hoyert). Now imagine these numbers if abortion was off the table, the numbers would skyrocket.

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