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Tubal Pregnancy Information

When the fertilized ovum implants itself in any tissue other than the eudiometrical lining of the uterus it is referred to as a tubal or ectopic pregnancy. 95% of tubal pregnancies occurs in the fallopian tube and about 1.5% occur in the abdomen. Tubal pregnancy in the ovaries or cervix is extremely rare, but it does happen.

In the developed world the death rate for a tubal pregnancy is one in every two thousand. About 45 women dying from a tubal pregnancy is what this equates to. Over the past thirty years the figure has dropped significantly since improvement has been made in the diagnosis and treatment of tubal pregnancy. Women becoming aware of the symptoms of the condition and seeking help sooner is the most important factor in reducing tubal pregnancy deaths.

A woman’s chances of having a tubal pregnancy can increase due to a number of risk factors. Pelvic inflammatory disease is the most common of these factors. An invasion of either gonorrhea or chlamydeous from the cervix up to the uterus and fallopian tubes is the most common cause of pelvic inflammatory disease. An intense inflammatory response causes infection in the tissues where bacteria, white blood cells and other fluids fill the fallopian tubes to fight the infection. The delicate inner lining of the fallopian tubes is permanently scarred during the healing process and the ends of the tubes become blocked either partially or completely. The woman’s chances of having a tubal pregnancy are increased up to ten times if this is not treated. However, not only are her odds of tubal pregnancy increased but the chances of a healthy pregnancy are also reduced. Previous bouts of this disease should be discussed with a doctor before contemplating becoming pregnant.

A woman’s chance of having a tubal pregnancy can also be increased by some contraceptives. Progesterone-bearing IUDs are especially the case. Before deciding to try and become pregnant you should stop the use of any progestin contraceptives well in advance. These contraceptives have an extremely low rate of failure but the risk of a tubal pregnancy is greatly increased if a woman falls pregnant while using them.

The increase risk level of tubal pregnancy also occurs after a woman has surgery on her fallopian tubes. A blockage in the fallopian tubes can result from the scar tissue and it is almost inevitable that a tubal pregnancy results.

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