During early pregnancy, when a fertilised egg implants itself outside of the uterus it is called an ectopic pregnancy. It is estimated that this happens in about 1 in 100 pregnancies. It most often occurs before 14 weeks of pregnancy. There is no possibility that the baby will survive outside of the uterus.
***Key Points***
- Outcomes are improved if you seek antenatal care early in pregnancy
- Seek medical assistance in early pregnancy if you experience abdominal pain.
- Call an ambulance immediately if you experience sudden, sharp, intense abdominal pain.
***Key Points***
***Signs and symptoms***
Some women don’t know it has happened, for others they will experience abdominal pain and bleeding. Always seek medical assistance if you experience either.
The ectopic pregnancy can be potentially serious for the mother who is at increased risk of severe bleeding. The most common spot for the fertilised egg to implant is the fallopian tube, as it grows the fallopian tube cannot accommodate the growing embryo and may rupture, causing significant pain and bleeding.
Some women may not even know they are pregnant, they may experience pain and bleeding which may indicate an ectopic pregnancy. Some may think they are pregnant but the embryo cannot be seen in the uterus during an ultrasound scan.
***Signs and symptoms***
***Treatment***
Medication may be offered via an intramuscular injection in your arm to dissolve the embryo or surgery may be required to remove the embryo and treat any bleeding.
If the ectopic pregnancy has ruptured you will experience sudden, sharp, intense abdominal pain. Looking pale and feeling dizzy or fainting. Feeling very unwell. If this happens you must call an ambulance urgently. This could be life threatening if left untreated
***Treatment***
References
UpToDate – Ectopic pregnancy – clinical manifestations and diagnosis
Department of Health Western Australia – ectopic pregnancy
