An ectopic pregnancy occurs when a fertilized egg implants and grows outside the uterus, usually in one of the fallopian tubes. This is a medical emergency that requires prompt treatment to stop potentially life-threatening bleeding. Most ectopic pregnancies occur in the fallopian tubes. While the incidence of ectopic pregnancy is rising due to increased rates of pelvic inflammatory disease, early diagnosis and treatment have reduced maternal death and illness.

3. Ectopic pregnancy, also called
extrauterine pregnancy, is when a
fertilized egg grows outside a
woman's uterus, somewhere else in
her belly. It can cause life-
threatening bleeding and needs
medical care right away. In more
than 90% of cases, the egg implants
in a fallopian tube. This is called
a tubal pregnancy.

5.  Ectopic pregnancy still
contributes significantly to the
cause of maternal mortality &
morbidity.
 The incidence of ectopic
pregnancy is an the rise.

7.  An ectopic pregnancy is one in
which fertilized ovum is
implanted & develops outside
the normal uterine cavity
 D.C. DUTTA

8. Implantation sites
Extra uterine uterine
Tubal ovarian abdominal Cervical Angular Cornual
1.Ampulla
2.Isthmus
3.Infundibulum
4.Interstial
Primary
Secondary
Intraperitoneal
Extraperitioneal

10.  Frequency:- The incidence has
increased because the prevalence of
chronic pelvic inflammatory disease.
 ETIOLOGY:-
Factors preventing the
migration of the fertilized ovum to
the uterine cavity .
Factors facillitating of
the fertilized ovum in the
tubalmucosa

12. o TUBAL MOLE
The encysted bld so collected in the
pouch of douglas is called pelvic
haematocele
o TUBAL ABORTION
If implantation occurs in the ampulla
/ in fundibulum prior to abortion . The ovum
may be converted into a mole/ a living ovum
is aborted.The expulsion may be complete /
in complete

14. o TUBAL RUPTURE
It may be, common in isthmic &
interstital implantation .As the isthmic portion is
narrow & the wall is less distensible
o TUBAL PERFORATION
I. Secondary abdominal pregnancy
II. Secondary broad ligament pregnancy
o CONTINUATION OF PREGNANCY
I. RARE

15.  3 TYPES
 Acute
 Un ruptured
 Chronic /Old

16. ACUTE
ECTOPIC
CHRONIC
ECTOPIC

20.  It is associated with the massive intra
peritoneal hemorrhage due to its combined
vascularisation by the uterine & ovarian
arteries.


22.  ACUTE:-
 Anti shock treatment
Ringer solution
Blood transfusion
Laparatomy
Salphingectomy
 CHRONIC
 Observation
Investigation
 Laparatomy
Salphingectomy
Salphingestomy

25.  Management
Expectant
Conservative
Salphingectomy

27.  Primary :- Both the tubes & ovarian are
normal without evidence of recent pregnancy
 secondary:- Abdominal pregnancy is always
secondary
SYMPTOMS
 Nausea
 vomitting
 constipation
 pain

28.  Tube on the affected side must be intact
 The gestation sac must be in the position of
the ovaries
 salphingo-oophorectomy is done

29.  pregnancy occuring in rudimentary horn of a
vicornuate uterus is called cornual
pregnancy

30.  when the implantation occur in the cervical
canal / below the internal os is called
cervical pregnancy.