Ectopic Pregnancy ????

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Ectopic Pregnancy????

• Jun Ma ??
• Dept. of Obstetrics Gynecology
• The First Hospital of Xian Jiaotong Univ

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Ectopic
(Ektopos) out of place
Definition Ectopic pregnancy fertilized embryo
implanted outside the uterine cavity
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intrauterine implantation
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Animation of intrauterine implantation
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Animation of ectopic implantation
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Classification of ectopic pregnancy
gt95
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Overview

• Leading cause of maternal deaths in the first
  trimester
• Constituting 1-2 of all conceptions
• Subsequent infertility
• Incidence increasing
• Mortality decreasing with better detection

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Tubal pregnancy ?????
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isthmic 12
Interstitial 2-3
Ampullary 78
Fimbrial 5
Incidence of tubal pregnancy by location
Incidence of tubal pregnancy by location
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• Which women are at higher risk for tubal
  pregnancy?

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High-risk Factors

• Prior history of PID (pelvic inflammatory disease)

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High-risk Factors

• Prior history of PID (pelvic inflammatory
  disease)
• Tubal Surgery
• Previous Ectopic Pregnancy
• IUD (intrauterine device)???
• Other tubal abnormalities

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Pathology outcomes
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Outcomes

• Tubal abortion

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• Rupture of tubal pregnancy

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• Secondary abdominal pregnancy

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• Tubal mole pelvic hematoma

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Other pathological changes
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Question

• How to explain the situation when a woman with
  ectopic pregnancy claimed that she had expelled
  an intra-unterine embryo-like tissue?

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Tubal abortion
Intrauterine abortion
Endometrium Vaginal bleeding Vaginal pass of
tissue Pregnancy test Histology (Intrauterine
villi)
decidua shedding / irregular _
decidua / irregular
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Summary

• What is ectopic pregancy?
• Which patients are at higher risk for tubal
  pregnancy?
• What are the fates of tubal pregnancy?

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Thank you.