Ectopic pregnancy

This is a brief video on ectopic pregnancies, or a pregnancy occurring outside the uterus.
I created this presentation with Google Slides.
Images were created or taken from Wikimedia Commons
I created this video with the KZread Video Editor.
ADDITIONAL TAGS:
Ectopic pregnancy
Ectopic pregnancy in open Fallopian tube, ~7 weeks gestational age
By Ed Uthman, MD (Flickr, Wikipedia) - (2014). "Tubal pregnancy with embryo". WikiJournal of Medicine 1 (2): 7. DOI:10.15347/wjm/2014.007., Public Domain,commons.wikimedia.org/w/index...
Pregnancy outside of the uterus
Definition: embryo attaches outside the uterus
Most commonly occur in the ampulla of fallopian tube, but can occur in other parts of tube, ovary, cervix, myometrium or within the abdomen
Ectopic embryos can grow and create pressure or invade surrounding tissues
Overview
Overview
Presentation
Causes
Diagnosis
Management
Symptoms:
Classic symptoms: abdominal/pelvic pain, vaginal bleeding
Pain can be sharp, dull, and/or crampy, often mimicking appendicitis
Bleeding 6 weeks after last menstrual period
Tender cervix, adnexal mass, or adnexal tenderness
Symptoms of pregnancy: nausea, vomiting, urination, fatigue, breast tenderness
Destruction / rupture of fallopian tubes:
Rupture: abdominal distention, generalized tenderness, peritonitis, and hypovolemic shock (low BP, high HR, feeling cold)
Presentation
Overview
Presentation
Causes
Diagnosis
Management
Damage to Fallopian tubes and/or hair-like cilia in internal surface of tubes
Pelvic inflammatory disease / salpingitis resulting in scarring (most common)
Infertility
IUD use
Exposure to DES
Tubal surgery (ligation)
Intrauterine surgery (D&C)
Smoking
Previous ectopic pregnany
Endometriosis
Causes / risk factors
Overview
Presentation
Causes
Diagnosis
Management
Overview
Presentation
Causes
Diagnosis
Management
By Mikael Häggström, from original by BruceBlaus - File:Blausen 0602 Laparoscopy 02.png, CC BY 3.0, commons.wikimedia.org/w/index...
Overview
Presentation
Causes
Diagnosis
Management
A "blob sign", which consists of the ectopic pregnancy. The ovary is distinguished from it by having follicles, whereof one is visible in the field. This patient had an intrauterine device (IUD) with progestogen, whose cross-section is visible in the field, leaving an ultrasound shadow distally to it.
By Mikael Häggström.When using this image in external works, it may be cited as:Häggström, Mikael (2014). "Medical gallery of Mikael Häggström 2014". WikiJournal of Medicine 1 (2). DOI:10.15347/wjm/2014.008. ISSN 2002-4436. Public Domain.orBy Mikael Häggström, used with permission. - Own work, CC0, commons.wikimedia.org/w/index...
Perform transabdominal/transvaginal ultrasound:
↪ If intrauterine gestational sac present in uterus → not ectopic pregnancy
↪ If gestational sac present elsewhere (ring of fire with color Doppler d/t increased vascular flow to adnexa) → ectopic pregnancy
↪ If no gestational sac seen, perform quantitative serum hCG:
↪ If serum hCG 1500-2000 → treat like ectopic pregnancy (should be able to see intrauterine pregnancy)
↪ If serum hCG 1500-2000 → too soon to tell → perform serial hCG:
↪ Repeat hCG in 48 hours:
↪ If hCG doubles → intrauterine pregnancy → routine care, evaluate other causes of symptoms
↪ If hCG fails to double → ectopic pregnancy
Ruptured ectopic pregnancy:
Stabilize with fluids, blood, pressors
OR for salpingectomy (remove tube)
Unruptured ectopic pregnancy:
Stabilize, OR for salpingostomy (unblock tube)
If hCG 3000, gestational size 3.5 cm, no fetal heart tones
Medical management: methotrexate +/- leucovorin
Management
Overview
Presentation
Causes
Diagnosis
Management
Uterus in blue arrows
Bleeding ectopic pregnancy in red arrows
By Mikael Häggström - File:Ectopic pregnancy1981.jpg by Urskalberer81, CC BY-SA 3.0, commons.wikimedia.org/w/index...
By Urskalberer81 - Own work, CC BY-SA 3.0, commons.wikimedia.org/w/index...
Salpingectomy

Пікірлер: 101

  • @carinekeza6754
    @carinekeza67543 жыл бұрын

    I was pregnant and much nausea I was feeling gd. @13 weeks I went to bed I felt something the it was blood. I was scared went to ER they told me to go for blood test. After 2days I felt contractions very painful it was pulling on my right side soooo bad. Dr told me the baby can't grow so he gave me pills to put inside and after 8hrs my baby came out . RIP sweetheart forever in my heart. It's been a year till now no pregnancy but I trust God

  • @mrsgrwattoomrsgrwattoo6294
    @mrsgrwattoomrsgrwattoo62945 жыл бұрын

    Thumbs up no one can explain like u sir I m really impressed u told alll in this video

  • @DestDest84
    @DestDest844 жыл бұрын

    I removed my ectopic pregnancy yesterday, was 8 weeks and 4 days in my pregnancy 🤰 I wasn’t in pain, had no symptoms or anything that would indicate to me that my pregnancy was ectopic but when I went in for my first oOB/GYN appointment it showed my baby in the right Fallopian tube. The sac was in my uterus but the baby was in my right Fallopian tube. I went into surgery right away and they told my husband that my tube was already ruptured and internal bleeding 🩸 was already there. They couldn’t understand how I wasn’t in pain or anything and the baby was already 2months and four days. They had to remove my right Fallopian tube but they said my left Fallopian tube was beautiful.

  • @Awesome_Afrin

    @Awesome_Afrin

    4 жыл бұрын

    Ma'am, aapne surgery ki ya medicine li

  • @gorlenarayanarao3794

    @gorlenarayanarao3794

    4 жыл бұрын

    Now I'm suffering with this problem wt are the symptoms u faced , and which case u need to surjary

  • @stacygya1

    @stacygya1

    4 жыл бұрын

    Are u still able to get pregnant again?

  • @davycornell8715

    @davycornell8715

    3 жыл бұрын

    @@stacygya1 she can still get pregnant but the doc says it can take up to a year or more. My wife just got out of the ER getting her ruptured tube taken out and that's what they told us. I dont wanna have another kid because I dont wanna end up killing my wife :(

  • @stacygya1

    @stacygya1

    3 жыл бұрын

    Awww oh no.... Sorry to hear.... I really hope everything will be well with u guys

  • @Belladorphia
    @Belladorphia3 жыл бұрын

    This is a great video. keep the videos coming!

  • @yasminese5487
    @yasminese54873 жыл бұрын

    Hello ! Thank you for helping us having an overview of Ectopic pregnancy, your video is well presented and very simple to understand I would like to complete my understanding, let's say as a 3rd year medical student (which means I didn't study this topic fully yet I already have a general culture about it which led me to look for more information), I am a bit confused about why Hcg doesn't double in the case of ectopic pregnancy? Thank you again !

  • @aminrahman9551
    @aminrahman95513 жыл бұрын

    Excellent explanation. God bless you.

  • @PrabhatKumar-mu1nr
    @PrabhatKumar-mu1nr5 жыл бұрын

    Thank You.. It was VERY much helpful for me...!

  • @rebeccatafolla6852
    @rebeccatafolla68524 жыл бұрын

    This video was so helpful

  • @Devina210
    @Devina2102 жыл бұрын

    Excellent video! The information is especially useful right now that individual states will be deciding how abortion is handled.

  • @dasse6637

    @dasse6637

    2 жыл бұрын

    🤦‍♀️this isnt as was never considered an abortion

  • @blackhealth7280
    @blackhealth72804 жыл бұрын

    THANK YOU

  • @janelleschlosser1490
    @janelleschlosser14903 жыл бұрын

    Going for my second beta HCG reading tonight, im hoping for a decrease and possibly salpingostomy, trying to conceive for 13 years, biological clock is ticking, the pain is astronomical

  • @juliashelley2939
    @juliashelley29394 жыл бұрын

    Worst nightmare worst time of my life, i don’t wish that to my worst enemy

  • @joslinmalongo4662

    @joslinmalongo4662

    4 жыл бұрын

    Julia Shelley same here am going through this right now 😰😰. I thank God my surgery went well now am recovering. My left tube was damaged so it was removed 😰😰

  • @t.ssirvigyandarshan8467

    @t.ssirvigyandarshan8467

    4 жыл бұрын

    After how many days u are able to detect ur ectopic pregnancy

  • @t.ssirvigyandarshan8467

    @t.ssirvigyandarshan8467

    4 жыл бұрын

    And what producer applied by ur doctor to detect ur ectopic pregnancy

  • @juliashelley2939

    @juliashelley2939

    4 жыл бұрын

    Joslin Malongo sorry just seeing this! I m Family almost at Zero and my tube didn’t rupture! How are you?

  • @juliashelley2939

    @juliashelley2939

    4 жыл бұрын

    T.S Sir vigyan darshan what u mean how many days? I went to ER at 5 weeks and 4 days, And they saw that the pregnancy was in the right tube :(

  • @chychycc330
    @chychycc3303 жыл бұрын

    short and precise

  • @lauracarrillo884
    @lauracarrillo8845 жыл бұрын

    Awesome,thanx

  • @BG-yf2vt
    @BG-yf2vt5 жыл бұрын

    Thanks 🙏

  • @nicoledavis877
    @nicoledavis8773 жыл бұрын

    yh thnk u soo much it was helpful

  • @karenncalinawan3575
    @karenncalinawan35753 жыл бұрын

    I removed my ectopic pregnancy 2 days ago. I don't understand why it happened to my body. I feel so healthy. Living healthy. I don't take any medications. I don't smoke. Why? Why? So much pain, knowing i have to remove my baby in my right fallopian tube. RIP my baby angel😭💔. Thank you for saving my life. I'm sorry. 😭

  • @zelenme

    @zelenme

    2 жыл бұрын

    Same ectopic pregnancy supposedly my 1st child i undergo surgery to remove my 3 months unborn baby way back Feb 14, 2012 it's Valentine's Day 💔😭 til now don't have child yet 🙁😔

  • @ChatMort69420

    @ChatMort69420

    3 ай бұрын

    I am so sorry. Please know you didn’t do anything wrong. Sometimes things happen that are heartbreaking and confusing, but that doesn’t mean you’re at fault.

  • @BGLFCreative.
    @BGLFCreative.4 жыл бұрын

    Yes it was helpful

  • @conandwol7737
    @conandwol77373 жыл бұрын

    Awesome

  • @mahlettilahun6543
    @mahlettilahun6543 Жыл бұрын

    Thank u😢

  • @kayumbakalunga2127
    @kayumbakalunga2127Ай бұрын

    Can’t see other videos in your obs/gyn playlist

  • @amieraaaa
    @amieraaaa2 жыл бұрын

    Just had ectopic and removal of my right fallopian tube last 5 days. Only find out it was ectopic after baby i s 10weeks old. The size already 6 cm

  • @rebeccatafolla6852
    @rebeccatafolla68524 жыл бұрын

    I just found out I am pregnant but also diagnosed with hydrosalpinx but doc said he wasn’t sure if just that or the beginning of an ectopic pregnancy any one have something similar should I be worried? Please help

  • @NAVDEEPSINGH-hl4hd
    @NAVDEEPSINGH-hl4hd6 жыл бұрын

    wht test u prefer me

  • @mariamdithoka5727
    @mariamdithoka57274 жыл бұрын

    I m 47 years I have ectopic I do have child so can u help me.

  • @salmamustaq7893
    @salmamustaq78934 жыл бұрын

    If v got our period and after i got Sevier pain in right abdomen and back pain it could b a. Ectopic pregnancy or anything els i took pain killer after long time i got release from pain i cant identify what it could b

  • @t.ssirvigyandarshan8467

    @t.ssirvigyandarshan8467

    4 жыл бұрын

    Hello sis .... R u okh .... R u having ectopic pregnancy

  • @meenakshisethi4168
    @meenakshisethi41684 жыл бұрын

    It was scary God never do this with my enemy it is really painful situation

  • @lalasky340
    @lalasky3403 жыл бұрын

    7 weeks ruptured and removal. Hcg 200 then 400 at 7 weeks half test said positive half negative bloods negative until the day my tube burst and i started bleeding out . I knew i was pregnant had all the signs but no one would listen or and refused ti do a scan . Hour out of hospital u was attacked in a wheel chair at warehouse fielding ... Story under manawatu scanners Back in ambo and 2nd removal. Empty as shit. But thia was very helpfull in a sence

  • @zyyusworld8035
    @zyyusworld80355 жыл бұрын

    After missd periods how many days find ectopic pregnency plzz tell me

  • @jilly-jillz3307

    @jilly-jillz3307

    4 жыл бұрын

    zyyus world I had 2 ectopics and with my first one I had no clue I was even pregnant (6-7 weeks along). My second one I knew I was pregnant but found out it was ectopic around 12 weeks 😔

  • @tebogohlongwane4043
    @tebogohlongwane40433 жыл бұрын

    Can u see the period when u have an ectopic pregnancy

  • @medicaleducator5710

    @medicaleducator5710

    3 жыл бұрын

    No

  • @davinamissick6780
    @davinamissick67803 жыл бұрын

    I've had to ectopic pregnancies and lost both tubes

  • @karyjoel3431

    @karyjoel3431

    3 жыл бұрын

    Is it possible to get children after the two fallopian tubes are removed,plis help.

  • @davinamissick6780

    @davinamissick6780

    3 жыл бұрын

    @@karyjoel3431 I thought that it's only possible with I.V.F ?

  • @ankra12

    @ankra12

    2 жыл бұрын

    @@karyjoel3431 no

  • @kechicawilkins3537
    @kechicawilkins35374 жыл бұрын

    I had an ectopic pregnancy in July of 2019 it was very scary and painful don't wish this for no one 😭😭

  • @chrisluck7596

    @chrisluck7596

    4 жыл бұрын

    I just had one last weekend. Very painful to the point of having an emergency surgery.

  • @kechicawilkins3537

    @kechicawilkins3537

    4 жыл бұрын

    I had an emergency surgery and had one of my fallopian tube removed it's a very painful experience so sorry you had to go tru this as well Sandy West 💔😢

  • @joslinmalongo4662

    @joslinmalongo4662

    4 жыл бұрын

    Same her my tube was removed 😰

  • @kechicawilkins3537

    @kechicawilkins3537

    4 жыл бұрын

    sorry to hear that my dear God is good and you still will be able to get pregnant again all the best ❤️

  • @t.ssirvigyandarshan8467

    @t.ssirvigyandarshan8467

    4 жыл бұрын

    How ur gyno able to detect ur ectopic pregnancy

  • @mrsgrwattoomrsgrwattoo6294
    @mrsgrwattoomrsgrwattoo62945 жыл бұрын

    Plz rply I HV question ?

  • @ahsansaeed6764
    @ahsansaeed67644 жыл бұрын

    My wife diagnosed with EP. 6 weeks pregnant with B hcg 2000. Our gynaecologist asked to start methotrexate 2.5mg 1 tab daily for 5 days. Do you think this will work. Or methotrexate inj is more reliable??

  • @nomsarangana9612
    @nomsarangana96124 ай бұрын

    What happen if this ectopic is not removed,maybe it stay in you body for some years

  • @prabeshlama380

    @prabeshlama380

    3 ай бұрын

    Yes, it does stay. But some months after the fallopian tube will rupture, which may lead to death.

  • @captainnemo2150
    @captainnemo21504 жыл бұрын

    I this for hermaphrodites?

  • @zarul9980
    @zarul99803 жыл бұрын

    How to save ectopic baby until they born??

  • @zarul9980

    @zarul9980

    2 жыл бұрын

    @Deedee Megadoodoo that's mean we should to stop the pregnancy??

  • @ankra12

    @ankra12

    2 жыл бұрын

    Cant save it.

  • @oliverjudson1834

    @oliverjudson1834

    2 жыл бұрын

    you cant

  • @edgalvan0009

    @edgalvan0009

    2 жыл бұрын

    Yes, the only solution is abortion, ectopic pregnancy is not viable, because the egg is not implanted in the uterus if allowed to grow it will kill the mother, actually is the number 1 cause of pregnancy death in America.

  • @abenaamass4860
    @abenaamass48604 жыл бұрын

    Can ectopic surgery person give birth to a twins

  • @manjinderkaur721

    @manjinderkaur721

    3 жыл бұрын

    Ofcourse

  • @NAVDEEPSINGH-hl4hd
    @NAVDEEPSINGH-hl4hd6 жыл бұрын

    hi m 17.2 weeks pregnant WD very low bita hcg 12500 only

  • @0705779

    @0705779

    4 жыл бұрын

    How did it go with this, If i may ask..

  • @aishwaryak3235
    @aishwaryak32354 жыл бұрын

    Why only female is the reason for ectopic pregnancy??

  • @ankra12

    @ankra12

    2 жыл бұрын

    ?

  • @farheensiddiqui2662
    @farheensiddiqui26626 жыл бұрын

    V nc