How to Have a Baby by Dr Malpani Grmaipani.com Chapter 19: Ectopic pregnancy - The time bomb in the tube Page 287 AN ECTOPIC PREGNANCY IS ONE WHICH DEVELOPS OUTSIDE THE OTERDS. MOST ECTOPICS ARE FOUND IN THE FALLOPIAN TOBE AND “THESE ARE CALLED TOBAL PREGNANCIES. HOWEVER, THEY CAN ALSO OCCUR AT OTHER PELVIC SITES AND THESE INCLUDE THE OVARY: THE THE FALLOPIAN TOBE WHICH IS : Sek perey j CALLED THE AMPULLA. THE EMBRWO IS THEN PROPELLED Fetus c THE BEATING OF THE HAIR-LIKE Psema ee } CILIA WHICH LINE THE TOBE, TOWARDS THE UTERUS. AN ECTOPIC PREGNANCY OCCLRS an orock ne Ne Te PALL ALORA Tobe enon OP MOUNG ON TO HE DTERDS. ae, ™* OOS x Kon a x. For more information on this chapter, go here: hitpiwwwvcrmalpani.convbookichaptert9,htmn INERT art by Syanne DjaenalHow to Have a Baby by Dr Malpani dimalpani.com Chapter 19: Ectopic pregnancy - The time bomb in the tube Page 288 ECTOPIC PREGNANCY OCCURS ONCE IN ENERY ONE HUNDRED PREGNANCIES. THE COMMONEST CAUSE OF A TOBAL PREGNANCY IS TOBAL DAMAGE, WHICH BOT THE TOBAL LINING IS DAMAGED, p AS A RESOLT OF WHICH THE CILIA CAN NO For more information on this chapter, go here: MALPANI _ on pter, o Ween tiry & art by Syanne Djzenal ip:iwerw.drmalpani.comfbook/chapter!9. html neHow to Have a Baby by Dr Malpani drmalpani.com Chapter 19: Ectopic pregnancy ~The time bomb in the tube Page 289 A TOBAL PREGNANCY USED TO Pe A CATASTROPHE. DIAGNOSIS Wé EMERGENCY SORGERY WAS REQUIRED TO STOP THE BLEEDING AND SAVE THE MOTHER'S LIFE. OFTEN THIS MEANT REMOVING THE WHOLE TOBE, WHICH WAS OFTEN COMPLETELY DAMAGED. CONSEQUENTLY, THE CHANCES OF A PATIENT'S CONCENING AFTER THS ‘WAS MARKEDLY REDUCED. VAGINAL OLTRASOOND AND BLOOD TEST TODAY, AN ECTOPIC PREGNANCY CAN BE DIAGNOSED VERW EARLY USING BLOOD TESTS FOR HCG ; AND VAGINAL OLTRASOUND. BETA HCG IS A VERY SPECIFIC "MARKER" FOR PREGNANCY. eel rn THIS EXCLUDES “THE DIAGNOSIS OF AN ECTOPIC PREGNANCY. A POSITIVE HCG LEVEL CONFIRMS THAT THE PATIENT IS PREGNANT, BUT DOES NOT PROVIDE OLTRASOOND ALLOWS OF THE EARLY PREGNANCY. IN A NORMAL INTRAUTERINE PREGNANCY, THE DOCTOR SHOULD BE ABLE TO SEE A GESTATIONAL SAC IN THE UTERINE CAVITY ON VAGINAL ULTRASOUND, IF THE HCG LEVEL IS MORE THAN [000 MIO/ML (THIS IS CALLED THE DISCRIMINATORY ZONE). HOWEVER, IF THE LEVEL IS MORE THAN [000 MIL/ML AND THE DOCTOR CANNOT SEE A GESTATIONAL SAC , THIS MEANS THAT THE DIAGNOSIS IS AN ECTOPIC PREGNANCY. THIS CAN BE CORROBORATED BY FINDING A LOW PROGESTERONE BLOOD LEVEL. For more information on this chapter, go here: MALPANI Pt, 9 MALPANL ait by Syenne Djaenal hitpvtawwdrmalpanicomMbookichaptort@.ntmt —— INERRTILITY CY