Early signs of ectopic pregnancy

Is called an Ectopic pregnancy that is not developing in the uterus. Most often a pregnancy develops in the fallopian tubes (in most cases in the right tube) are much less common abdominal, ovarian and developed in a rudimentary horn of the uterus. The overall incidence of such pathologies among all gynecological diseases is up 4.4 percent.
the Fertilized egg (the trophoblast) secretes enzymes that contribute to its implementation in the lining of the uterus. Typically, this time coincides with the time of penetration of the trophoblast into the uterine cavity. The fact that the fertilized egg is embedded in the mucosa not in the uterus, can contribute to two reasons. First –  this is the early isolation of enzymes. The second and most common cause – is the delay of the ovum due to the decrease in peristalsis of the tubes, the presence of mechanical obstruction (adhesions, deformation of the fallopian tubes, etc.).
gestational SAC tubal pathology is immersed in a mucous tube and in direct contact with the muscular layer, which, although hipertrofiada, but completely all the needs of the fetus can not provide. This pregnancy is sooner or later interrupted. An interrupt may occur according to the type of pipe rupture or tubal abortion.
When it progression of the signs of ectopic pregnancy are no different from the mother: nausea, vomiting, change in appetite, bluish color of the vaginal mucosa, enlargement, and softening of the uterus, engorgement, and when pressed on the nipples, the allocation of colostrum, the cessation of menstruation. Also signs of ectopic pregnancy include the discrepancy of the estimated size of the uterus, in pregnancy, maintaining a normal pear-shaped uterus, the presence of appendages tumours of education testovatoy consistency. In very rare cases an ectopic pregnancy can achieve a long period of time, in such cases, you can identify the parts of the fetus, its movement, listening to heartbeat, with the first signs of ectopic pregnancy are not defined.

It is Very important not to miss the basic signs of ectopic pregnancy because of its spontaneous termination – pipe rupture or tubal abortion, is a real danger to the life of a woman.
the pipe Rupture occurs acutely with bright clinical symptoms, marked vomiting, weakness, fainting, dizziness, severe cramping nature of the pain, which is defined in one of the iliac regions and may radiate to the shoulder or shoulder blade. As a rule, after pain there is a feeling of pressure on rectum. Physical examination identifies a serious condition of the patient, cyanosis of lips, pale skin, cold sweat, frequent weak filling pulse, blood pressure reduced and continues to fall. Pain in the lower abdomen not so strongly expressed in the supine position. Podadut abdomen, painful on palpation, usually from a ruptured pipe. Body temperature does not usually change.
Termination of ectopic pregnancy by means of tubal abortion occurs less rapidly and is characterized by blurred clinical picture. Some women revealed signs of acute intra-abdominal bleeding, others, on the contrary, the symptoms are so scarce that identifying the disease difficult. Tubal miscarriage is fairly long, with feebly pronounced clinic. The woman's condition remains satisfactory. In 70% of cases there is a delay of menstruation (usually 7-8 days). Marked pain cramping in nature in the lower abdomen, often on the part of the pregnant tube, which gradually increase, and sometimes accompanied by fainting. The appearance of pain is often associated with physical overexertion, defecation, sexual intercourse. After some time there are dark tarry spotting nature spotting from the genital tract, which can last up to three weeks. In some women, the mucous membrane of the uterus can be cut off completely in the form of so-called "impression." Often, women believe such bloody dark discharge prolonged periods if they coincide in time.
Despite the relatively higher prevalence of this disease, the correct diagnosis can be difficult because the symptoms of ectopic pregnancy are often blurred. However, you should always remember about the early signs of ectopic pregnancy: weakly positive or positive pregnancy test, menstrual function no pregnancy in the uterus according to the ultrasound, the subjective sensations of a woman's pregnancy, the inconsistency of uterine size estimated term of the pregnancy, education or pastoznost in the region of the appendages, pain in the abdomen.