PATHOPHYSIOLOGY OF ECTOPIC PREGNANCY

Predisposing factors: Unknown, but can be due to: - Webbing (fibrous bands) - Adhesions due to chronic salphingitis, PID Blocks the fallopian tube Zygote cant travel the length of tube Coitus

Union of ovum and sperm cell

Fertilization Formation of an embryo

(+) Pregnancy test for hCG No menstruation Nausea & Vomiting

Implantation at the fallopian tube (No unusual symptoms) Corpus luteum continue to function Zygote grows larger Rupture in membranes of the affected fallopian tube

Sharp, stabbing pain on lower abdominal quadrants Scanty brown vaginal spotting

Tearing & destruction of blood vessels occurs Bleeding Products of conception of the ruptured tube & accompanied blood may be expelled Light headedness Rapid pulse Additional bleeding

Rapid, threading pulse Acute hemorrhage Rapid respirations Severe shock Anemia Hypovolemic shock Reduced oxygenation Death Leukocytosis Reduced blood pressure