Ectopic Pregnancy – Defination, Causes, Symptoms And Treatment

Ectopic pregnancy is a condition in which a fertilized egg settles and grows in any location other than the inner lining of the uterus . About 1% of pregnancies are in an ectopic location with implantation not occurring inside of the womb, and of these 98% occur in the Fallopian tubes. In a typical ectopic pregnancy, the embryo does not reach the uterus, but instead adheres to the lining of the Fallopian tube. The implanted embryo burrows actively into the tubal lining. Most commonly this invades vessels and will cause bleeding. This bleeding expels the implantation out of the tubal end as a tubal abortion. Some women thinking they are having a miscarriage are actually having a tubal abortion. There is no inflammation of the tube in ectopic pregnancy. The pain is caused by prostaglandins released at the implantation site, and by free blood in the peritoneal cavity, which is locally irritant. Sometimes the bleeding might be heavy enough to threaten the health or life of the woman. Usually this degree of bleeding is due to delay in diagnosis, but sometimes, especially if the implantation is in the proximal tube it may invade into Sampson artery , causing heavy bleeding earlier than usual. An ectopic pregnancy can’t proceed normally. The developing embryo can’t survive, and the growing placental tissue may destroy important maternal structures. Without treatment, life-threatening blood loss is possible. About one in every 40 to 100 pregnancies is ectopic. Thanks to earlier diagnosis and treatment, the chance for future healthy pregnancies is better than ever before.

Ectopic means “out of place.” An ectopic pregnancy is a pregnancy where the fetus is not growing in the usual location (the uterine cavity or the womb). Ectopic pregnancies can occur in a number of unusual locations, each with different characteristic growth patterns. Almost all ectopic pregnancies occur in fallopian tubes (tubes from uterus), so this is also known as “Tubal Pregnancy”. Since the fallopian tubes are not large enough to accommodate a growing embryo, the pregnancy cannot continue normally. If identified early, the embryo is removed. In some cases, the embryo grows until the fallopian tube is stretched so much that the tube ruptures. Rupture of the tube is a medical emergency that requires immediate medical attention because it can result in severe hemorrhaging. An ectopic pregnancy is a potentially life-threatening condition.

Causes of Ectopic pregnancy

An ectopic pregnancy is caused by a disruption in a woman’s reproductive anatomy or the timing of specific reproductive events. Ectopic pregnancy is common in women age 20 to 29, but the cause is not always known. However, previous damage to one of the two fallopian tubes may obstruct the passage of the fertilized egg along the tube to the uterus. The egg then implants in the wall of the tube instead of in the uterus. This prior damage may have been caused by an unsuccessful or a reversed sterilization procedure or a fallopian tube infection. Ectopic pregnancies are more common in women using an intrauterine contraceptive device, partly because these devices increase the risk of a pelvic infection in women who exposed to sexually transmitted diseases.

Symptoms of Ectopic pregnancy

1. Nausea, vomiting.

2. Dizziness.

3. Low blood pressure.

4. Breast tenderness.

5. Frequent urination.

Treatment of Ectopic pregnancy

Medicine, surgery, or a combination of the two are usually used to end an ectopic pregnancy before it endangers the mother. In a few cases, very early ectopic pregnancies can be watched closely to see whether the pregnancy will miscarry on its own. Emergency medical help is needed if the area of the ectopic pregnancy ruptured. (Shock is an emergency condition.) Treatment for shock may include keeping the woman warm, raising her legs, and giving oxygen. Fluids by IV and a blood transfusion may be needed. Surgery (laparotomy) is done to stop blood loss (in the event of a rupture). This surgery is also done to confirm the diagnosis of ectopic pregnancy, remove the abnormal pregnancy, and repair any tissue damage. In some cases, removal of the fallopian tube may be necessary. A mini-laparotomy and laparoscopy are the most common surgical treatments for an ectopic pregnancy that has not ruptured.

Sex Talks: Help! My Kid’s The Town Crier!

Talking to our kids about sex is challenging – for everyone, even me! You feel anxious about all kinds of things like their loss of innocence, or telling everyone and their cousin. You worry they’ll go out and try it or will think that by talking to them you’re giving them permission to do it. You worry about what other parents (and your parents!) will think if you talk to your kid at a young age.

But, you’re feeling great! You whacked up the ginger and read ALL of Robie Harris and Michael Emberley’s “It’s SO Amazing!” book about how babies are made to your 8 year old. She was a little grossed out, had some questions and seemed to understand how sex works. Whew! You are on your way to some great conversations.

You even remembered to tell her “This is a private conversation we have in our family and not with other kids or adults. Other moms and dads want to be the ones to tell their kids about this important part of life. You can always talk to me about it if you have questions or concerns.” Super! You rock!

And then…your lovely child heads straight to her best friend at school and fills her in on all the details! And then you get a call from the friends’ outraged parents and maybe even the school. Not a great moment in sex education history, but not to worry, all is not lost.

Consider this – You’ll probably spend 10 or 15 minutes on the phone with the upset parent explaining your beliefs about sex and kids and that you asked your daughter not to talk to other kids about this. You will apologize, tell them that you’ll remind her of this and then offer the parent a resource for getting more info about talking to kids.

Now consider this – You want to have open and consistent conversations with your child about sexuality, love and relationships throughout her youth, right? This is the most important part of this scenario – your relationship with your child.

When you compare the two, which is more important? The freaked out adult who now is forced into having a conversation they should be having anyway? Or your child who knows you are a trustworthy resource and will look to you for help and support for years to come?

When you start these conversations with your children I strongly recommend you tell the parents of her closest buddies, your parents and any other adult she has regular contact with. They need to know so they can step in if she starts blabbing, asks them questions or the like. It’s easier on everyone if they are prepared in advance for any little surprises.

When my son was about 3 or 4 we had read parts of “It’s SO Amazing.” He loved looking at the pictures of bodies and was very into reading this book. One day he was at my in-law’s house and he looked at my lovely mother-in-law and announced “You have a vagina!” She knew we’d been reading this book and took it in stride. We had prepared her for moments like this.

When it comes to talking to your kids about sex, you cannot worry about what the neighbors might think. The most important relationship is the one with your child. So take a deep breath, exhale, and get ready for the next conversation.

Dublin: A Nirvana For Folk Music Fans

Dublin is often referred to as the party capital of Europe; full of pubs, clubs and Irishmen extolling the virtues of ‘the craic’. One thing you will find in abundance in the Irish capital is traditional folk music and you certainly won’t have to travel very far around the streets of Dublin to find a place to have a jig and a swig!

Whelan’s in Camden Street, central Dublin is the place to visit for traditional and folk music. This exciting venue has had most of Ireland’s folk talent perform on its stage at some point. Just a stone’s throw away, also in Camden Street, is The Village another vibrant music venue, that’s well worth a visit.

Vicar Street – despite its confusing name – is not a street but a fabulous traditional music venue and can be found in Thomas Street in the heart of Dublin. This prestigious venue opened in 1998 promising to give Dublin a mid-size venue that would ‘punch above its weight’. It presents bands and solo artists that play all types and genres of music including traditional and folk, with big-name Irish bands such as the Dubliners appearing at this venue. Other artists that are slated to appear at Vicar Street include Dara O’Briain, Fionn Regan and Brendan Grace proving that it is living up to its promise to deliver quality acts.

Plus, you’ll find many more places where you can enjoy traditional folk music at most times of day or night. Bars, cafes and hotels in Dublin are all places where you can find Irish Folk Music being performed by eager and talented local musicians. Plus, you’ll be able to enjoy just about any other genre of music in Dublin that takes your fancy, from rock to classical. So, if you are planning to visit Dublin, or just toying with the idea, make sure that you are prepared for ‘the craic’!

And if you are in any doubt as to how much the Irish love their music, take note of the following example. The Irish Post Office has recently started selling a series of stamps that pay tribute to four iconic bands whose roots are based in traditional Irish folk music; The Chieftans, The Dubliners, the Clancy Brothers and Tommy Makem, and Altan. The bands have been chosen because of the success they have had in taking traditional Irish folk music to the world. The inclusion of Tommy Makem is quite poignant as he recently passed away, and these stamps make a fitting tribute to his life-time contribution to making Irish music popular throughout the United States. They are sure to become collectors’ items, so be sure to pick some up when you visit Dublin.