Ectopic pregnancy: Preventing complications through early diagnosis Introduction Challenges on health care for women have always been the concern of the global health community. Maternal and child health has been a focus of innovations to improve the health of child-bearing mothers worldwide to ensure optimum child birth…
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According to a worldwide systematic analysis on the causes of maternal death, haemorrhage is the leading cause of maternal death in Africa and Asia having more than 30% deaths while ectopic pregnancy accounts to less than 1% of deaths in developing countries and almost 5% in developed countries (Khan et al., 2006, p. 1072). Although ectopic pregnancy only accounts to just a little percent of maternal deaths still the reality of having a percent of number of maternal deaths every year globally due to a condition that could have been prevented is inexcusable. And taking into account haemorrhage as the most common complication of ectopic pregnancy which is noted as one of the leading cause of maternal deaths in the world, hence ectopic pregnancy is a life threatening situation if not diagnosed early and correctly. Avoiding and decreasing the number of maternal deaths is possible, but it requires the right kind of information on which to base programmes. Case rate finding of maternal mortality is not enough but understanding the underlying factors is very important. Each maternal case has a story to tell and can provide indications on practical ways of addressing causes and determinants so that recurrence can be prevented. Maternal morbidity reviews provide evidence of where the main problems may lie, produce an analysis of what can be done and highlight the key areas requiring recommendations as well as guidelines for improving clinical outcomes. The information gained from such enquiries is an important data for change plan and a prerequisite for action (Lewis, 2003, p. 27). Early diagnosis plays a key role with better outcome and prognosis in ectopic pregnancies. Thorough history and physical examination still is remains the most basic and most accurate procedure to facilitate information needed for proper diagnosis. Early intervention reduces global morbidity thus the more drive should be made to decrease rates due to ectopic pregnancy (Marion & Meeks, 2012, p. 376). This paper will discuss on ectopic pregnancy as a disease and will note on strategies that health care providers can implement to minimize delay in the early detection and diagnosis of ectopic pregnancy. Ectopic Pregnancy: Critiquing of Literature Ectopic Pregnancy occurs when a fertilized egg grows outside of the uterus. The most common site for ectopic pregnancies occurs in the fallopian tube and rarely in the ovary or any other organ in the abdomen. Just like in a normal pregnancy the foetus will grow but tube rupture will happen when it can no longer take the growing baby causing massive bleeding and death (American College of Obstetricians and Gynaecologists, 2011). Causes: Probable and Possible Ectopic pregnancy is often caused by a condition that blocks the movement of the fertilized egg through the fallopian tube to the uterus. Causes of such blockage include: defects in the fallopian tube, ruptured appendix, endometriosis, history of previous ectopic pregnancy and scarring form infections or surgery (National Centre for Biotechnology Information, U.S. National Library of Medicine, 2012). Epidemiology According to recorded data, ectopic pregnancy occurs in 1 of every 40 to 1 in every 100 of pregnancies or a prevalence of 1%. It has been studied by Coste et al. (1996) that during the past two decades, the incidence of ectopic pregnancy has doubled or tripled in many parts of the world. In France, EP currently
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“Ectopic Pregnancy: Preventing Complications through Early Diagnosis Essay”, n.d. https://studentshare.org/health-sciences-medicine/1401649-advanced-obstetric-medicine.
Discuss how these findings can improve pre-hospital care and management of an ectopic pregnancy. Ectopic pregnancy Introduction Implantation of a fertilized ovum in places other than the endometrial lining of the uterus results in an ectopic pregnancy. As the blastocyst grows and expands at aberrant sites, it can cause rupture of those tissues with the potential for torrential bleeding (Braen & Krause, 2009; Jacob, 2012).
Typical signs of ectopic pregnancy include abdominal pain, amenorrhea (absence of menstrual periods), vaginal bleeding or spotting (Stoppler, 2010 ), however symptoms may vary depending upon if the tubal rupture has occurred or not.
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This zygote will securely implant itself in the wall of the uterus and grow into an embryo ('Ectopic Pregnancy'). However, when the fertilized ovum implants outside the uterus and develop there, this is when ectopic pregnancy comes in (Ural 2004).
The word ectopic is defined as "in an abnormal place or position" ('Ectopic Pregnancy').
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