What Are the Types of Ectopic Pregnancy?

With complete fertilization, the egg merges with the sperm and after a particular time reaches the uterine cavity, where it implants and develops for all 9 months. But as a result of the influence of certain circumstances, this process can be disrupted: two sex cells of partners, having met, do not reach the cavity of this essential reproductive organ, and as a result, they are implanted outside of it. In this case, the phenomenon is defined not as physiological, but as pathological – an ectopic pregnancy, which implies an immediate appeal for qualified medical help.

What Are the Types of Ectopic Pregnancy?

A pregnancy that occurred outside the uterus is classified not only by the course and forms – they specify the localization of the fertilized egg. Based on this, there are several types of ectopic pregnancy, including:

  • Trubnaya. The most common type of ectopic pregnancy is found in 95% of women. It is characterized by the fertilization of an egg in one of the fallopian tubes and subsequent attachment to its inner mucous surface. The course of pregnancy is accompanied by pain, the process ends with either a miscarriage or a rupture of the fallopian tube – in many respects, this depends on its physiological tone. The first case carries a significant threat to the patient’s life, so it is essential to get immediate help from a gynecologist.
  • Ovarian. A rare variant of ectopic pregnancy, in which a fertilized egg is thrown into the ovarian cavity through the blood circulation. Spontaneous termination of pregnancy is possible only in case of organ rupture, which carries a fatal outcome.
  • Abdominal. Occurs infrequently. A fertilized egg enters the abdominal cavity, attaching to one of the organs. Medicine knows cases of the full development of the fetus with this type of pregnancy, but this does not reduce the high probability of developing various malformations in it, since gestation occurs in an area of ​​​​the body that is unusual for this.
  • Pregnancy localized in the rudimentary horn of the uterus. If it progresses in the specified segment, an abortion will occur for up to 16 weeks. The interruption itself is accompanied by profuse blood loss in a woman, which carries a lethal meaning if a doctor does not control the patient’s condition.
  • Interstitial type. Quite rarely, pregnancy occurs within the interstitium of the fallopian tubes, and develops there up to 4 months. Its outcome and clinical course are the same as the previous case under consideration.
  • Neck type. Attachment of the fetal egg occurs on the inner surface of the cervix and may not manifest itself clinically for a long time, which aggravates the patient’s other condition. The first signs of a pathological pregnancy are displayed in the form of bleeding of varying intensity that occurred after intimacy.

In gynecology, there is a classification of pregnancy according to the nature of its course. Depending on the stage at which it is, it happens:

  • actively progressing;
  • interrupted pregnancy – when, under the influence of an enlarged fetal egg, a rupture of a tube or other anatomical segment occurred;
  • finally terminated ectopic pregnancy.

Diagnosis and treatment of the condition are carried out after the patient is admitted to the hospital. The examination involves an examination by a gynecologist: during this diagnostic measure, it is established that the estimated gestational age does not correspond to the current size of the uterus. It is also necessary to perform an ultrasound scan and a laboratory test to determine the level of hCG in the blood. Treatment is indicated only surgically – the fetal egg is removed from the place of its pathological localization.

 

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