… have a baby with husband Keith Urban, but its a sensitive subject considering that when she was married to Tom Cruise, she suffered both a miscarriage and an ectopic pregnancy.Kidman says shell never have plastic surgery - Access Hollywood …

http://www.aafp.org/afp/20000215/1080.html

Ectopic Pregnancy JOSIE L. TENORE, M.D., S.M. Northwestern University Medical School, Chicago, Illinois. Ectopic pregnancy occurs at a rate of 19.7 cases per 1,000 pregnancies in …

http://www.kidshealth.org/parent/pregnancy_newborn/pregnancy/ectopic.html

In an ectopic pregnancy, a fertilized egg has implanted outside the uterus, usually in the fallopian tubes. If undiagnosed, as the pregnancy grows, it can burst the organ that …

Ectopic Pregnancy : American Pregnancy AssociationAn ectopic pregnancy is a pregnancy loss that occurs in the first trimester of pregnancy. … An ectopic pregnancy occurs when the fertilized egg attaches itself in a place …

Ectopic pregnancy | BabyCenterGet information on ectopic pregnancy symptoms, risk factors, treatments and more. … What is an ectopic pregnancy? If a fertilized egg implants outside the uterus, it’s called an …

… active young women tested by a chlamydia screening program in England last year were found to have the infection, which can cause pelvic inflammatory disease, ectopic pregnancy and …Regular chlamydia tests urged for young people - MSNBC Wire Services …

Ectopic Pregnancy : American Pregnancy AssociationAn ectopic pregnancy is a pregnancy loss that occurs in the first trimester of pregnancy. … An ectopic pregnancy occurs when the fertilized egg attaches itself in a place …

An ectopic pregnancy is a pregnancy that develops outside a woman’s uterus (womb). This happens when the fertilized egg from the ovary does not implant itself normally in the …Ectopic Pregnancy

A woman in a northern Australian city gave birth to a healthy baby girl after a rare full-term ectopic pregnancy, a hospital official said Friday.Baby born after rare ectopic pregnancy - Pregnancy- msnbc.com

I too have had 7 miscarriages and 1 ectopic pregnancy, and I would of loved to hear about others going through the same thing to give me comfort during my sad times.A personal experience with the painful loss of miscarriage - allDAY …

Women die after Nicaragua’s ban on abortions - Health- msnbc.comReyes, a 22-year-old law student, suffered an ectopic pregnancy. The fetus develops outside the uterus, cannot survive and causes bleeding that endangers the mother.

Blood collections and swelling of the tube can occur as a result of an ectopic pregnancy. Occasionally growths from the surface of the tube can fill with fluid and cause small …Been told you have an ovarian cyst? Don’t panic - Health - MSNBC.com

http://www.kidshealth.org/parent/pregnancy_newborn/pregnancy/ectopic.html

In an ectopic pregnancy, a fertilized egg has implanted outside the uterus, usually in the fallopian tubes. If undiagnosed, as the pregnancy grows, it can burst the organ that …

Smoke Free Solutions: Central DuPage Hospital and the DuPage County Health Department present a seven week class will help provide the tools needed to help stop smoking. Habit change, use of medicines and managing cravings will be some of the topics discussed.

http://us.rd.yahoo.com/dailynews/rss/search/ectopic+pregnancy/SIG=133ja0lm9/*http%3A//www.suburbanchicagonews.com/beaconnews/lifestyles/1135920,2_5_AU31_SUPPORTCAL_S1.article

Words like ectopic pregnancy, blighted ovum, gestational diabetes and, of course, the most dreaded word of all miscarriage popped out at me from magazines.Maternity Madness: The 9-month panic attack - Maternity Madness …

Twin pregnancy by Dr.jenny hobson

Twin pregnancy # 1 - You just feel that you’re carrying more than one baby. Don’t disregard your intuition or dreams. Some mothers of twins (or higher order multiples) say that they knew that right from the start that they were carrying more than one baby.

Twin pregnancy # 2 - You experience sometimes more nausea and/or morning sickness. If you are having more than one baby, you may also have an prominent hCG level. Higher levels of hCG also make it more probable that you will have a bouts of morning (or all-day) sickness.

Twin pregnancy # 3. Other normal pregnancy symptoms may be inflated. Many women — but not all — who are pregnant with twins have more strong pregnancy symptoms, likely due to the extra hormones circulating through their system. You may find that your breasts at times are very tender, you have to urinate oftenly you are hungry all the time and you are very tired. In the second trimester, you may experience difficulty catching your breath and swelling (edema) of the hands and legs, an unusual rate of weight gain and abdominal enlargement and extreme fetal movement. Anemia or low iron (decreased hemoglobin) is also anothercommon with twin and multiple pregnancies.

Twin pregnancy # 4. In fact You gain weight rapidly in your first trimester. A higher than average weight gain in the first trimester may be your first clue that you are carrying more than one baby. If you’re eating well, don’t be concerned about it.

# 5. You are told that you have eminent levels of AFP. Levels of alpha fetoprotein (AFP), a protein released by the baby as it grows and found in the mother’s blood, can be elevated when there is more than one baby. (It can also be elevated for other reasons, such as neural tube defects.) Normally this simple blood test is given 16 to 18 weeks after your last menstrual period. Alpha fetoprotein testing detects over half the of all twin pregnancies.

# 6 You are told that you have rapidly rising hCG levels. Human Chorionic Gonadotrophin (hCG) is a hormone produced by the fertilized egg and by the chorionic villi. It is needed to maintain the pregnancy until the placenta develops. It can be surely detected in your blood or urine even before you miss a period. Normally in a singleton pregnancy, blood (serum) concentrations of the hCG rise rapidly during the first weeks, doubling every two to three days. Levels of hCG can be even higher with twin or multiple pregnancies.

# 7 . Your provider hears two fetal heartbeats and Two separate heartbeats can be distinguishable with a Doppler in your care provider’s office by around 12 weeks. At around 28 weeks, it may be surely possible to differentiate two fetal heads and multiple small parts when doing an abdominal exam.

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Fears Concerning Ectopic Pregnancy

Ectopic pregnancy is not a normal pregnancy. In ectopic pregnancy, the fertilized egg does not implant in the uterus, but in the outside tissues. In most cases, it implants in the fallopian tube.

Chances of ectopic pregnancy increases with age, fallopian tube surgery, or pelvic inflammatory disease, however a vaginal ultrasound and scan or ELISA (urinary test) can successfully diagnose it.

Although, ectopic pregnancy needs immediate medical attention, death is rare, since early detection in first trimester of the pregnancy period is possible for it. After detection, treatment can be done with injection methotrexate, or laprosopic or laprotomy surgery.

Monitoring Symptoms

Woman with an ectopic pregnancy at times have abdominal or pelvic pain, dizziness, low blood pressure, and vaginal bleeding. Hormones levels need to be checked, if you suspect an ectopic pregnancy.

The hormone HCG is higher in a normal pregnancy than an ectopic pregnancy. However, the progesterone hormone tends to be lower. To monitor the hormone levels, doctors ask the patients to get their blood tests done on a daily basis for a few days. To check internal bleeding an ultrasound is also advised by the doctors.

Treatment

Mostly, ectopic pregnancy is treated without any permanent damage, but sometimes in advanced pregnancies, it may rupture. Then doctors perform surgery. Surgery can be done using laprotomy (open surgery) or laproscopy (pin hole surgery), depending on the size of the ectopic pregnancy. Earlier, doctors used to remove the entire fallopian tube while removing ectopic pregnancy, now only a part of the fallopian tube is removed.

Prevention

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Ectopic pregnancy can surely be treated, but there is no known way to prevent it. One can decrease the risk by using condoms or getting pelvis area checked in case of any urinary tract infection. Yearly medical examinations are necessary, if you use an IUD.

Any infection during pregnancy can be quite troubling for the mother as well for the child. Ectopic pregnancy should be detected and removed as early as the first trimester when you are experiencing your first signs of pregnancy. Ignoring the symptoms of pregnancy week by week can lead to trouble in the later stages. Remember to get a thorough medical checkup done in the first few weeks of your pregnancy itself. Be informed, keep safe, and enjoy your journey to motherhood.

Consult your doctor to confirm you pregnancy when you start to experience the early signs of pregnancy. Your doctor will want to rule out an ectopic pregnancy if you are over 35 years of age. During the first trimester of the pregnancy period itself the doctor can detect an ectopic pregnancy with your pregnancy week by week symptoms.

Ectopic Pregnancy - A Better Understanding

WHAT IS AN ECTOPIC PREGNANCY?

The dictionary definition of the word ‘Ectopic’ is an organ or body part existing in an unusual position or form. In simple terms, an ectopic pregnancy is a pregnancy, which is developing in the wrong place. An ectopic pregnancy occurs when the fertilized egg (or ovum) fails to move down the fallopian tube and into the womb (or uterus) in the normal manner. Instead, the egg or ovum implants itself outside of the womb. Most often, (in 95% of cases), ectopic pregnancies develop in a fallopian tube and rarely, elsewhere in the abdominal cavity or pelvic area. For example, an egg can attach itself on an ovary, on the neck of the womb (cervix) or on another organ within the pelvic or abdominal area (1.5% abdominal, 0.5% ovarian & 0.03% cervical). Ectopic pregnancies do not usually survive and many will result in a spontaneous miscarriage, others will develop until a serious problem becomes apparent, which will require immediate medical attention.

WHAT CAUSES AN ECTOPIC PREGNANCY?

Sometimes the ovum fails to implant itself and it becomes fertilised outside of the reproductive system. More commonly, the fertilised ovum is trapped, in the fallopian tube and the baby continues to grow inside the tube where it can cause the tube to burst or otherwise severely damage it. A burst tube is life threatening and requires urgent medical attention.

In many cases, ectopic pregnancies occur when the expectant mother has damaged fallopian tube(s). Tubes damaged, by infections such as pelvic inflammatory disease or by previous surgery, scar tissue, endometriosis or previous ectopic pregnancies are a high-risk factor, which significantly, increase the likelihood of a pregnancy being ectopic. Another risk factor associated with ectopic pregnancies is becoming pregnant, whilst using a contraceptive-coil or a progestogen only contraceptive pill. Pregnancies resulting from in vitro fertilisation (i.e. test-tube methods) can be ectopic - even though, the fertilised egg is placed directly into the womb, it may still attach itself elsewhere. In some cases, none of the above risk factors are present in the expectant mother.

WHAT ARE THE WARNING SIGNS OF AN ECTOPIC PREGNANCY?

Pain In the Abdomen - The first sign of an ectopic pregnancy can be a pain on one side of the abdomen. This pain can be constant and severe and its onset, sudden.

Pain in the Shoulder - An alternative warning sign could be a pain in the shoulder, which intensifies when breathing in and out.

Pain Using the Lavatory - If you suspect you are pregnant and experience pain during visits to the bathroom you should report this to your medical practitioner.

Other Warning Signs

Vaginal bleeding or unusual periods, lighter or heavier than normal, or a strange colour etc
Sickness
Diarrhoea
Pallid complexion (paleness)
Light-headedness
Collapse
Increasing pulse rate
Falling blood pressure

DIAGNOSING AN ECTOPIC PREGNANCY

Ectopic pregnancies can be hard to detect as in many cases, the symptoms are no different from those of a normal, early pregnancy, i.e. tender breasts, nausea, vomiting, missed periods or frequent urination. If you are a sexually active woman of childbearing age and you experience symptoms of an early pregnancy plus any, of the above warning signs, of an ectopic pregnancy, contact your medical practitioner immediately.

A urine pregnancy test will usually be positive but is not always apparent. However, a specialised hCG blood test will always show a positive result. If a pregnancy is ectopic, the womb will often be smaller than the average womb at that stage of pregnancy and this will be detected during an internal pelvic examination. A doctor can sometimes detect a swelling, during an internal examination, which is evidence of an ectopic pregnancy existing.
An ultrasound scan will differentiate between a possible miscarriage, a normal pregnancy and an ectopic pregnancy.

The majority of women diagnosed with an ectopic pregnancy will require surgical intervention and/or medication. In the worst-case scenario, without this intervention, an ectopic pregnancy can be fatal to the mother. Medical and technological advancements mean that ectopic pregnancies are easier to detect than ever before and therefore, they carry less risk than they did in previous years. Technological advancements have significantly improved the treatment of ectopic pregnancies - keyhole surgery is just one example of this.

It is vital to seek the opinion of a medical practitioner if you suspect you are carrying an ectopic pregnancy.


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