Ectopic pregnancy

   Ectopic pregnancy - implantation and development of the ovum outside the uterus - in the fallopian tube , ovary , abdomen .
   Most often develops as a result of tubal pregnancy inflammation of internal genital organs , abortion , tubal underdevelopment , various endocrine disorders , and increased activity of the fertilized egg.
   Interrupted pregnancy often from 2 to 10 weeks by type of tubal abortion or rupture the pipe.
With tubal abortion ovum gradually peeled away from the pipe wall , blood accumulates in the pipe partially , partly falls into the abdominal cavity with the dead fetal egg. Fallopian tube is broken . There is bleeding into the abdominal cavity , often life-threatening women .
   Signs . For tubal abortion is characterized by: delayed menstruation followed scarce dark bloody discharge from the vagina , the appearance of short , often one-sided , cramping pain , often accompanied by dizziness or semiconscious state .
   Signs of rupture of the fallopian tube : acute onset , rapid deterioration of the patient . The patient complains of sudden sharp pain in the abdomen , extending to the upper quadrant, right shoulder blade , anus. Weakness, dizziness , tinnitus , nausea . Notes brief loss of consciousness. Pale skin , blue lips , frequent pulse , weak , blood pressure decreased , sometimes not determined . If bleeding into the abdominal cavity and develops a massive shock, vomiting occurs , the skin is covered with cold sweat , body temperature decreases , the patient becomes lethargic, listless , does not respond to others.
Identify an ectopic pregnancy , or at least suspect it may be based on the features described above , especially if they arise with menstrual dysfunction .
   Assistance . Give the patient a horizontal position with a few feet up . Release the chest from impeding breathing clothes and linen : unbutton her blouse , bra. To reduce bleeding , on the abdomen should put an ice pack , bottle or plastic bag with cold water or any cold object . You can give a good glass of warm sweet tea or 1 - 2 tablespoons of valerian tea , brandy to prevent the development of shock.
   You can not use cardiac and vascular agents that enhance the work of the heart and increase vascular tone , because increase bleeding and worsen the patient's condition .
   Help needed to provide fast, as soon as possible to call an "emergency" or deliver a patient to the nearest hospital , necessarily , accompanied by relatives or close friends.
   Ill take it gently and carefully , better - in a horizontal position with a slightly lowered his head below the torso , but in any case not sitting . To reduce shaking, under the body should put a little more kakih-nibud soft objects .
   Advance notice by telephone the hospital staff that they received severe patients , which probably disturbed ectopic pregnancy .