Ectopic pregnancy: on what date the tube bursts - detailed information

Ectopic( ectopic) pregnancy is a serious pathology, in which a fetal egg develops not in the uterine cavity, but lingers in the fallopian tube. Sometimes the site of attachment can become the walls of the ovaries or organs of the abdominal cavity. In some cases, a fertilized egg may leave the tube, but become stuck in the uterine neck. About the development of pregnancy in this situation, speech does not go, but doctors say about the rare cases of bearing a fetus, however, provided that the fetal egg has got into the abdominal cavity and attached to any organ.

Ectopic pregnancy has rather unfavorable predictions, since pathology is fraught with serious complications, the most dangerous of which is the rupture of the fallopian tube. If a woman with a burst pipe is not delivered in time to the hospital, there will be extensive blood loss, which in 80% of cases ends in death. To prevent this, it is important to know the signs of an ectopic pregnancy, as well as the symptoms that characterize the rupture of the fallopian tube.

Ectopic pregnancy: clinical picture of

In the first trimester, the signs of a pathology are almost identical to those of a normal pregnancy, therefore it is possible to determine that the fetus is outside the uterus,, Ultrasound diagnosis. It is for this reason that gynecologists strongly recommend that in the absence of menstruation in due time contact the observing specialist. The only symptom that distinguishes ectopic pregnancy from the usual process of embryo development, in the first trimester are minor painful sensations of the pulling character in the lower abdomen, which will increase as the fetus grows.

Important! Statistics show that almost half of women ignore the recommendations on early registration in the women's consultation( 10-12 weeks).Such carelessness can end badly, since after 8 weeks of an ectopic pregnancy the risk of rupture of the fallopian tube is almost 70%.Future moms should know that a positive result with home use of test strips will be determined even if the fetal egg is stuck outside the uterus, as the hCG level rises independently of the location of the embryo.

How to distinguish?

Experts believe that in the first 2-3 months it is almost impossible to recognize the pathological condition independently. Nevertheless, there are certain signs that, in the aggregate, should become a cause for concern and an immediate request to the doctor. Below is a comparative description of clinical manifestations and their characteristics for each type of pregnancy.

Symptom	Conventional pregnancy	Ectopic pregnancy
Temperature	Early rise to subfebrile values ​​(up to 37.5 degrees)	May rise slightly above the low-grade values ​​(up to 37.6-37.8 degrees) throughout the period before diagnosis
Chills	Usually absent	Appears frequently and is combined with high body temperature
Pain	Drawing pain localized mainly in the lower abdomen. In the lumbar region in the early stages rarely	is given. Acute pains that can appear in the lower abdomen, laterally, in the abdominal region. Often given to the rectum, coccyx and loins
Nausea and vomiting	Characteristic phenomena for toxicosis. Pass after correction of the diet and increase the time spent in the fresh air. Appear mainly in the morning hours	Appear at any time of the day, do not pass after changing the food menu and badly stop antiemetics
Bloody discharge from the vagina	Appear only when threatened with miscarriage	Appear periodically, the amount is poor
Soreness when urinating	Rarely in the first trimester futuremum may be tormented by rezi when emptying the bladder, but more often such a symptom points to urogenital infections	Occurs during eachand may increase with the development of the embryo
Dizziness	May occur at any time	May occur at any time

If a woman has at least 2-3 symptoms indicating a possible development of an ectopic pregnancy, it is necessary to urgently contact a gynecologist.

How to understand that the tube burst?

Clinical manifestations of rupture of the fallopian tube are the same at any time. When the tube bursts, a rupture of muscle tissue occurs, and there is profuse internal bleeding. This explains the symptoms of the process, which include:

• cold sticky sweat;
• pallor of the skin;
• pressure reduction;
• vomiting;
• dizziness;
• syncope;
• attack of tachycardia.

The main symptom of the pathology is pain in the lower abdomen, which can radiate to the anus, rectum and lumbar spine. The intensity of pain is very high, the character is acute, stitching.

Important! If these symptoms occur, you should immediately call an emergency team. If a woman develops a hemorrhagic shock, the likelihood of a fatal outcome will be very high.

Video - Ectopic pregnancy

Why does the rupture occur?

About 80% of cases of rupture of the fallopian tube occurs due to untimely treatment in the women's consultation. The result is the lack of necessary early studies: ultrasound, analysis, screening, etc. If a woman undergoes these examinations on time, the ectopic pregnancy is determined at an early stage, and complications can be avoided due to timely medical intervention.

Of all the organs of the reproductive system, only the uterus has increased elasticity and can stretch, assuming dimensions sufficient for healthy development of the fetus and maintaining pregnancy. Fallopian tubes consist of dense muscle fibers and connective tissue, so they are not intended for bearing the fetus. The embryo eventually lacks space in the tube, and eventually it just bursts under the pressure of the growing fetus.

Can I endure an ectopic pregnancy?

The probability of this is extremely small, but there are cases when ectopic pregnancy ends with the birth of a child. If a fertilized egg is entrenched in the upper parts of the tube, a rupture of the organ may not occur - the fetal egg advances into the lumen between the ovaries and the fallopian tube and enters the abdominal cavity. There it attaches itself to any organ and continues its growth and development. This phenomenon is called tubal abortion.

Chances to endure such a pregnancy are very small, therefore, women usually undergo surgical removal of the fetal egg to prevent complications and purulent-inflammatory processes.

For how long does the pipe burst?

It's impossible to say exactly at what time the fallopian tube will break. Sometimes the tube bursts for a period of 4-6 weeks, but in most cases it occurs during the period from 8 to 12 weeks of gestation. If we talk about the mean values, we can say that the most common period of rupture of the fallopian tube is in the range of 4 to 12 weeks.

When exactly this happens, depends on many factors:

• woman's health status;
• presence of pathologies in the formation of fetal tissues;
• individual growth and development rates of the fetus;
• the size of the fallopian tube, etc.

Indirectly on this process affects the way of life of a woman. If the future mother uses a lot of vegetables and fruits, the fruit grows more intensively, and the space in the tube becomes smaller.

Early gap

Very rare, but in practice, obstetricians and gynecologists, there are cases when the gap occurs at very early times( up to 4 weeks).This situation is possible if the fetal egg is fixed in a place where the diameter of the organ itself does not exceed 2-3 mm( the isthmic part of the fallopian tube).In this case, the tube can burst even before the woman learns of pregnancy.

A positive prognosis in this case depends on how quickly a woman seeks medical help, so if there are any signs of a rupture of the fallopian tubes, you should immediately call for an ambulance or go to the hospital if you can get there quickly.

Important! If a woman goes to the hospital on her own, it is better to take a reclining position in the car - this will help reduce blood loss and alleviate pain.

Gap in later terms

The maximum size of the fetal egg that the uterine tube can hold is 5 mm. The most favorable situation is when the fetal egg is fixed in the lower part of the tube, which borders directly on the uterus. In this zone, the elasticity of the tissues is higher, so it is likely that the pathology will be diagnosed earlier than the embryo size will reach the values ​​at which the rupture usually occurs( provided that the woman applies for registration on schedule).

Fact! According to statistics, most cases of rupture of fallopian tubes occur at a period of 8-12 weeks, therefore, with a responsible approach to one's own health, a woman has every chance to avoid serious complications and to identify an ectopic pregnancy in the early term.

Ectopic pregnancy is a dangerous pathology, therefore, when signs of pregnancy( positive test, dizziness, nausea) appear, women should immediately register with a women's consultation. Only a timely identification of the problem will help in time to take measures and prevent serious consequences, the worst of which is a fatal outcome.