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  For Jessica, lost to Cornual Ectopic pregnancy at 13 weeks, April 25, 2003
   
 

What is an Ectopic Pregnancy? 

Ectopic is Latin for “in the wrong place”.  In an ectopic pregnancy, a fertilized egg has implanted in the wrong place and the fertilized egg settles in the fallopian tubes more than 95% of the time.  This is why ectopic pregnancies are commonly called “tubal pregnancies”.  The fertilized egg can also implant in the ovary, abdomen, cervix or the cornua of the uterus.  None of these areas have as much space or nurturing tissue as the uterus for a pregnancy to develop.  As the fetus grows, it will eventually rupture the space that contains it.  This can cause severe bleeding and endanger the mother’s life and future fertility.  An ectopic pregnancy cannot develop into a live birth.

What are the different types of Ectopic Pregnancies? 

  • The most common is the “tubal pregnancy”.  The fallopian tubes (uterine tubes, salpinx uteria, oviducts) are bilateral ducts, about 10 cm long, that lie in the upper border of the broad ligament and connect the uterine cavity to the peritoneal cavity near the ovaries.  There are four parts of the fallopian tube where a fertilized egg can implant. 

    1. Ampulla:  the wide portion of the fallopian tube

    2. Isthmic:  the portion of the fallopian tube that is closest to the uterus

    3. Fimbrial/Infundibulum:  the portion of the fallopian tube that is closest to the ovary

    4. Interstitial/Cornual/Intramural:  the uterine portion of the tube that pierces the uterine wall, and through the uterine ostium, opens into the endometrial cavity

  • Abdominal Pregnancy

  • Cervical Pregnancy

  • Ovarian Pregnancy:  A pregnancy confined to the ovary

  • Intraligamentous Pregnancy, (Broad Ligament Pregnancy)

  • Heterotopic Pregnancy:  The simultaneous presence of a uterine and an ectopic pregnancy.

Go To Ectopic Pregnancy Placement Diagram

 
 
 
 
 
 
 
 
       
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