Ectopic Pregnancy

Paper Summary:

This paper begins with a fictitious case study involving a female who presents to the emergency room with an ectopic pregnancy. It goes on to describe normal and abnormal physiology, to the cellular level, in general and then describes the physiology that is involved in ectopic pregnancy. The paper then discusses ways to treat the condition.

From the Paper:

"A 27-year-old sexually active female smoker comes into the emergency room presenting abdominal/pelvic pain in the lower left side. The female is experiencing light vaginal bleeding but is convinced that her symptomatic pain is inconsistent with cramping she experiences during her menstrual periods. When asked when her last period occurred, the woman says that she isn't sure but as nearly as she can recount it must have been at least six weeks ago. She says that the length of time between periods is not unusual as she if frequently irregular in her cycle. When asked if she could be pregnant she says that it is possible but that she thought she couldn't become pregnant due to scar tissue development in her Fallopian tubes and uterus. The patient reveals that she was diagnosed with pelvic inflammatory disease, initiated by Chlamydia three years prior to her arrival in the emergency room."

Sample of Sources Used:

• Apgar, B. (1999). Methotrexate vs. Salpingostomy for Ectopic Pregnancy. American Family Physician, 59, 1651-1652.
• Dhami, S., & Sheikh, A. (2003). At a glance: Ectopic Pregnancy, General Practitioner, 11/3/2003, 73.
• Farquhar, C. M. (2005). Ectopic pregnancy. Lancet, 366, 583-591.
• Minkin, M., & Wright, C. V. (2003). The Yale guide to women's reproductive health: from menarche to menopause. New Haven, CT: Yale University Press.
• Seli, E. (2004). Management of tubal factor infertility. Fertility Weekly, 9/20/2004, 1-2.

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