Internal bleeding during pregnancy is caused by an ectopic pregnancy, which means that the fertilized egg is implanted outside the uterus, usually in a fallopian tube. For this reason, an ectopic pregnancy is often called “tubal pregnancy.” Over 95% of all ectopic pregnancies occur in the fallopian tubes. Although rare, the egg can also implant in the ovary, abdomen or cervix. As the fetus develops, there may be severe bleeding, putting the mother’s life at risk. An ectopic pregnancy in the fallopian tubes can not be carried to term.
Theory / Speculation
Blocking the fallopian tube is a common cause for an ectopic pregnancy. Pelvic inflammatory disease (PID for short) is an infection or inflammation that may block the tube. Endometriosis and scar tissue from previous abdominal or reproductive surgeries can also cause blockages. In rare cases, congenital defects can change the shape of the tube, resulting in an ectopic pregnancy. Because the egg
is unable to develop normally, pregnancy should be treated.
As the symptoms of ectopic pregnancy are regularly the same as those that are normal at the beginning of pregnancy, the condition can be difficult to diagnose. A woman lost her periods, will have nausea and vomiting, frequent urination and need experience breast tenderness. Acute abdominal or pelvic pain and vaginal bleeding are often the first line of warning signs of trouble. Many times the pain can vary in intensity, is located only on one side of the pelvis. Besides vaginal blood drops, other signs of ectopic pregnancy may include lower back pain, low blood pressure and dizziness caused by blood loss.
Internal bleeding is the most serious complication of an ectopic pregnancy and requires immediate surgery. Although about half of all ectopic pregnancies resolve spontaneously without any treatment, the heavy bleeding occur if the fallopian tube ruptures. This is often the case in undetected ectopic pregnancies, where the fertilized one has implanted the tube, just before entering the uterus. Internal bleeding is caused by bleeding into the affected tube. As the embryo continues to develop, the fallopian tube expands and eventually ruptures. This happens in one in five cases. If the artery on the outside of the tube ruptures, there may be a severe internal bleeding. Severe blood loss can cause shock and, in rare cases, even death. Any vaginal bleeding can be heavy and dark. If discovered early enough, ectopic pregnancy can sometimes be treated with an injection of methotrexate, which stops the growth of the embryo.
Despite the complications, ectopic pregnancy does not necessarily cause infertility. In many cases, a woman who had an ectopic pregnancy can become pregnant again, but has an increased risk of another ectopic pregnancy. Fortunately, increased awareness about ectopic pregnancies has led to early diagnosis and treatment. Doctors recommend that a woman wait at least 3-6 months before trying to become pregnant to allow the scar heals.
The risk of a topical pregnancy is higher for women over 35 who have had a previous ectopic pregnancy, surgery involving the fallopian tubes, scar tissue in the abdomen caused by pelvic inflammatory disease, endometriosis or a history of problems infertility. Ectopic pregnancy can also occur in women with any of these risk factors.
The symptoms last as long as ectopic pregnancy. Untreated, it can be serious and even fatal complications. If an ectopic pregnancy is diagnosed within the first six weeks , pregnancy can be terminated with medication. An ectopic pregnancy that goes beyond that time will require surgery either via laparoscopy or abdominal surgery if the fallopian tube has already been broken and there is a lot of blood in the abdomen. Depending on the extent of damage, the whole or part of the fallopian tube may need to be repaired or removed. You can also require a blood transfusion if there has been a serious loss of blood.
Prevention / Solution
Although there is not much you can do to prevent an ectopic pregnancy, you can take actions to reduce risk factors. Talk to your doctor before trying to conceive if you have had previous surgery involving the intestine, the reproductive system or the lower abdomen, as there may be scar tissue present. Make sure your doctor will carefully review your medical history, including whether you had a cesarean section or dissection you appendix removed. If you were diagnosed with PID, leading prescription antibiotic medication as directed, and then keeps following up with your doctor. Use condoms to prevent infection associated with sexually transmitted diseases. If you have a pregnancy and operate some of the risk factors, ask your obstetrician agende an early ultrasound to locate the implanted embryo.