Ectopic Pregnancy – Defination, Causes, Symptoms And Treatment

Ectopic pregnancy is a condition in which a fertilized egg settles and grows in any location other than the inner lining of the uterus . About 1% of pregnancies are in an ectopic location with implantation not occurring inside of the womb, and of these 98% occur in the Fallopian tubes. In a typical ectopic pregnancy, the embryo does not reach the uterus, but instead adheres to the lining of the Fallopian tube. The implanted embryo burrows actively into the tubal lining. Most commonly this invades vessels and will cause bleeding. This bleeding expels the implantation out of the tubal end as a tubal abortion. Some women thinking they are having a miscarriage are actually having a tubal abortion. There is no inflammation of the tube in ectopic pregnancy. The pain is caused by prostaglandins released at the implantation site, and by free blood in the peritoneal cavity, which is locally irritant. Sometimes the bleeding might be heavy enough to threaten the health or life of the woman. Usually this degree of bleeding is due to delay in diagnosis, but sometimes, especially if the implantation is in the proximal tube it may invade into Sampson artery , causing heavy bleeding earlier than usual. An ectopic pregnancy can’t proceed normally. The developing embryo can’t survive, and the growing placental tissue may destroy important maternal structures. Without treatment, life-threatening blood loss is possible. About one in every 40 to 100 pregnancies is ectopic. Thanks to earlier diagnosis and treatment, the chance for future healthy pregnancies is better than ever before.

Ectopic means “out of place.” An ectopic pregnancy is a pregnancy where the fetus is not growing in the usual location (the uterine cavity or the womb). Ectopic pregnancies can occur in a number of unusual locations, each with different characteristic growth patterns. Almost all ectopic pregnancies occur in fallopian tubes (tubes from uterus), so this is also known as “Tubal Pregnancy”. Since the fallopian tubes are not large enough to accommodate a growing embryo, the pregnancy cannot continue normally. If identified early, the embryo is removed. In some cases, the embryo grows until the fallopian tube is stretched so much that the tube ruptures. Rupture of the tube is a medical emergency that requires immediate medical attention because it can result in severe hemorrhaging. An ectopic pregnancy is a potentially life-threatening condition.

Causes of Ectopic pregnancy

An ectopic pregnancy is caused by a disruption in a woman’s reproductive anatomy or the timing of specific reproductive events. Ectopic pregnancy is common in women age 20 to 29, but the cause is not always known. However, previous damage to one of the two fallopian tubes may obstruct the passage of the fertilized egg along the tube to the uterus. The egg then implants in the wall of the tube instead of in the uterus. This prior damage may have been caused by an unsuccessful or a reversed sterilization procedure or a fallopian tube infection. Ectopic pregnancies are more common in women using an intrauterine contraceptive device, partly because these devices increase the risk of a pelvic infection in women who exposed to sexually transmitted diseases.

Symptoms of Ectopic pregnancy

1. Nausea, vomiting.

2. Dizziness.

3. Low blood pressure.

4. Breast tenderness.

5. Frequent urination.

Treatment of Ectopic pregnancy

Medicine, surgery, or a combination of the two are usually used to end an ectopic pregnancy before it endangers the mother. In a few cases, very early ectopic pregnancies can be watched closely to see whether the pregnancy will miscarry on its own. Emergency medical help is needed if the area of the ectopic pregnancy ruptured. (Shock is an emergency condition.) Treatment for shock may include keeping the woman warm, raising her legs, and giving oxygen. Fluids by IV and a blood transfusion may be needed. Surgery (laparotomy) is done to stop blood loss (in the event of a rupture). This surgery is also done to confirm the diagnosis of ectopic pregnancy, remove the abnormal pregnancy, and repair any tissue damage. In some cases, removal of the fallopian tube may be necessary. A mini-laparotomy and laparoscopy are the most common surgical treatments for an ectopic pregnancy that has not ruptured.

Financial Planning – The Key To Your Lifelong Success

Financial planning is not limited to asset allocation, mutual funds, and fixed-income investments – planning should include every aspect of your life.

Should you apply for that credit card? What type of car insurance should you buy? Should we save for our child’s college or put money in our IRA’s instead? These and many more questions are all part of financial planning.

The Larry Rule – A Little Known Financial Planning Fact

Larry Lindsey is not a famous name, even in financial circles. Currently, Mr. Lindsey is the chief economic advisor to the Bush Administration. In 1996, he was a Federal Reserve Board Governor – and he was denied for a Toys ‘R Us credit card!

To apply or not to apply, that is the planning question. Larry Lindsey, who had excellent credit and a high-income level, set out to demonstrate a flaw in credit scoring algorithms.

He simply applied for every retail store credit card he was offered, and in no time he had “too many inquiries.” Never mind the fact that he had millions in assets and nary a late payment in his 30-year credit history.

Knowing the Larry Rule is key to your financial planning. If you apply for retail store credit cards every time you are asked to do so, it will have negative effects on your credit.

You may then be asked to pay a higher interest rate on your mortgage or home equity loan, which could cost you tens of thousands of dollars. Sacrificing $10,000 for a 10 percent discount at Fashion Bug is not smart planning!

Auto Insurance and Financial Planning

Most people think of insurance as a legal necessity, but in reality, it is a financial product, and that’s important to keep in mind. Don’t ever buy insurance just because it’s legally required or in order to give yourself peace of mind. Insurance must serve a financial planning purpose!

You need to have a planning strategy in mind when you purchase auto insurance. The insurance company’s goal is to get you to pay more in premiums than you take out in claims – thus, they profit.

Your goal should to pay as little in premiums as possible in order to be adequately covered. You don’t want to have to use your auto insurance, but at the same time, you don’t want to be subsidizing the bad drivers who take out more in claims than they pay in.

In order to develop a financial planning strategy for auto insurance, it’s important that you become as educated as possible on the subject. Luckily, there are dozens of great sites on the internet that provide free information on the various types of auto insurance plans, and the particular laws of your state.

Everyone has to own some form of auto insurance, and thus it should be the cornerstone of any intelligent planning strategy.

The Financial Planning Dilemma – College vs. Retirement

American parents love their children and will do almost anything to ensure they have every possible advantage. As a result, many parents save for their children’s college instead of saving for their own retirement. This act of selflessness is usually not a good planning strategy.

In order to avoid this mistake, one must have a decent understanding of financial planning tax implications. Most college savings accounts are taxed on some level, whereas financial planning products for retirement purposes generally are not. What’s more, saving for your child’s college can prevent him or her from receiving the maximum financial aid available.

In other words, by foregoing your retirement in favor of your child’s college, you are actually subsidizing the children of less responsible parents – or smarter parents who chose to save for their own retirement, in light of these facts.

The Best Designer Board Games

Designer board games are something that is generally considered to have been started in Germany, and while sometimes referred to as German style board games, this title can be misleading. Designer board games have come from nearly every country and all have great success stories in the popularity they enjoy with fans. Many different Americans, for example, have produced vastly popular designer board games. A number of designer board games do come from Germany, however, but despite the intimidating nature of the titles, players should feel comfortable with any of these games. They often are similar to many games that players already know and love, but often present some form of twist or enhancement that can make them even more enjoyable!
Good designer board games all feature some sort of theme which unites the strategy and methods used within the game. Sometimes these themes can seem somewhat bizarre and unsuitable for a game, but that is also part of the charm of the designer game. Once such game, Bohnanza, is technically about bean farming, which causes many a player to raise an eyebrow. However, the real game deals with heavy negotiation and trading between players. By using different cards dealt from the deck, players must plant different bean crops, trade for certain bean crops, and eventually harvest the crops to gain money in return. The player who, at the end of the game, has the largest amount of money wins. While initially sounding a bit ridiculous, Bohnanza provides players with much enjoyment as the strategy needed in the game always changes based on the other players.
Tigris and Euphrates is another designer board game which enjoys much popularity with fans. Based on ancient civilizations, this game gives players the chance to act as neighboring dynasties which are clashing over this region. Players randomly select tiles from a bag and during the game, place these tiles in strategic positions around the board, gaining control of areas to expand their kingdoms. Different tiles stand for different aspects of the game and through careful placement, players can build and strengthen their domains in ways that will reap vast benefits. At the end of the game, players collect points based on the numbers and types of tiles that they have placed, and the player with the largest number of tiles is declared the winner of the game.
Scotland Yard is a designer game that pits one player against the others in a team. One player is designated as “Mr. X,” a fugitive from the law who is running around London, trying to avoid capture. The other players all form the law enforcement team trying to arrest him before a certain time limit has passed and Mr. X can roam free. The board is a map of London, marked with certain transportation routes and all of the stops along those routes. All players are forced to travel along these routes, with Mr. X trying to evade capture while the other players pursue. The twist is that only 3 forms of transportation are available and each one can only be used a certain number of times by the police team.
Much strategy and careful teamwork is required with these games, as with most designer board games. However, with the many different varieties and themes available, it is no wonder that they have become as popular as they are. Everyone should be able to find a game that suits their interests!