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.

Teenage Gambling Addiction Education Needed At Local Schools

For the past few years teenage gambling has been increasing at an exponential rate. The increase in gambling can be contributed to family members who gamble, multiple television programs like poker tournaments and skillful advertising from the gambling establishments. It’s becoming an epidemic among our teenagers with no real solution being presented to the educators of our schools systems.

The new stream of commercials related to stop gambling has had very little affect. The commercials are geared towards helping people stop gambling but are not geared towards the individuals who have not experienced gambling at this point in time. The stop gambling commercials have not been able to reach the teenager with a compulsive gambling addiction. They however may reach the parents who may realize their child has a problem.

The only way to help our youth is to educate them in the classroom and at home. I remember years ago in health class they educated us on smoking and drinking. This was very effective on those individuals who never started. But the ones that were already addicted the educational programs were unable to reach them.

There following educational curriculums are needed for today’s students:

a)Helpful Resources for identifying teenagers who may have a compulsive gambling addiction.

b)Helping Teenagers identify their compulsive gambling addiction

c)Educating teenagers on compulsive gambling addiction. This one is my favorite because this has the best opportunity to prevent a teenager from gambling, helping teenagers identify the signs of compulsive gambling addiction and if the teenager has a problem with gambling.

d)Giving Teenagers the tools to identify others who may have a gambling addiction like their parents. This one has to be handled sensitively. I have received numerous emails from teenagers who did not know where to go, who to talk to in order to help a family member.

e)Educating Teenagers on the resources available to get help by giving them the local stop gambling telephone numbers and helpful stop gambling websites.

f)Understanding Compulsive Gambling Addiction

g)Practical exercises for teenagers with addictions to learn about self esteem, trust and more.

The above educational curriculums are needed to help educate the teenage population.

As each year passes the amount of teenager’s addicted to gambling increases. This increase is due to the increased exposure. This exposure is due to the increase in the number of cable and television gambling programs, advetising by local gambling establishements, retailers jumping on poker craze selling poker chips, the increase in the number of state lotto drawings per day and the state advertising for their scratch off tickets.

Calculate Needs Before Buying Insurance

Insurance mis-selling is prevalent and is damaging the development of the industry. In fact, majority of insurance experts accepted this fact on various occasions. Generally, intermediaries are the first to be responsible for it especially an agent who sells only those products that earn maximum commission. It is considered as the most popular reasoning in Indian insurance sector. However, there are various other reasons why a customer ends up purchasing a wrong policy. It means that it is not always mis-selling but sometimes mis-buying’ as well.
It may happen because of lack of awareness, buying insurance just to save tax and using policy as a tax saving tool. Some challenges are also experienced by financial planners as well to convenience customers why a product is correct for them, to get the right and full information from them for exact assessment of their profile and portfolio. To handle these procedural challenges, a few years ago, Insurance Regulatory and Development Authority had proposed doing a customer need analysis’ before selling a life insurance policy. In January 2012, IRDA’s draft guidelines introduced and also proposed a mandate on intermediaries and the insurers to fill-up a standard need-analysis worksheet of the buyer before it affects sale of term insurance.
It was to make sure that the plan which is proposed to be sold is suitable for the prospect and fulfills policyholder’s requirements. Also, this is aimed at handling under-insurance and is widespread among insurance customers. Though, the proposal has not been implemented in the proposed format, a few insurance companies in India have introduced a few need analysis features. Different needs arise at different age stages, so this tool works by understanding the life stage customer is at, single, married, married with a child, nearing retirement and life after retirement are some very common stages in a product matrix.
Protection requirements are analyzed when customers have chosen life stages. For example, person with a child has more insurance needs as compared young, single person who does not have any dependents. These protection requirements reduce when dependents become independent and loans are paid. Customer’s next step should be assessing their targets and motive of purchasing insurance. Do you want to buy a policy for child’s future education requirements or accumulate a corpus for post-retirement life? Do not forget that the need for investment and savings are connected to the achievement of different financial goals and the plan customer buy must be able to fulfill these needs.
Generally, the need for regular income arises after retirement and customers also need more health cover with advancing age. The analysis tool will help buyers to calculate exact needs as per their goals and prioritization. There are several online tools available for goal-based long term wealth creation, retirement planning and health insurance requirements. A pension plan will be more important as compared to short-term goals such as buying a vehicle or a foreign tour. Those who do not have sufficient life insurance coverage should buy addition protection in terms of rider plans.