Modifiable: Non Modifiable:

 Use of IUD  History of previous ectopic

 Multiple induced abortions pregnancy
 Assisted Reproduction  Age specific incidence 25 to 34 years
 Low-dose progesterone agents  History of STD

Transport of the zygote

through fallopian tube is
hampered

Implantation at the
If it occurred in distal end fallopian tube If it occurred in proximal end

(+) Pregnancy due to Corpus luteum function

increase in hCG continues
(-) Menstruation
(+) Nausea and Vomiting
Zygote grows

Rupture of the affected Sharp, stabbing pain in one

fallopian tube of lower quadrants of
abdomen.
Profuse abdominal
Tearing and destruction of hemorrhage
blood vessels
Scanty vaginal spotting

Hemorrhage

Expulsion of products of
conception and ruptured
tube accompanied with
blood

Radiating pain under

scapula and symmetrically Persistence of bleeding
distended abdomen
Rapid, Threading Pulse
Light headedness Acute Hemorrhage (PR= 120 bpm)

Severe Shock (+) Tachypnea

Anemia (hemoglobin of Low Blood Pressure
9.6g/dL) (95/50 mmHg)
Hypovolemic Shock Leukocytosis
Reduced oxygenation
Peripherally cool and
clammy hands