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Obstetric and Gynecological Nursing - The Carter Center

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mistaken for bleeding due to a delayed menstrual period or an<br />

abortion.<br />

Slight brownish color <strong>and</strong> continuous breeding with rarely<br />

present crops.<br />

B. Tubal abortion<br />

This occurs in 65% of the cases <strong>and</strong> is the usual termination<br />

in fimbrial <strong>and</strong> ampullary implantation repeated small bleeding<br />

from the invaded area of the tubal wall separated the ovum.,<br />

which dies <strong>and</strong> is either aborted completely or aborted<br />

thorough the tubal ostium into the peritoneal cavity or aborted<br />

incompletly so that the clot covered conceptus distends the<br />

ostium or forms a tubal blood mole<br />

C. Tubal rupture<br />

This occurs in 45% of cases, <strong>and</strong> is more common when the<br />

implantation is in the isthmus. If the implantation is in the<br />

isthmus, where the mucosa is thinner <strong>and</strong> the vessles are<br />

larger, penetration of the muscularity <strong>and</strong> tubal rupture occurs<br />

earlier <strong>and</strong> internal hemorrhage is usually sever, which if the<br />

implantation is in the interestial portion of the oviduct, rupture<br />

is often delayed as the myometrium surrounds the growing<br />

conceptus; but eventually it does occur <strong>and</strong> is attended by<br />

sever hemorrhage. <strong>The</strong> rupture is being sudden or gradual. If<br />

296

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