Obstetric and Gynecological Nursing - The Carter Center

abortion or the symptoms could indicate complete
abortion with or without pelvic haematocole.
Acute
Sudden collapse with little or no warning is more common
when the implantation is isthamal, but is not the most frequent
events. It is more usual for the acute tubal rupture to
supervene upon the sub acute.
As the tube ruptures
- The patient is seized with a sudden acute lower
abdominal pain, sufficiently sever to case fainting
- The associated internal hemorrhage leaders to rapid
contapse, with pallor a week pulse with a rising rate and
a falling blood pressure usually the condition improves
after a short time, as the hemorrhage diminishes or cases
but abdominal discomfort persist and pain is felt in the
epigastrium and referred to the shoulder.
- A further episode of hemorrhage and collapse is likely,
and continued breeding can be suspected from increasing
pallor and a falling hemoglobin level.
- On examination the patient is shocked, the lower
abdomen is tender with some abdominal muscle guarding
- Vaginal examination, which should only be carried out in
hospital, shows extreme tenderness in the fornixes and
marked tenderness on movement from side to side.
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