Documente Academic
Documente Profesional
Documente Cultură
MEDICAL FACULTY
Division for Foreign Students with Instruction Conducted in
English
The Department of Public Health
And Medical Care Organization
COURSE TASK
Name : Colette Fong Jiin Yann
Group No : GROUP 86
Year : 4th Year
Group Instructor :
MOSCOW 2014
The birth of the flagship hospital, Thomson Medical Centre (TMC), centred on one mans
vision, renowned O&G specialist and Founder, Dr Cheng Wei Chens aim to make
delivery an enjoyable experience for women.
Carving out a unique identity of providing quality services with a personalized touch in a
friendly and cosy ambience, TMC has taken women on the amazing journey of
motherhood and embraced the birth of thousands of babies.
With an excellent pool of dedicated doctors and nurses, we have the expertise to care for
and support mothers through the joyous yet complex months of pregnancy and childbirth
and continue to encourage them by guiding them on how to care for their babies after
childbirth.
The organisation has grown tremendously in breadth and depth since then with new areas
of specialties and services; and has even extended its footprint into the region.
Throughout the years, Thomson Medical remains committed to developing lasting
partnerships with our patients and their families by delivering quality care and service
through our Thomson Touch.
Delight
Empathise
Learn
Innovate
Value-add
Empower
Respect
Integrity
Commitment
Accountability
Respect
Empathy
In a normal pregnancy, your ovary releases an egg into your fallopian tube. If the egg
meets with a sperm, the fertilized egg moves into your uterus to attach to its lining and
continues to grow for the next 9 months.
But in up to 1 of every 50 pregnancies, the fertilized egg stays in your fallopian tube. In
that case, it's called an ectopic pregnancy or a tubal pregnancy. In rare cases, the fertilized
egg attaches to one of your ovaries, another organ in your abdomen, the cornua (or horn)
of the uterus or even the cervix. In any case, instead of celebrating your pregnancy, you
find your life is in danger. Ectopic pregnancies require emergency treatment.
Most often, ectopic pregnancy happens within the first few weeks of pregnancy. You
might not even know you're pregnant yet, so it can be a big shock. Doctors usually
discover it by the 8th week of pregnancy.
Ectopic pregnancies can be scary and sad. The baby probably can't survive -- though in
extremely rare cases he or she might. (This is not possible in a tubal pregnancy, cornual
or cervical ) So it's a loss that may take some time to get over. It may comfort you to
know that if you have an ectopic pregnancy, you'll likely be able to have a healthy
pregnancy in the future.
Dizziness or weakness
If the fallopian tube ruptures, the pain and bleeding could be severe enough to cause
fainting.
If you are experiencing the symptoms listed above, contact your health care provider immediately
and go to the emergency room. Getting to the hospital quickly is important to reduce the risk of
hemorrhaging (severe bleeding) and to preserve your fertility.
History of pelvic surgery (because scarring may block the fertilized egg from leaving the
fallopian tube)
If the fallopian tube has not ruptured and the pregnancy has not progressed very far, laparoscopic
surgery may be all that is needed to remove the embryo and repair the damage. A laparoscope is
a thin, flexible instrument inserted through small incisions in the abdomen. During this surgery, a
tiny incision is made in the fallopian tube and the embryo is removed, preserving the fallopian
tubes integrity.
In some cases, medication may be used to stop the growth of pregnancy tissue. This treatment
option may be appropriate if the tube is not ruptured and the pregnancy has not progressed very
far.
After medical treatment for an ectopic pregnancy, you will usually have to have additional blood
tests to make sure that the entire tubal pregnancy was removed. The blood tests detect the hCG
level, the hormone that is produced during pregnancy.
Getting Pregnant After an Ectopic Pregnancy
Most women who have an ectopic pregnancy have normal pregnancies and births in the future,
even if a fallopian tube was removed. As long as you have one normally working fallopian tube,
you can get pregnant. If the ectopic pregnancy was caused by a treatable illness, such as a
sexually transmitted disease, getting treated for it can improve your chances of a successful
pregnancy. The infection is not what caused the ectopic it is the scarring that occurs due to the
infection. Treatment of the infection does not get rid of the damage already done.
Talk with your doctor about how long to wait after an ectopic pregnancy before trying to conceive
again. Some doctors suggest waiting 3 to 6 months.
After an ectopic pregnancy, take the time you need to heal your body and mind. Above all, don't
blame yourself. Counseling or pregnancy loss support groups can help you and your partner
cope. Ask your doctor about groups near you.
Ectopic pregnancy cases are relatively uncommon in primary care. Although it comprises
only 2% of all pregnancies,2 the incidence has been on the rise.2,3 It is associated with
high mortality if diagnosis and management is delayed. Early intervention carries
significantly better prognosis.4 Even surgery can be avoided if management starts before
tubal rupture and cardiovascular compromise.1 Hence, it cannot be over emphasised that
early diagnosis is of paramount importance.
As illustrated in this case, diagnosis can be easily missed in absence of classical
symptoms of ectopic pregnancy compounded by incomplete patient assessment. The
Number (%)
Abdominal pain
90-97
Abdominal tenderness
87-91
Nausea or vomiting
80
Vaginal bleeding
79-83
Amenorrhea
75
Dizziness
55-60
Adnexal tenderness
54-57
50
Cardiovascular compromise
50
Strength
Access to capital
Marketing
IT investment
Weakness
Land-locked
Dont control patients
Opportunities
ACOs
Political influence
Mobile healthcare
Threats
Reimbursement
Physician shortage