LIST B PERSPECTIVE: Impact on the individual patient or community Ectopic pregnancy occurs when a fertilized egg implants at any site other than the normal uterine position. This is common in 1% of pregnancies. (kumar) Late diagnosis and treatment can lead to fetal death.(1) The most common site of ectopic pregnancy is the fallopian tube (approximately 97.7%), with 80% usually occurring in the ampulla followed by the isthmus (12%), fimbrae (5%), horns (2%) and interstices (2-3%). Locations and frequencies of ectopic pregnancy. By Donna M. Peretin, Navy. (A) Ampullary, 80%; (B) Isthmian, 12%; (C) Fimbrial, 5%; (D) Cornual/Interstitial, 2%; (E) Abdominal, 1.4%; (F) Ovarian, 0.2%; and (G) Cervical, 0.2%. There are many risk factors that can lead to an ectopic pregnancy, such as a previous history of ectopic pregnancy, tubal damage, previous genital infections, multiple sexual partners, and the use of intrauterine devices (IUDs). The classic triad of ectopic pregnancy includes vaginal bleeding, amenorrhea, and abdominal pain. If the patient complains of any of these symptoms during pregnancy, immediate investigations should be carried out. There are varieties of tests that can be used to detect ectopic pregnancy. These include serum progesterone level, beta human chorionic gonadotropin (beta-HCG) level, and transvaginal ultrasound. Transvaginal ultrasound is the preferred test, as studies have shown it to have a sensitivity and specificity of 90% and 99.8%, respectively, with a positive predictive value of 93% and a negative predictive value of 99.8%. (4) Emotional impact The diagnosis of ectopic pregnancy usually comes as a surprise to the patient. It is emotionally traumatic as the patient often receives the news a few weeks after the pregnancy is confirmed. This could lead to... middle of the paper... and she's pregnant. However, he would be in a dilemma thinking what would happen next? Will she be able to get pregnant this time? Or could she have an ectopic pregnancy again due to her previous history? This is because the risk of ectopic pregnancy increases if the patient has had a previous ectopic pregnancy. And in Mrs. B's case, she had a history of ectopic pregnancy in both 2008 and 2010. Salpingectomy, the removal of a fallopian tube, also increases the recurrence of ectopic pregnancy in the future. Therefore, this is one of the biggest concerns for Mrs. B when she recently became pregnant. She hoped that everything would be fine this time, but the results rejected her again. Furthermore, several studies have shown that the risk of ectopic pregnancy increases with maternal age. Mrs. B turns 39 this year and her chances of getting pregnant are decreasing every year.