Once you have had one it is more than likely you will suffer the misfortune of another especially if the first one resulted in damage to your fallopian tubes. Therefore if you have a history of an eptopic pregnancy you must be properly cared and checked early in any other subsequent pregnancies.

An eptopic pregnancy can be life threatening for the mother to be and almost without question Is fatal for the foetus.

That being said that it has been know for a few rare pregnancies to survive being out of the womb it depends on the ability of a blood supply to the foetus.

If the pregnancy stays in the fallopian tube and doesn’t migrate as it should to the womb tubal rupture happens around six to twelve weeks normally occurs.

This can cause severe blood loss and shock to the mother to be. This happens when many women do not realise they were in fact pregnant.

If women go into hospital and are not told they have a suspected eptopic pregnancies they cannot know to be especially careful early in any subsequent pregnancies or to seek medical help if they just suspect that they may be pregnant.

This is important because Ectopic pregnancy (EP) is an important cause of maternal deaths in early pregnancy because most fatal cases result from delayed diagnosis and an inappropriate investigation.

Should all women of child bearing years that go to hospital or attend a doctor with pain or bleeding be suspected of eptopic pregnancy for their own safety so at least it can be ruled out? There are sometimes other signs less commonly, ectopic pregnancy presents with pain radiating to the shoulder, vaginal bleeding, syncope and/or hypovolemic shock.

A simple blood test to measure the HCG levels and a scan can normally diagnose an eptopic pregnancy. Though it must be noted this is only about 77 percent accurate but can be an indicator in most cases.

Diagnosis may not be easy but with subtle changes in vital signs, such as mild tachycardia or lower than usual blood pressure, should prompt further investigation

If this is not done and there is a rupture and further damage it is only fair and right a patient should be able to sue the National Health Service for negligence. Not only for the pain and suffering of this pregnancy but the risk of further pregnancies or possibly the fate of being childless.