Ectopic pregnancy remains an important cause of maternal mortality worldwide. Figures from the United States show that the incidence of ectopic pregnancy increased fourfold between 1972 and 1987. At the same time the mortality has decreased nearly sixfold from 19.6/10000 to 3.4/10000 cases. However, the absolute number of deaths has decreased by less than half from 47 to 30 cases per year . In the United Kingdom both the number of ectopics and the number of deaths have been static in the last 12 years with the mortality rate at 0.4/1000 pregnancies . This trend has been maintained despite a massive expansion in the services available to women with suspected early pregnancy complications over the last decade. A possible explanation is that women with the most serious forms of ectopic pregnancies, such as interstitial ectopics, are typically asymptomatic until sudden rupture accompanied by a massive internal bleeding occurs. The lack of early warning signs prevents women seeking the semi-elective services available to them.
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The first trimester is very important for the mother and the baby. For most women it is common to find out about their pregnancy after they have missed their menstrual cycle. Since, not all women note their menstrual cycle and dates of intercourse, it may cause slight confusion about the exact date of conception. That is why most women find out that they are pregnant only after one month of pregnancy.