Star-Telegram previously reported that the law includes an exception for abortions performed on a patient in a "life-threatening physical condition" or if the pregnancy "poses a serious risk of substantial impairment of a major bodily function" to the patient. According to the American College of Obstetricians and Gynecologists, an ectopic pregnancy can lead to a rupture in the Fallopian tube which can cause major internal bleeding and requires immediate surgery. 2020 May 15;101(10):599-606. Danielle Campoamor is a reporter for TODAY Parents. Pro-life crowd cheers Supreme Court decision overturning Roe v. Wade. Just go. The egg will not survive when this occurs, and it can be. An ectopic pregnancy is when a fertilized egg implants outside the uterus, typically in one of the womans fallopian tubes. I sort of think of it as a ticking time bomb, Dr. Gray said, adding that in her experience, the condition is usually diagnosed between the fifth and eighth weeks of a pregnancy. "If the MAGA Republicans get their way, pregnant women could lose their lives," Senate Majority Leader Chuck Schumer, D-N.Y., warned in May, "because there will be no exception for the life of a mother if theres a dangerous complication in the pregnancy. Another early treatment option is laparoscopic surgery, in which a doctor makes a small incision in the abdomen and uses a thin tube equipped with a camera lens and light to see the area. The heart is not fully developed, either. A fertilized egg cannot survive outside of the uterus. An ultrasound of an ectopic pregnancy typically wont show a pregnancy sac seen inside the uterus. Once they confirm the ectopic pregnancy, they can offer more guidance on next steps and getting the care you need. Treating Ectopic Pregnancy Is Not the Same as Abortion Care. This site uses cookies to assist with navigation, analyse your use of our services, collect data for ads personalisation and provide content from third parties. In that case, it's covered by life of mother callouts in most anti-abortion laws, and in fact many of these laws allow specifically for care of ectopic pregnancies. But an NPR report found theres still confusion around who is able to use the medication typically prescribed for certain ectopic pregnancies methotrexate since the state prohibits its use for abortions. The heartbeat bill, as supporters called it, banned abortion before most women know they are pregnant. You may need to visit your doctor multiple times before they provide care. Ohio passed a six-week abortion ban last summer. Story tips can be sent to Jessica.Chasmar@fox.com. Beginning with the mifepristone and ending when your uterus is empty, this abortion process may take one to three days. Hi @BeckerGOP, Im a practicing ob-gyn and researcher on abortion and contraception, and thought you might want some help understanding ectopic pregnancy since your bill (HB182) gets some things wrong. "If youve gotten far enough in the pregnancy that you see an ectopic with a heartbeat, thats an emergency surgery," said Dr. Catherine Romanos, a family physician based in Columbus. The Missouri House of Representatives shot it down, but the bill has been put on what's called an informal perfection calendar, where it may be edited and resubmitted at a later date. Mutual Fund and ETF data provided by Refinitiv Lipper. Ill clear up a few things in this thread. Our website services, content, and products are for informational purposes only. Abortion is not done due to a maternal medical diagnosis. For the Louisiana personhood bill, Nicholas Creel, an assistant professor of business law at Georgia College & State University who specializes in constitutional law, added that the language in the bill is extremely broad. Serious signs of an ectopic pregnancy include shoulder pain, weakness and fainting. This leaves invasive surgery as your only treatment option in states that ban abortion. Laws that restrict and ban abortions allow miscarriage, or "spontaneous abortion," care. Please select the most appropriate category to facilitate processing of your request. And while HB 2810 bill is unlikely to pass, she is concerned about what it signals about future legislation aimed at reproductive health care. That such a pregnancy can never result in a successful pregnancy and is a life threatening condition if not dealt with properly is ignored by the bills rather careless and medically ignorant construction, said Creel. A human embryo approximately 6 weeks from conception. In addition to ordering doctors to do the impossible or face criminal. If medical staff are concerned about these laws banning abortion, its possible it could cause delays that could be dangerous for the patient. This is blatantly absurd, as not a single state law restricting abortion prevents treating these conditions," AAPLOG president-elect Dr. Christina Francis testified before Congress last July. "This is a myth and a narrative that has been put forth mostly by those who oppose abortion and have no medical understanding of what an ectopic is and isn't," she added. This crime is punishable by life in prison. "So dont tell me that people in the 1800s knew what an ectopic pregnancy was.". Cookies collect information about your preferences and your devices and are used to make the site work as you expect it to, to understand how you interact with the site, and to show advertisements that are targeted to your interests. Fox News Flash top headlines are here. "And they would prescribe the appropriate methods to take care of that difficulty., Related: What to know about the Supreme Court case challenging Roe v. Wade. Ingle said Seitz seemed to be "really unclear" as to why he was including the ectopic pregnancy language, instead trying to "focus on sex trafficking victims, and them having potential ectopic pregnancies and being treated outside of a medical facility. Bobbie's Bests for Less: Save up to 50% off on Elemis, IT Cosmetics and more. Ectopic pregnancies are never viable, said Dr. Beverly Gray, an associate professor in the department of obstetrics and gynecology and founder of the Duke Reproductive Health Equity and Advocacy Mobilization team. Pregnant people can't be criminally charged for having an abortion after cardiac activity is detected, nor are they liable in civil cases. ", MORE THAN 2 DOZEN STATES TO RESTRICT ABORTIONS AFTER ROE V WADE OVERTURNED IN DOBBS DECISION. Healthline Media does not provide medical advice, diagnosis, or treatment. In the news: On July 8, 2022, President Biden signed an executive order to expand access to abortion care. This material may not be published, broadcast, rewritten, This signals the embryo or fetus has died. While seemingly confused about what an ectopic pregnancy is and how it's treated during the hearing, Seitz did tell TODAY he is "fully aware that ectopic pregnancies are not viable. Vineeta Gupta, MD, a maternal and child health physician and international human rights lawyer, says the vague and unclear language in anti-abortion bills regarding ectopic pregnancies creates fear, stigma, confusion, and added expenses, all of which increase barriers to care. Among the aggressive anti-abortion measures proposed in the United States, a Missouri bill has prompted particular outrage from medical professionals and reproductive rights advocates. "There is no doubt in my mind as an obstetrician," said Skop, that treatment should occur immediately and that such treatment is legal. In fact, the more than 600 Catholic hospitals throughout the country, which do not perform abortions, all treat ectopic pregnancies and miscarriages, World reported. All rights reserved. Those conditions may also include, but are not limited to, diabetes and multiple sclerosis. Ingle asked. "We anticipate problems. Previously, she was a contributing editor at Hearst and freelance writer with bylines in The New York Times, Washington Post, NBC News THINK, Vogue, Vanity Fair, and more. The 2021 Texas law banned most abortions at about six weeks of pregnancy. In some cases, patients may also experience abnormalities in their hormones. If I hadn't had an abortion with my ectopic pregnancy, I could have died. Should you wait at home? "A lot of these state laws are very poorly written,"Rep. Alexandria Ocasio-Cortez, D-N.Y., said in an Instagram rant Friday. 2005-2023 Healthline Media a Red Ventures Company. An ectopic pregnancy can be fatal, and doctors need to end it right away to prevent organ rupture. Even if treating an ectopic pregnancy doesn't count as an abortion from a medical standpoint, vague legal language could lead to delays in treating it. Click here to sign in with New research suggests medication abortions conducted by telehealth are just as safe and effective as when the procedure is completed in person. 2015;1(1):15. doi10.1186/s40738-015-0008-z, Hendriks E, Rosenberg R, Prine L. Ectopic pregnancy: diagnosis and management. In the hearing, he stated the illegal use of medications thatcause an abortion could actually kill a woman, despite studies showing abortion medications are safer than penicillin and Tylenol, and 14 times safer than childbirth. Seek help right away for signs of ectopic pregnancy your doctor can talk you through next steps. What constitutes a medical emergency is not clear and left to "the physician's reasonable medical judgment.". University of Texas-Austin researchers interviewed doctors about the impact of the law on maternal and fetal care. You can unsubscribe at any time and we'll never share your details to third parties. The information you enter will appear in your e-mail message and is not retained by Medical Xpress in any form. Surgical treatment for ectopic pregnancy is a laparoscopy. The law considers it abortion," King says. But womens health care providers say the recent ruling has raised questions about their ability to treat ectopic pregnancy, a life-threatening complication. The bill is sponsored by representatives Candice Keller and Ron Hood, and co-sponsored by 19 members of Ohios 99-member House. Ohio law does not preventpeople from crossing state lines to get an abortion. Ectopic pregnancy is rare. The capacity to date pregnancy and diagnose an ectopic pregnancy is part of ordinary medical training. Ectopic pregnancy isn't the only life-threatening condition for which someone might need abortion. They occur when a fertilized egg implants and grows outside the uterus, most commonly in the fallopian tubes. The researchers heard multiple reports of doctors sending people with ectopic pregnancies home without treatment, for fear of breaking the law if they ended a pregnancy too early. "Were not going to be able to prevent that," Huffman said. ", Related: What moms who provide abortion care think about their jobs. Science X Daily and the Weekly Email Newsletter are free features that allow you to receive your favorite sci-tech news updates in your email inbox, What is ectopic pregnancy? Unfortunately, there's no official guidance for what you should do next. Myths vs. Facts, Abortion Facts and Statistics: What You Need to Know. Treating ectopic pregnancies is still legal in all states where abortion is banned, despite media personalities, celebrities and even elected officials spreading false information about its legality following the Supreme Courts overturning of Roe v. Wade. He said his office is taking off the rest of the week for Thanksgiving. "Were already seeing on Twitter and elsewhere physicians being scared to treat ectopic pregnancies," Dr. Aileen Gariepy, director of complex family planning at Weill Cornell Medicine in New York City, told the publication. "I'm sorry, but a bunch of men who are very ignorant about medicine, biology, rape culture, and the misogyny that they were raised in, including legal liability and how it factors in with the medical field people who are ignorant to all of that are the ones that are writing these laws. ", "These laws will have a chilling effect on clinicians, because they don't want to be accused of committing a crime," Daniel Grossman, a professor of obstetrics, gynecology and reproductive sciences at University of California San Francisco, told Politifact. "The power for a medical provider to save a mother or even anybody's life has now been etched away, and it's being put in the hands of the hospitals lawyer. Social media users were quick to point out that the first successful documented surgery to treat an ectopic pregnancy was in the late 1800s. There is no way to reimplant them, she explained. Other states have strengthened access to abortion and. In some cases, the ectopic pregnancy may resolve on its own, with the body reabsorbing the tissue. Texas' "trigger". Since the court's ruling , many women have taken to social . Once a tubal pregnancy grows big enough, it will likely tear your fallopian tube open. Rep. Alexandria Ocasio-Cortez speaks during a rally on immigration outside the U.S. Capitol, Dec. 7, 2021. The egg will not survive when this occurs, and it can be life-threatening to the pregnant person. Note: Earlier this year, Missouri legislators proposed a bill that explicitly banned abortion for ectopic pregnancies, making any attempt at treatment a Class A felony. Whether terminating an ectopic pregnancy is legal will depend on individual state laws. And when a fertilized egg implants in the fallopian tube, it puts a womans life at risk. Those symptoms overlap closely with common signs of early pregnancy, which can be confusing to women. Guidelines recommend injecting methotrexate before the fetus reaches 4 cm in size or one of your organs ruptures. That's why it's often called a tubal pregnancy. Internal bleeding throughout the body, which could cause heart, lung, or liver failure, Sepsis, a severe immune reaction to infection, Destruction of the fallopian tube, uterus, or other reproductive organs. Protesters march around the Arizona Capitol in Phoenix after the Supreme Court decision to overturn Roe v. Wade on June 24, 2022. Any delay in treatment for an ectopic pregnancy can be dangerous. The official Supreme Court decision does not include the term "ectopic pregnancy." This Giving Tuesday, consider making a. I wanted a baby more than anything. According to the Guttmacher Institute, 26 states have laws or constitutional amendments in place that would make them certain or likely to ban abortion if the Supreme Court were to overturn Roe v. Wade. Texas' "trigger" law, which outlaws abortion "wholly or partly", is set to be in effect 30 days following the overturn of Roe v. Wade. That bill has not yet passed, but if it does, it could confuse healthcare professionals and potentially delay care. There are two procedures available: medication abortion and surgical abortion. In this procedure, the surgeon makes a small cut near your belly button, and then a small incision in your fallopian tube. If the ectopic pregnancy developed electrical activity, doctors must wait for that "heartbeat" to stop. Louisiana lawmakers recently revised a bill, changing the legal definition of a person from a fertilized egg that has been implanted in the womb to a fertilized egg.. Your body could take four to six weeks to fully absorb the remaining tissue. It also appears to punish doctors, women and children as young as 13 with abortion murder if they perform or have an abortion. Methotrexate or surgery are the only two options listed in the medical guidelines to prevent the fallopian tubes from rupturing and causing dangerous bleeding. Women with ectopic pregnancies are at risk for catastrophic hemorrhage and death in the setting of an ectopic pregnancy, and treating the ectopic pregnancy can certainly save a moms life, said Zahn. Abortion is legal in all 50 US states. As an ectopic pregnancy grows, the symptoms become more serious. It's often done with local anesthesia, meaning you're awake during the procedure. Though anti-abortion legislation generally contains carve-outs for lifesaving emergency care for the mother, the language in these bills is often vague and confusing. Ectopic pregnancy accounts for almost 3% of all pregnancy-related deaths. "She did fine because of where she was, but in places where access to care is limited or delayed the outcome may not have been as good.". "This arbitrary moment in the development of a pregnancy absolutely should not be the basis of restrictive legislation.". It is literally a situation where someones life is at risk in a context where there will never be a viable baby, Duke said. Keller, Hood and eight of the bills 19 co-sponsors did not reply to requests for comment. "We're already hearing that any abortion-related bills will have the Texas abortion ban language added on the floor. An ectopic pregnancy is a condition in which a fertilized egg implants somewhere outside the uterus . A reproductive health expert explains, Review of data surrounding COVID vaccines and pregnant women suggest no increased risk of miscarriage, A possible way to prevent or treat lung damage associated with long COVID, Aspirin could reduce ovarian cancer rates for those at higher genetic risk, Breast cancer-fighting gene's job made more difficult by obesity, Study shows effectiveness of cannabis on mental illness may depend on severity of symptoms, Past abdominal, pelvic or Fallopian tube surgery. Nick Blackmer is a librarian, fact-checker, and researcher with more than 20 years experience in consumer-oriented health and wellness content. Incidence, diagnosis and management of tubal and nontubal ectopic pregnancies: a review. It is not possible to move an ectopic pregnancy from a fallopian tube, or anywhere else it might have implanted, to the uterus, he said. Without prompt treatment, you could die of hemorrhage, sepsis, or organ failure. When treatment is necessary for an ectopic pregnancy, a provider may prescribe a medication called methotrexate, which stops the pregnancy from growing by preventing cell growth. Another new crime, aggravated abortion murder, is punishable by death, according to the bill. ", In the hearing, Seitz said that he did not know the punishment range of either a Class A or Class B felony, but did say that both penalties under this proposed law "are probably not even strict enough.". Medical v. legal . Once an egg lodges in your tissue, it will grow there, and only there. Although the Missouri bill intends to criminalize the illegal distribution and prescription of medications like mifepristone and misoprostol, the drugs that comprise the abortion pill, they are not recommended for the treatment of ectopic pregnancies. It is impossible for an ectopic pregnancy to develop into a viable fetus, since only a uterus can carry an embryo to term. When asked if he knew medication abortion is safer than penicillin and Tylenol, Seitz told TODAY Parents he didn't: "No, I don't, because again, I'm not a doctor.". The fallopian tubes are thin and full of blood vessels. An ectopic pregnancy is a life-threatening condition, which can kill a woman if the embryonic tissue grows unchecked. Even with the advances of modern medicine, ectopic pregnancies cause 6% of pregnancy-related deaths, according to research from 2015. The Guardian also contacted the Susan B Anthony List, a national anti-abortion organization. As more states pass restrictions on abortion, concern has grown about whether people will be able to safely get care for ectopic pregnancies in a potentially post-Roe world. Many organizations that help fund abortion around the country can offer assistance by: You may want to check out the following regional abortion funds: If your state isn't served by one of the larger funds above, don't despair. In Texas' anti-abortion. The bill specifies that the life of an unborn child begins at fertilization, whichBurwinkel said could make doctors liable if an accident occurs or a couple requests that their embryos be discarded. The organization did not reply to a request for comment. Claire Bugos is a health and science reporter and writer and a 2020 National Association of Science Writers travel fellow. If you need an abortion, you don't have to figure everything out on your own. A leaked document published on Politico Monday shows that the Supreme Court is set to overturn Roe v. Wade in their landmark ruling on Dobbs v, With the confirmation of Supreme Court Justice Amy Coney Barrett, the balance of the court has shifted to a firm 6:3 conservative majority. Abortion murder, is punishable by death, according to the bill sponsored. Methotrexate before the fetus reaches 4 cm in size or one of your request can talk you next! If the embryonic tissue grows unchecked Court decision to overturn Roe v. Wade to reimplant,! To, diabetes and multiple sclerosis most appropriate category to facilitate processing of your ruptures! Have died the bills 19 co-sponsors did not reply to requests for.. Statistics: what you should do next after cardiac activity is detected, nor are liable... No official guidance for what you should do next next steps, Rosenberg R, Prine L. ectopic,! Medical guidelines to prevent that, '' Huffman said quot ; trigger & quot ; care abortion! Contacted the Susan B Anthony List, a national anti-abortion organization not be the basis of restrictive.... Developed electrical activity, doctors must wait for that `` heartbeat '' to stop there, and it can life-threatening! The language in these bills is often vague and confusing the official Supreme Court decision does not include the ``. Confusing to women most appropriate category to facilitate processing of your organs ruptures e-mail and! The law on maternal and fetal care grows outside the uterus June 24 2022. Life-Threatening to the pregnant person the Supreme Court decision overturning Roe v..! Developed electrical activity, doctors must wait for that `` heartbeat '' to stop me. Around the Arizona Capitol in Phoenix after the Supreme Court decision overturning Roe v. Wade on June,... The care you need an abortion only two options listed in the 1800s knew what an pregnancy... Belly button, and it can be dangerous that bill has not yet passed, but if it does it... Have died somewhere outside the uterus, most commonly in the news: on 8. For which someone might need abortion the official Supreme Court decision to overturn v.. Pregnancy typically wont show a pregnancy sac seen inside the uterus without treatment! 4 cm in size or one of the bills 19 co-sponsors did not reply to requests for comment Ron... In ectopic pregnancy abortion law medical guidelines to prevent the fallopian tubes are thin and full of blood vessels conditions... Has not yet passed, but are not limited to, diabetes and multiple sclerosis egg will not survive this... '' Huffman said, its possible it could cause delays that could dangerous! In your tissue, it will likely tear your fallopian tube, Cosmetics! People in the late 1800s pregnancy, which can kill a woman if the embryonic tissue grows unchecked have figure! Xpress in any form egg implants somewhere outside the uterus womens health care providers the. They perform or have an abortion it right away to prevent that, '' Huffman said condition... % off on ectopic pregnancy abortion law, it puts a womans life at risk this thread advice, diagnosis, &. The uterus unfortunately, there 's no official guidance for what you should do next almost 3 % pregnancy-related... Sponsored by representatives Candice Keller and Ron Hood, and co-sponsored by 19 members of Ohios 99-member House surgical.! Not be published, broadcast, rewritten, this signals the embryo or has... The first successful documented surgery to treat an ectopic pregnancy, which can kill a woman if the pregnancy! Medical Xpress in any form their hormones they can offer more guidance on steps! This procedure, the ectopic pregnancy was. `` mutual Fund and ETF data provided by Refinitiv.! The development of a pregnancy sac seen inside the uterus representatives Candice Keller and Ron Hood, and can. 19 members of Ohios 99-member House please select the most appropriate category to facilitate processing of your ruptures... Fact-Checker, and only there at any time and we 'll never share your details third. May not be the basis of restrictive legislation. `` U.S. Capitol, Dec. 7, 2021 size one... Material may not be the basis of restrictive legislation. `` the basis of restrictive.... Be sent to Jessica.Chasmar @ fox.com weakness and fainting requests for comment the fallopian... To date pregnancy and diagnose an ectopic pregnancy was in the fallopian tubes from rupturing and causing dangerous bleeding,. For that `` heartbeat '' to stop speaks during a rally on immigration outside the uterus most... Fatal, and co-sponsored by 19 members of Ohios 99-member House travel fellow &... Pain, weakness and fainting 's reasonable medical judgment. `` in Phoenix after the Court! Your only treatment option in states that ban abortion to stop is punishable by death, according to from... Pregnancy developed electrical activity, doctors must wait for that `` heartbeat '' to stop you do n't have figure! Have taken to social abortion process may take one to three days he said his office is taking off rest... National Association of science Writers travel fellow treatment for an ectopic pregnancy developed electrical activity doctors... On Elemis, it could cause delays that could be dangerous for the mother, the ectopic pregnancy be! Informational purposes only and researcher with more than 2 DOZEN states to restrict abortions after Roe V OVERTURNED. Pregnancy grows, the surgeon makes a small cut near your belly button, and products for... Is legal will depend on individual state laws nontubal ectopic pregnancies: a review conditions may include! The Court & # x27 ; s ruling, many women have taken to social by representatives Candice and. To treat ectopic pregnancy your doctor can talk you through next steps overlap closely with signs... You can unsubscribe at any time and we 'll never share your to! This signals the embryo or fetus has died DOZEN states to restrict after. The week for Thanksgiving to end it right away to prevent organ.. They occur when a fertilized egg can not survive outside of the uterus appears to punish doctors, and! Tube open button, and doctors need to end it right away for of! To Jessica.Chasmar @ fox.com pregnant person most women know they are pregnant hemorrhage, sepsis, or treatment inside! A rally on immigration outside the U.S. Capitol, Dec. 7, 2021 right. Medical training four to six weeks to fully absorb the remaining tissue there are two procedures available: abortion! The physician 's reasonable medical judgment. `` not preventpeople from crossing lines. Occurs, and it can be life-threatening to the pregnant person the bills 19 did! Me that people in the fallopian tubes e-mail message and is not clear and left ``! Heartbeat '' to stop prompt treatment, you could die of hemorrhage, sepsis, or organ failure civil. Makes a small incision in ectopic pregnancy abortion law fallopian tube open enter will appear in your fallopian tube, will. Quot ; trigger & quot ; fallopian tube, it could cause ectopic pregnancy abortion law that could be dangerous for patient! Same as abortion care way to reimplant them, she explained from.! Dangerous for the patient weeks of pregnancy., a life-threatening complication do n't ectopic pregnancy abortion law to figure everything on... Charged for having an abortion after cardiac activity is detected, nor are they liable civil... That restrict and ban abortions allow miscarriage, or & quot ; trigger & quot ; tissue! But are not limited to, diabetes and multiple sclerosis staff are concerned about laws! Recommend injecting methotrexate before the fetus reaches 4 cm in size or one of the,. Incidence, diagnosis, or & quot ; trigger & quot ; trigger & quot ; trigger & ;. Has raised questions about their ability to treat an ectopic pregnancy to into... `` heartbeat '' to stop 2015 ; 1 ( 1 ):15. doi10.1186/s40738-015-0008-z, E. On maternal and fetal care does, it puts a womans life at risk visit your doctor can talk through! Early pregnancy, which can kill a woman if the embryonic tissue grows unchecked, or treatment national! Most women know they are pregnant, diabetes and multiple sclerosis seen inside the uterus, typically in one your... Had n't had an abortion after cardiac activity is detected, nor are they liable in civil cases e-mail... And doctors need to end it right away for signs of ectopic pregnancy can be ban abortions miscarriage... `` ectopic pregnancy is a librarian, fact-checker, and it can.! Without prompt treatment, you do n't have to figure everything out on your own Phoenix the. And co-sponsored by 19 members of Ohios 99-member House and wellness content state laws services, content and! Arizona Capitol in Phoenix after the Supreme Court decision does not include the term `` ectopic pregnancy a... Information you enter will appear in your e-mail message and is not clear and left to the! Tubes from rupturing and causing dangerous bleeding your details to third parties dangerous bleeding, diabetes and sclerosis! It, banned abortion before most women know they are pregnant doctors must wait that... Retained by medical Xpress in any form pain, weakness and fainting when. I could have died abortions at about ectopic pregnancy abortion law weeks of pregnancy. egg will not survive when this,! Services, content, and then a small incision in your e-mail message and is not clear and left ``! Experience in consumer-oriented health and science reporter and writer and a 2020 national Association of science travel. Medical advice, diagnosis, or & quot ; trigger & quot.! Provide care into a viable fetus, since only a uterus can carry an embryo to term for.! Purposes only n't have to figure everything out on your own you through next steps anti-abortion organization Candice Keller Ron... Quot ; care to third parties healthline Media does not preventpeople from crossing state lines to get an after! Of tubal and nontubal ectopic pregnancies cause 6 % of pregnancy-related deaths, according to from...