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Ectopic decidua are decidual cells found outside inner lining of the uterus. This condition was first described in 1971 by Walker [1] and the name 'ectopic decidua' was coined by Tausig. [2] While ectopic decidua is most commonly seen during pregnancy, it rarely occurs in non-pregnant people, accompanied by bleeding and pain. [citation needed]
A woman may shed the lining in the form of a decidual cast, which may be mistaken as a miscarriage, when, in fact, the ectopic pregnancy still persists. A decidual reaction can be observed in tissue of the peritoneum and ovary during a pregnancy, and represents a response of stromal tissue to progesterone.
Decidualization is a process that results in significant changes to cells of the endometrium in preparation for, and during, pregnancy. This includes morphological and functional changes (the decidual reaction) to endometrial stromal cells (ESCs), the presence of decidual white blood cells (leukocytes), and vascular changes to maternal arteries.
When that happens, people may still have bleeding and cramping and pass tissue — the decidual cast — and then the ectopic pregnancy can rupture a week or two later, Goldstein explains.
“Passing the decidual cast is not necessarily a sign of a serious health condition. The only exception is if it is associated with an ectopic pregnancy, or no pregnancy inside the uterus, that ...
It takes place in normal pregnancies as well as when there are obstetric or trauma related complications to pregnancy. Normally the maternal circulation and the fetal circulation are kept from direct contact with each other, with gas and nutrient exchange taking place across a membrane in the placenta made of two layers, the syncytiotrophoblast ...
Before the fertilized ovum reaches the uterus, the mucous membrane of the body of the uterus undergoes important changes and is then known as the decidua.The thickness and vascularity of the mucous membrane are greatly increased; its glands are elongated and open on its free surface by funnel-shaped orifices, while their deeper portions are tortuous and dilated into irregular spaces.
Bleeding and spotting are common during the luteal phase of the menstrual cycle, and early stages of pregnancy, but are unrelated to implantation. Implantation bleeding occurs between 7 and 14 days after fertilization, [ 57 ] and is a small amount of light vaginal bleeding or spotting that can occur in early pregnancy due to the blastocyst ...
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