A score in the 4-6 range indicates that the neonate is having difficulty adapting to extrauterine life, which in some cases may be related to medications given to the mother during labor, prematurity, or a rapid delivery.
Tubal pregnancies occur slightly less than 20 times out of 1,000 pregnancies, which is a small percentage, but the effects of extrauterine pregnancy can be very dangerous, making prompt medical attention desirable.
Severe pain and bleeding are signs that an extrauterine pregnancy is progressing and growing, which can cause external and internal bleeding (which can sometimes lead to death of the mother).
Mild vaginal bleeding: While the bleeding is usually very mild in this stage of pregnancy, it can signal an extrauterine pregnancy.
If the early signs are not detected and the extrauterine pregnancy progresses, more severe symptoms present themselves.