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Management of Ectopic Pregnancy It is appropriate for family physicians to treat hemodynam-ically stable patients in conjunction with their primary obstetrician. Patients with suspected or confirmed ectopic pregnancy who exhibit signs and symptoms of ruptured ectopic pregnancy should be emergently transferred for sur - gical intervention.
An ectopic pregnancy occurs when a fer-tilised ovum implants outside the normal uterine cavity.1–3 It is a common cause of morbidity and occasionally of mortality in women of reproductive age. The aetiol-ogy of ectopic pregnancy remains uncer-tain although a number of risk factors have been identified. 4 Its diagnosis can be difficult.
Ectopic Pregnancy remains the leading cause of death in early trimester of pregnancy. The incidence of ectopic pregnancy has been rising over the last 20 years. Ectopic pregnancy occurs at a rate of 19.7 cases per 1,000 pregnancies in North America and is a leading cause of maternal mortality in the first trimester[1].
previous ectopic pregnancy, and women at high risk of ectopic pregnancy (e.g. assisted conception, IUD in situ) should be seen by an obstetrician and a management plan formulated.
Clinical features can vary according to the site of the ectopic pregnancy, and the gestational age. Many ectopic pregnancies follow a relatively chronic course, making clinical diagnosis difficult, and sudden collapse associated with tubal rupture is unusual (less than 10% of cases) (Stabile, 1996).
Ectopic pregnancy. This information is for you if you want to know more about ectopic pregnancy, how it is diagnosed and . how it is treated. It may also be helpful if you are a relative or friend of someone with a suspected or confirmed ectopic pregnancy.
Be aware that ectopic pregnancy can present with a variety of signs on examination by a healthcare professional. Signs of ectopic pregnancy include: • more common signs: － pelvic tenderness － adnexal tenderness － abdominal tenderness • other reported signs: － cervical motion tenderness － rebound tenderness or peritoneal signs
