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  1. 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.

  2. Healthcare professionals providing care for women with early pregnancy complications in any setting should be aware that early pregnancy complications can cause significant distress for some women and their partners.

  3. Provide patient education of ways to prevent future ectopic pregnancies. Educate patient of risk factors and lifestyle changes to avoid future ectopic pregnancies: Stop smoking Multiple sex partners increase the risk of pelvic infections and ectopic pregnancies.

  4. Overview. 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.

  5. 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].

  6. diagnosis of ectopic pregnancy. Previously, the incidence of heterotopic pregnancy has been thought to be as low as 1:30 000 (DeVoe & Pratt, 1948). The increasing incidence of ectopic pregnancy and the use of ovulation induction drugs and ART has made heterotopic pregnancy more common and should always be considered in such women.

  7. Ectopic pregnancy affects 1% to 2% of all pregnancies and is responsible for 9% of pregnancy-related deaths in the United States. When a pregnant patient presents with first-trimester...

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