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By ULY CLINIC

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Ectopic pregnancy

 

Introduction

 

Ectopic pregnancy (EP) is defined as a pregnancy in which the implantation of the embryo occurs outside the uterine cavity, most frequently in one of the two fallopian tubes or, more rarely, in the abdominal cavity.    

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Diagnostic criteria

 

Unruptured ectopic pregnancy

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  • Sporting in early pregnancy

  • Abdominal and pelvic pain

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Ruptured ectopic pregnancy

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  • Acute abdominal and pelvic pain

  • Hypotension

  • Fast and weak pulse

  • Abdominal distension and tenderness

  • Shoulder tip pain 

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Investigations

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  • Perform ultrasonography

  • Hb level

  • Grouping and cross-matching

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Referral

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  • Ectopic pregnancy is a medical emergency; refer the patient immediately. 

  • At referral health facility, if the rupture is diagnosed perform surgery with blood transfusion depending on the amount of blood loss. 

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Updated on, 3.11.2020

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References

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1. STG

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