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By ULY CLINIC

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.    

Diagnostic criteria

 

Unruptured ectopic pregnancy

  • Sporting in early pregnancy

  • Abdominal and pelvic pain

Ruptured ectopic pregnancy

  • Acute abdominal and pelvic pain

  • Hypotension

  • Fast and weak pulse

  • Abdominal distension and tenderness

  • Shoulder tip pain 

Investigations

  • Perform ultrasonography

  • Hb level

  • Grouping and cross-matching

Referral

  • 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. 

 

Updated on, 3.11.2020

References

1. STG

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