ectopic%20pregnancy
ECTOPIC PREGNANCY
Ectopic pregnancy happens when the fertilized ovum implants outside the endometrial lining of the uterus.
Accurate early diagnosis is life-saving, reduces invasive diagnostic procedures & allows conservative treatment that can preserve fertility.
Ectopic pregnancy must be excluded in women of reproductive age w/ a positive pregnancy test, abdominal pain & vaginal bleeding.
Ruptured ectopic pregnancy remains to be the leading cause of maternal mortality in the first trimester.

Patient Education

  • Advise the patient on the advantages and disadvantages of each treatment option
  • Women may grieve at the loss of pregnancy and may need appropriate support
  • Explain that fertility rates after either medical or surgical management are similar in patients with no history of subfertility or tubal pathology  
    • In patients with a history of subfertility, improved reproductive outcomes are observed with medical or expectant management than with surgery 
  • Women undergoing medical management should avoid alcoholic beverages, NSAIDs, vitamins containing folic acid, sexual intercourse, sun exposure due to risk of Methotrexate dermatitis, and ultrasound and pelvic examinations during Methotrexate therapy surveillance
  • Patient with confirmed ectopic pregnancy should avoid using intrauterine device as contraception since this can increase the chance of ectopic pregnancy
  • Describe the side effects of medical therapy and symptoms to monitor (eg severe abdominal pain, lightheadedness)
  • Patients should be advised regarding their risk of future ectopic pregnancy
    • In patients with no history of subfertility or tubal pathology, no difference in the risk of future tubal ectopic pregnancy or tubal patency rates is seen between the different management approaches
Digital Edition
Asia's trusted medical magazine for healthcare professionals. Get your MIMS JPOG - Malaysia digital copy today!
Sign In To Download
Editor's Recommendations
Most Read Articles
Roshini Claire Anthony, 06 Apr 2018

A better quality of diet during pregnancy is associated with lower neonatal adiposity and longer infant length at birth, according to findings from the GUSTO* study.

07 Apr 2018
Female cyclists do not have significantly worse urinary or sexual function compared with other athletes, a recent study has shown. However, other genitourinary conditions, such as saddle sores and genital numbness, are associated with cycling and may lead to sexual dysfunction.
Kavitha G. Shekar, 04 May 2016
Cannabis use during pregnancy increases the risk of maternal anaemia, and causes several adverse outcomes in infants like low birth weight (LBW), and increased neonatal intensive care unit (NICU) admissions, show findings of a systematic review and meta-analysis.
Pearl Toh, 07 Apr 2018
Managing asthma with short-acting β-agonists (SABAs) was associated with reduced fertility in women, while the use of inhaled corticosteroids (ICS) with or without long-acting β-agonists (LABAs) was not, according to the SCOPE* study.