Ectopic pregnancy
EBM Guidelines
Jul 5, 2022 • Latest change Jul 5, 2022
Table of contents
Extract
- Always suspect an ectopic pregnancy in a woman of fertile age with pains in the lower part of the abdomen and/or abnormal bleeding.
Linked evidence summaries
- Expectant management appears to be effective for tubal ectopic pregnancy when serum hCG is under 2000 IU/l compared with surgery or methotrexate.B
- Systemic methotrexate appears to be effective for ectopic pregnancy.B
- A high level of serum chorionic gonadotropin appears to predict poor success of methotrexate treatment.B
- Patients with tubal pregnancy appear to have a better chance for next pregnancy after laparoscopic salpingotomy compared with salpingectomy .B
Search terms
Chorionic Gonadotropin, Gynaecology, O00*, Obstetrics, Pregnancy, Pregnancy Tests, Pregnancy, Ectopic, Surgery, Z32.1, metotrexate