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Ectopic Pregnancy
Alternate Names : Abdominal Pregnancy, Cervical Pregnancy, Tubal Pregnancy
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Ectopic Pregnancy Treatment
In the event that pelvic-organ rupture has occurred because of the ectopic pregnancy, internal bleeding and/or hemorrhage may lead to shock. This is the first symptom of nearly 20% of ectopic pregnancies.
It is an emergency condition. Therefore, initial treatment may be needed to address shock by keeping the woman warm, elevating her legs, and administering oxygen. Treatment with intravenous fluids and sometimes a blood transfusion is performed as soon as possible.
Surgical laparotomy is performed to stop the immediate loss of blood (in cases in which rupture has already occurred), or to confirm the diagnosis of ectopic pregnancy, remove the products of conception, and repair surrounding tissue damage as much as possible. In some cases, removal of the involved fallopian tube may be necessary.
In non-emergency cases, mini-laparotomy or laparoscopy are the most common surgical treatments. Such procedures have similar outcomes. However, they are less invasive and are available at a lower cost because they require minimal hospitalization or outpatient treatment.
Non-surgical (medical) management is being implemented in many medical centers for ectopic pregnancies without suspected immediate danger of rupture. In such cases, methotrexate is administered with careful outpatient monitoring of the woman and serial quantitative HCGs, CBCs, and liver funtion tests.
Ectopic pregnancies cannot continue to term, so removal of the developing cells is necessary to save the life of the mother.
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• Definition
• Ectopic Pregnancy Overview, Causes, & Risk Factors
• Ectopic Pregnancy Symptoms & Signs
• Ectopic Pregnancy Prevention
• Ectopic Pregnancy Diagnosis & Tests
• Ectopic Pregnancy Treatment
• Ectopic Pregnancy Prognosis
• Ectopic Pregnancy Complications
• Calling Your Health Care Provider
• Pictures & Images
Topics that might be of interest to you Diseases & Conditions
• Endometriosis
• Infertility
• Pelvic Inflammatory Disease (PID)
Tests & Exams
• Culdocentesis
• Diagnostic Laparoscopy
• HCG - Qualitative - Serum
• Hematocrit (HCT)
• Pregnancy Test
• Pregnancy Ultrasound
• Serum Progesterone
• Transvaginal Ultrasound
• Ultrasound
• WBC Count
Surgery & Procedures
• Abdominal Exploration
• D and C
• Tubal Ligation
Other Topics
• Back Pain - Low
• Breast Pain
• Cervix
• Epithelium
• Fainting
• Incidence
• Intrauterine
• Invasive
• Menstruation - Absent
• Nausea and Vomiting
• Shock
• Vaginal Bleeding Between Periods
Review Date : 5/21/2002
Reviewed By : Peter Chen, M.D., Department of Obstetrics & Gynecology, University of Pennsylvania Medical Center, Philadelphia, PA. Review provided by VeriMed Healthcare Network.
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