7.2. Complications of Pregnancy - Ectopic Pregnancy

Question 1

What is an Ectopic Pregnancy?

Answer 1

Pregnancy implanted outside of the Uterine Cavity

Question 2

Where is Pregnancy implanted, in Ectopic Pregnancy?

Answer 2

1. Ampullary - Most Common
2. Isthmus - Second Most Common
3. Interstitial - Rare (2-5%)

Question 3

What is the Incidence of Ectopic Pregnancy?

Answer 3

1:90 Pregnancies

Question 4

What are the Risk Factors for Ectopic Pregnancy?

Answer 4

1. Pelvic Inflammatory Disease
2. Previous Tubal Surgery
3. Previous Ectopic Pregnancy
4. Assisted Conception

Question 5

How does Ectopic Pregnancy present?

Answer 5

1. Period of Ammenorrhoea (with Positive Pregnancy Test)
2. +/- Vaginal Bleeding
3. +/- Pain in the Abdomen
4. +/- G.I. or Urinary Symptoms

Question 6

What Investigations can be carried out for Ectopic Pregnancy?

Answer 6

1. Scan
2. Serum Beta Human Chorionic Gonadotrophin (BHCG) Levels
3. Serum Progesterone Levels

Question 7

What will be seen on a Scan in Ectopic Pregnancy?

Answer 7

1. No intrauterine Gestational Sac
2. May see Adnexal Mass
3. Fluid in the Pouch of Douglas

Question 8

What is the Management of Ectopic Pregnancy?

Answer 8

1. Medical - Methotrexate
2. Surgical:
3. a) Laparoscopic Salpingectomy
4. b) Laparoscopic Salpingotomy (for Few Indication)
5. Conservtive