Ectopic

Question 1

What is ectopic percentage in UK?

Answer 1

In UK 1:90 pregnancies just over 1%

Question 2

What is the normal rise of Bhcg in 48 hours

Answer 2

63%

Question 3

1- Success rate of expectant management?
2- BHCG follow up?

Answer 3

30 to 100%
Repeat BHCG day 2-4-7 if levels drop by 15% or more repeat weekly until leve less than 20iu/L.

Question 4

1What is success of Methotrexate ?
2-What is Methotrexate side effect

Answer 4

15 out of 100 women will need 2 nd injection
7 out of 100 will need surgery
Side effects pain first few days. No long term effect on health or fertility.
Avoid pregnancy 3 months.

Question 5

How to monitor Methotrexate?

Answer 5

Day 4 and day 7 ,
If BHCG decrease by 15% or more between day 4 & 7 repeat weekly until it’s less than 15.

Question 6

How to Salpingotomy follow up?
What is risk of salpingotomy?

Answer 6

1- day 7 then weekly until negative.
2- persistent trophoblast
1 in 5 will need further treatment.

Question 7

Important points to ask in ectopic

Answer 7

Is this a Planned pregnancy
Fertility wishes
Recovery from previous surgery.