Ectopic Pregnancy Flashcards
what is the investigation of choice for ectopic pregnancy?
transvaginal ultrasound
how should a ectopic pregnancy measuring <35mm be managed?
expectant or medically
how should a ectopic pregnancy measuring >35mm be managed?
surgically
how should a ruptured ectopic pregnancy be managed?
surgically
how should a ectopic associated with significant pain be managed?
surgically
how should an asymptomatic ecoptic pregnancy be managed?
expectantly
at what level of hCG should an ectopic be managed surgically?
> 5000 IU/L
how should an ectopic with a visible fetal heartbeat be managed?
surgically
what is expectant management of ectopic pregnancy?
- monitoring over 48 hours
- b-hCG rises/symptomatic –> intervene
what is the medical management of an ectopic pregnancy?
methotrexate
what are the contraindications to medical management of ectopic pregnancy?
- visible foetal heartbeat
- ruptured ectopic
- feotus measuring >35mm
what are the indications for an expectant management of ectopic pregnancy?
- foetus size <30mm
- asymptomatic
- declining serum b-hCG
what is the surgical management of an ectopic pregnancy?
- salpingectomy
- salpinogtomy
what is salpingectomy?
surgical removal of one or both fallopian tubes
what is a salpingostomy?
creation of an opening into the fallopian tube, but the tube itself is not removed in this procedure
what is the 1st line surgical management in ectopic pregnancy?
salpingectomy
when is salpinogtomy considered in ectopic pregnancy management?
women with risk factors for infertility
e.g. contralateral tube damage
