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Extracted from Survival Guide to Midwifery, 2nd Edition (2012) Diane M. Fraser and Margaret A. Cooper, Oxford; Churchill Livingstone: 2012. Courtesy Elsevier
An ectopic pregnancy is one where implantation occurs at a site other than the uterine cavity. Sites can include:
Women require prompt, appropriate treatment for this life-threatening condition. Midwives need to consider the possibility of ectopic pregnancy being responsible for unexplained abdominal pain and bleeding in early pregnancy.
Risk factors for ectopic pregnancy
Any of the alterations of the normal function of the uterine tube in transporting the gametes contributes to the risk of ectopic pregnancy.
Tubal pregnancy rarely remains asymptomatic beyond 8 weeks.
The Ectopic Pregnancy Trust. Clinical features of an ectopic pregnancy. http://www.ectopic.org.uk/professionals/clinical-features/
NICE. Ectopic pregnancy and miscarriage: diagnosis and initial management. Clinical guideline 154. https://www.nice.org.uk/guidance/cg154