Evidence base: Ectopic Pregnancy

A summary of the evidence base for the management of ectopic pregnancy.

3D ultrasound of an ectopic pregnancy at seven weeks (Photograph: SPL)
3D ultrasound of an ectopic pregnancy at seven weeks (Photograph: SPL)

Evidence base
Although there are changing trends in the management of ectopic pregnancy, methods of diagnosis and identification of patients at risk of rupture have remained constant.

Guidelines

This describes the management guidelines followed by early pregnancy clinics and gynaecologists once the patient has been referred to hospital and lists the evidence it is based upon.

Key texts

  • Mascarenhas LJ. Ectopic pregnancy. In: Luesley D, Baker P, Drife J. Obstetrics and gynaecology; an evidence-based text for MRCOG. London: Hodder Arnold 2004.

These chapters summarise current knowledge and the most recent evidence base for diagnosis and management.

Curriculum
This topic is covered in the GP curriculum in statement 10.1 Women's Health

Online

This is a charity website with forums for patients affected by ectopic pregnancy and information for patients and professionals.

This is an excellent illustrated information booklet for patients which can be downloaded. It answers questions including prognosis and risk of recurrence.

Contributed by Dr Polly Weston, senior registrar in obstetrics and gynaecology at Southmead Hospital, Bristol

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