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Revista Médica Sinergia

2021, Number 05

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Revista Médica Sinergia 2021; 6 (05)

Overview of ectopic pregnancy

Espinoza GS, Garnier FJC, Pizarro AG

Language: Spanish
References: 15
Page: 1-9
PDF size: 164.34 Kb.


ABSTRACT

Ectopic pregnancy is the one that occurs outside the uterine cavity. It has a prevalence of 1-2%, which has been increasing due to the more frequent use of assisted reproduction techniques. In addition, a mortality rate of 2.7%. The main risk factor is having a history of previous ectopic pregnancy. It is located in more than 90% of the cases in the fallopian tube, mainly in the ampulla. The diagnosis is based on the quantitative measurement of human chorionic gonadotropin and transvaginal ultrasound. The most frequent clinical manifestations are vaginal bleeding, abdominal pain and amenorrhea. There are 3 ways to treat this pathology, expectant management, medical management based on the administration of methotrexate, and surgical management which is usually indicated in ruptured ectopic pregnancy and in women with hemodynamic instability. The most important complication is the rupture of the ectopic pregnancy which occurs in 15-20% of ectopic pregnancies and is a major cause of maternal mortality.


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