Sarah P. Hunt, Alon Talmor, Beverley Vollenhoven

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Presentation transcript:

Management of non-tubal ectopic pregnancies at a large tertiary hospital Sarah P. Hunt, Alon Talmor, Beverley Vollenhoven Reproductive BioMedicine Online Volume 33, Issue 1, Pages 79-84 (July 2016) DOI: 10.1016/j.rbmo.2016.03.011 Copyright © 2016 Terms and Conditions

Figure 1 Suggested algorithm for non-tubal ectopic pregnancy management. *Clinical instability: systolic blood pressure < 90 mmHg, haemorrhage requiring blood transfusion, postural blood pressure change > 30 mmHg, syncope or presyncope) or acute surgical abdomen (persisting severe abdominal pain or signs of abdominal peritonism). ¥Patients from rural setting should be transferred to tertiary specialist centre. HCG = human chorionic gonadotrophin; IM = intra-muscular; MTX = methotrexate. Reproductive BioMedicine Online 2016 33, 79-84DOI: (10.1016/j.rbmo.2016.03.011) Copyright © 2016 Terms and Conditions

Figure 2 Pie chart of non-tubal ectopic by location. Reproductive BioMedicine Online 2016 33, 79-84DOI: (10.1016/j.rbmo.2016.03.011) Copyright © 2016 Terms and Conditions

Figure 3 An example of Caesarean scar ectopic after failed medical therapy that required salvage surgical hysterectomy for massive haemorrhage. Reproductive BioMedicine Online 2016 33, 79-84DOI: (10.1016/j.rbmo.2016.03.011) Copyright © 2016 Terms and Conditions