Ectopic pregnancy is a high risk condition that occurs in 19 percent of reported pregnancies the condition is the leading cause of pregnancy related death in the first trimester if a woman of reproductive age presents with abdominal pain vaginal bleeding syncope or hypotension the physician. Diagnosis the diagnosis of ectopic pregnancy requires differentiating it from a viable intrauterine pregnancy this is done with the use of ss human chorionic gonadotropin levels ss hcg transvaginal ultrasound and in some cases uterine curettage. This guideline provides evidence based guidance on the diagnosis and management of ectopic pregnancies you can also access this guideline in html this guideline replaces the management of tubal pregnancy which was published in 2004 this is a joint guideline by the rcog and the association of. Draft clinical practice guideline the diagnosis and management of ectopic pregnancy 6 5 clinical guideline 51 clinical assessment about 5 of women with ep present in haemorrhagic shock. This guideline was previously called ectopic pregnancy and miscarriage diagnosis and initial management in early pregnancy of ectopic pregnancy and miscarriage your responsibility the recommendations in this guideline represent the view of nice arrived at after careful consideration of the evidence available when exercising their judgement
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