Ectopic Pregnancy With Its Diagnosis Management and Treatment
Definition of Ectopic Pregnancy:
What is the Management of Ectopic Pregnancy?
The management process for ectopic pregnancy have described in the following:
- Immediate hospitalization,
- Two large-bore intravenous cannulas,
- An indwelling catheter placed to monitor urine output,
- Blood is sent for grouping and cross-matching,
- IV fluid infusion (Hartman solution),
- Blood transfusion if needed generally 4-8 bags blood should be kept ready,
- Analgesics,
- Antibiotics,
- Sent the patient to operation theater room as soon as possible,
- Laparoscopy,
- Laparotomy under G/A (after resuscitation),
- Anti D immunoglobulin in RH (negative) mother (within 72 hours).
Complications of Ectopic Pregnancy:
Common complications of ectopic pregnancy have pointed out below:
- Maternal death due to hemorrhage of untreated or mistreated ruptured ectopic,
- Chronic salpingitis,
- Sterilityinfertility- who have undergone surgery,
- Intestinal obstruction,
- Fistula.
Surgical Preparation of Patient of Rupture Ectopic Pregnancy:
After immediate hospitalization, the patient should be prepared in the following way if the patient is hemodynamically unstable then-
- Open I/V channel and IV infusion should start,
- Immediate analgesia by Inj. Pethidine 10mg/IM,
- Catheterization of the patient,
- Start appropriate antibiotic,
- Inform the party about the need for blood transfusion and tell them to manage 4 bags of blood.
Treatment of Unruptured Tubal Pregnancy:
In the case of unruptured tubal pregnancy, there are two options of treatment.
In this case, when the pregnancy test is negative, symptoms are mild and subsiding gynecologists prefer to wait for the spontaneous resolution to take place.
2. Surgery:
In this case, doctors don’t want to take the risk and they prefer to go for surgery and the choice is unilateral salpingectomy or salpingo-oophorectomy.
Differential Diagnosis of Ectopic Pregnancy:
All the differential diagnosis of ectopic pregnancy has pointed out in the following:
- Acute appendicitis,
- Renal colic,
- Torsion of an ovarian cyst,
- Torsion of a pedunculated leiomyoma,
- Acute or subacute salpingitis,
- Abortion complicated by salpingitis,
- Retroverted gravid uterus,
- Rupture of an endometriotic cyst,
- Dysmenorrhea,
- A reaction of an intra-uterine contractive device,
- Intraperitoneal hemorrhage.
- What is an ectopic pregnancy?
- What is tubal pregnancy?
- What are the treatment options for ectopic pregnancies?
- How do they remove an ectopic pregnancy?
- Can ectopic pregnancy resolve on its own?
- Mention the management process of ectopic pregnancy.
- What are the major complications of ectopic pregnancy?
- How will you manage a case of ectopic pregnancy?
- Describe the management of acute ruptured ectopic pregnancy.
- How will you prepare a case of ruptured ectopic pregnancy for laparotomy?
- How will you treat a case of unruptured ectopic pregnancy?
- How to prevent ectopic pregnancy?
- What is the differential diagnosis of ectopic pregnancy?
Maria Khatun Mona is a Founder and Editor of Nursing Exercise Blog. She is a Nursing and Midwifery Expert. Currently she is working as a Registered Nurse at Evercare Hospital, Dhaka, Bangladesh. She has great passion in writing different articles on Nursing and Midwifery. Mail her at “[email protected]”
