Skip to main content
SpringerLink
Log in

Ruptured Ectopic Pregnancy

  • Chapter
  • First Online:
Principles of Critical Care in Obstetrics

  • 1884 Accesses

Abstract

There is a sixfold increase in the incidence of ectopic pregnancy over the last decade due to increasing popularity of ART procedures and tubal recanalization surgeries and increasing incidence of pelvic inflammatory diseases [1]. The most common clinical presentation of ectopic pregnancy is first-trimester vaginal bleeding and/or abdominal pain [2].

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 79.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 129.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 139.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Chang J, Elam-Evans LD, Berg CJ, Herndon J, Flowers L, Seed KA, Syverson CJ. Pregnancy-related mortality surveillance – United States, 1991–1999. MMWR Surveill Summ. 2003;52(2):1–8.

    PubMed  Google Scholar 

  2. Alkatout I, Honemeyer U, Strauss A, Tinelli A, Malvasi A, Jonat W, et al. Clinical diagnosis and treatment of ectopic pregnancy. Obstet Gynecol Surv. 2013;68(8):571–81.

    Article  PubMed  Google Scholar 

  3. Anderson FW, Hogan JG, Ansbacher R. Sudden death: ectopic pregnancy mortality. Obstet Gynecol. 2004;103(6):1218–23.

    Article  PubMed  Google Scholar 

  4. Leke RJ, Goyaux N, Matsuda T, Thonneau PF. Ectopic pregnancy in Africa: a population-based study. Obstet Gynecol. 2004;103(4):692–7.

    Article  PubMed  Google Scholar 

  5. Job-Spira N, Fernandez H, Bouyer J, Pouly JL, Germain E, Coste J. Ruptured tubal ectopic pregnancy: risk factors and reproductive outcome: results of a population-based study in France. Am J Obstet Gynecol. 1999;180(4):938–44.

    Article  CAS  PubMed  Google Scholar 

  6. Cantwell R, Clutton-Brock T, Cooper G, Dawson A, Drife J, Garrod D, et al. Saving mothers’ lives: reviewing maternal deaths to make motherhood safer: 2006–2008. The eighth report of the confidential enquiries into maternal deaths in the United Kingdom. BJOG. 2011;118 Suppl 1:1–203.

    PubMed  Google Scholar 

  7. Lyons G. Saving mothers lives: confidential enquiry into maternal and child health 2003–5. Int J Obstet Anesth. 2008;17(2):103–5.

    Article  PubMed  Google Scholar 

  8. Robson SJ, O’Shea RT. Undiagnosed ectopic pregnancy: a retrospective analysis of 31 ‘missed’ ectopic pregnancies at a teaching hospital. Aust N Z J Obstet Gynaecol. 1996;36(2):182–5.

    Article  CAS  PubMed  Google Scholar 

  9. Nama V, Manyonda I. Tubal ectopic pregnancy: diagnosis and management. Arch Gynecol Obstet. 2009;279(4):443–53.

    Article  PubMed  Google Scholar 

  10. Condous G, Timmerman D, Goldstein S, Valentin L, Jurkovic D, Bourne T. Pregnancies of unknown location: consensus statement. Ultrasound Obstet Gynecol. 2006;28(2):121–2.

    Article  CAS  PubMed  Google Scholar 

  11. Barnhart K, van Mello NM, Bourne T, Kirk E, Van Calster B, Bottomley C, et al. Pregnancy of unknown location: a consensus statement of nomenclature, definitions, and outcome. Fertil Steril. 2011;95(3):857–66.

    Article  PubMed  PubMed Central  Google Scholar 

  12. Kirk E, Bourne T. Diagnosis of ectopic pregnancy with ultrasound. Best Pract Res Clin Obstet Gynaecol. 2009;23(4):501–8.

    Article  PubMed  Google Scholar 

  13. American Institute of Ultrasound in Medicine. AIUM practice guideline for the performance of obstetric ultrasound examinations. J Ultrasound Med. 2010;29(1):157–66.

    Google Scholar 

  14. Dogra V, Paspulati RM, Bhatt S. First trimester bleeding evaluation. Ultrasound Q. 2005;21(2):69–85; quiz 149-50, 153-4.

    PubMed  Google Scholar 

  15. Dialani V, Levine D. Ectopic pregnancy: a review. Ultrasound Q. 2004;20(3):105–17.

    Article  PubMed  Google Scholar 

  16. Atri M, Leduc C, Gillett P, Bret PM, Reinhold C, Kintzen G, et al. Role of endovaginal sonography in the diagnosis and management of ectopic pregnancy. Radiographics. 1996;16(4):755–74; discussion 775.

    Article  CAS  PubMed  Google Scholar 

  17. Morin L, Van den Hof MC, Diagnostic Imaging Committee, Society of Obstetricians and Gynaecologists of Canada. Ultrasound evaluation of first trimester pregnancy complications. J Obstet Gynaecol Can. 2005;27(6):581–91.

    Article  PubMed  Google Scholar 

  18. Perriera L, Reeves MF. Ultrasound criteria for diagnosis of early pregnancy failure and ectopic pregnancy. Semin Reprod Med. 2008;26(5):373–82.

    Article  PubMed  Google Scholar 

  19. Barnhart KT, Sammel MD, Rinaudo PF, Zhou L, Hummel AC, Guo W. Symptomatic patients with an early viable intrauterine pregnancy: HCG curves redefined. Obstet Gynecol. 2004;104(1):50–5.

    Article  PubMed  Google Scholar 

  20. Condous G, Lu C, Van Huffel SV, Timmerman D, Bourne T. Human chorionic gonadotrophin and progesterone levels in pregnancies of unknown location. Int J Gynaecol Obstet. 2004;86(3):351–7.

    Article  CAS  PubMed  Google Scholar 

  21. Kadar N, Romero R. HCG assays and ectopic pregnancy. Lancet. 1981;1(8231):1205–6.

    Article  CAS  PubMed  Google Scholar 

  22. Bouyer J, Coste J, Fernandez H, Pouly JL, Job-Spira N. Sites of ectopic pregnancy: a 10 year population-based study of 1800 cases. Hum Reprod. 2002;17(12):3224–30.

    Article  CAS  PubMed  Google Scholar 

  23. Thornton KL, Diamond MP, DeCherney AH. Linear salpingostomy for ectopic pregnancy. Obstet Gynecol Clin N Am. 1991;18(1):95–109.

    CAS  Google Scholar 

  24. Clausen I. Conservative versus radical surgery for tubal pregnancy. A review. Acta Obstet Gynecol Scand. 1996;75(1):8–12.

    Article  CAS  PubMed  Google Scholar 

  25. Parker J, Bisits A. Laparoscopic surgical treatment of ectopic pregnancy: salpingectomy or salpingostomy? Aust N Z J Obstet Gynaecol. 1997;37(1):115–7.

    Article  CAS  PubMed  Google Scholar 

  26. Hajenius PJ, Mol F, Mol BW, Bossuyt PM, Ankum WM, van der Veen F. Interventions for tubal ectopic pregnancy. Cochrane Database Syst Rev. 2007;1:CD000324.

    PubMed  Google Scholar 

  27. Sharma JB, Gupta S, Malhotra M, Arora R. A randomized controlled comparison of minialpartomy and lapartomy in ectopic pregnancy cases. Indian J Med Sci. 2003;57(11):493–500.

    CAS  PubMed  Google Scholar 

  28. Mukul LV, Teal SB. Current management of ectopic pregnancy. Obstet Gynecol Clin N Am. 2007;34(3):403–19, x.

    Article  Google Scholar 

  29. Hajenius PJ, Mol BW, Ankum WM, van der Veen F, Bossuyt PM, Lammes FB. Clearance curves of serum human chorionic gonadotrophin for the diagnosis of persistent trophoblast. Hum Reprod. 1995;10(3):683–7.

    CAS  PubMed  Google Scholar 

  30. Spandorfer SD, Sawin SW, Benjamin I, Barnhart KT. Postoperative day 1 serum human chorionic gonadotropin level as a predictor of persistent ectopic pregnancy after conservative surgical management. Fertil Steril. 1997;68(3):430–4.

    Article  CAS  PubMed  Google Scholar 

  31. Seifer DB. Persistent ectopic pregnancy: an argument for heightened vigilance and patient compliance. Fertil Steril. 1997;68(3):402–4.

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Head of the Department, Department of Obstetrics and Gynaecology, MES Medical College, Perinthalmanna, Kerala, India

    Abdul Vahab (Professor)

  2. Department of Obstetrics and Gynaecology, MES Medical College, Perinthalmanna, Kerala, India

    P. Mumtaz (Associate Professor)

Authors
  1. Abdul Vahab
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. P. Mumtaz
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Abdul Vahab .

Editor information

Editors and Affiliations

  1. Arihant Women’s Hospital, Ahmedabad, Gujarat, India

    Alpesh Gandhi

  2. Global Rainbow Healthcare, Agra, India

    Narendra Malhotra

  3. Art Rainbow-IVF, Agra, India

    Jaideep Malhotra

  4. Obsetrics and Gynecology, SN Medical College, Agra, India

    Nidhi Gupta

  5. Bharti Vidya Peethmedical College, Pune, India

    Neharika Malhotra Bora

Rights and permissions

Reprints and permissions

Copyright information

© 2016 Springer India

About this chapter

Cite this chapter

Vahab, A., Mumtaz, P. (2016). Ruptured Ectopic Pregnancy. In: Gandhi, A., Malhotra, N., Malhotra, J., Gupta, N., Bora, N. (eds) Principles of Critical Care in Obstetrics. Springer, New Delhi. https://doi.org/10.1007/978-81-322-2692-5_19

Download citation

  • DOI: https://doi.org/10.1007/978-81-322-2692-5_19

  • Published:

  • Publisher Name: Springer, New Delhi

  • Print ISBN: 978-81-322-2690-1

  • Online ISBN: 978-81-322-2692-5

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation