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ECTOPIC PREGNANCY. Dr. Madhavi Karki. Definition. Sites of Implantation:. Fig: Implantation Sites in Ectopic Pregnancy. ETIOLOGY. History – Taking . Clinical Features of Ectopic Pregnancy. Investigations : . Differential Diagnosis. Management of ectopic pregnancy : . ACUTE :

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Ectopic pregnancy

ECTOPIC PREGNANCY

Dr. Madhavi Karki










Management of ectopic pregnancy
Management of ectopic pregnancy :

  • ACUTE :

    PRINCIPLE : RESUSITATION AND LAPAROTOMY

  • PATIENT SHOULD LIE IN BED

  • Morphine IM 15mg

  • 5% dextrose drip

  • Arrangement for blood

  • Laparotomy

  • Chronic :

    - Laparotomy


  • Unruptured Tubal Pregnancy :

  • Medical management :

    Drugs: methotrexate

  • Conservative surgery :

    salpingostomy

    salpingectomy

    Rh – negative woman : Anti-D gamma globulin – 50 microgram IM should be given following operation to prevent isoimmunization


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