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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

slide12
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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