Ectopic Pregnancy

The ectopic pregnancy is a pregnancy develops outside the uterus. The vast majority of pregnancies are ectopic pregnancies in the fallopian tube or tubal pregnancies. The ectopic pregnancy is a surgical emergency as it ruptured. His diagnosis is increasingly early to avoid its rupture and the involvement and the prognosis for non-surgical treatment under certain strict conditions. 

It is a surgical emergency that may affect the prognosis of the mother or her future fertility.

In women without contraception, the two main risk factors are part of a history of genital infection or tubal surgery and other tobacco. The hormone assays, ultrasound and laparoscopy changed the management of the disease.

Ectopic pregnancy rate per 1000 diagnoses conception, pregnancy or live birth has been reported to range from 2.7 to 12.9. This incident represents an increasing trend in recent decades. Among the factors involved is the increased use of an intrauterine device, pelvic inflammatory disease, which advanced maternal age, surgery on the tuba, and treatment of infertility with superovulasi induction therapy. In the 1980s, ectopic pregnancy becomes a serious complication of pregnancy, accounted for 11% of maternal deaths occur in the United States.

As a life-threatening situation, ectopic pregnancy midwifery requires scientists to find methods of advanced treatment. Although the primary management of ectopic pregnancy is surgery, but now began to be developed for managing the drug is with methotrexate. This method seems effective and safe enough so that it can become an alternative method in the treatment of ectopic pregnancy. But not all patients diagnosed with ectopic pregnancy should get therapy and therapy medisinalis is not 100% effective. The doctors must consider carefully indications, contraindications and side effects of therapy medisinalis.