Ectopic pregnancy

O00.0-2/O00.8-9

• Description
• General measures
• Medicine treatment
• Referral

DESCRIPTION

Pregnancy outside the uterus, usually presenting with the combination of:

• amenorrhoea (missed menstrual period)
• sudden lower abdominal pain/ pelvic pain
• vaginal bleeding (os closed)
• dizziness
• shock
• anaemia
• urine pregnancy test usually positive
• shoulder tip pain

Note: Consider ectopic pregnancy in all young women who complain of lower abdominal pain.

GENERAL MEASURES

• Monitor vital parameters, e.g. Hb, pulse, BP, temperature.
• Treat for shock if indicated.

MEDICINE TREATMENT

• Sodium chloride 0.9%, IV.

REFERRAL

Urgent

All suspected cases of ectopic pregnancy.