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Tubal Ectopic Pregnancy
Publication Date: March 1, 2018
Last Updated: March 14, 2022
Summary of Recommendations
The following recommendations are based on good and consistent scientific evidence.
In clinically stable women in whom a nonruptured ectopic pregnancy has been diagnosed, laparoscopic surgery or intramuscular methotrexate administra- tion are safe and effective treatments. The decision for surgical management or medical management of ectopic pregnancy should be guided by the initial clinical, laboratory, and radiologic data as well as patient-informed choice based on a discussion of the benefits and risks of each approach.
Surgical management of ectopic pregnancy is required when a patient is exhibiting any of the following: hemodynamic instability, symptoms of an ongoing ruptured ectopic mass (such as pelvic pain), or signs of intraperitoneal bleeding.
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Overview
Title
Tubal Ectopic Pregnancy
Authoring Organization
American College of Obstetricians and Gynecologists
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