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Tubal Ectopic Pregnancy

Authors:
Courtney A. Schreiber, M.D., M.P.H.; Sarita Sonalkar, M.D., M.P.H. Journal: The New England Journal of Medicin

Abstract

Tubal ectopic pregnancy occurs when a fertilized egg implants in the fallopian tube, posing a serious risk of rupture and hemorrhage. This condition accounts for approximately 2% of pregnancies in North America and Europe but disproportionately affects Black women, highlighting racial health disparities in maternal care.

Risk factors include prior ectopic pregnancy, pelvic inflammatory disease, tubal surgery, and cigarette smoking, though half of cases lack identifiable risk factors. Diagnosis is most reliably made using transvaginal ultrasonography, which can detect extrauterine gestational sacs or adnexal masses.


Keywords: tubal ectopic pregnancy pelvic inflammatory disease maternal mortality transvaginal ultrasound methotrexate therapy salpingectomy reproductive health disparities
DOI: https://doi.ms/10.00420/ms/1922/8IWP3/BDD | Volume: 1 | Issue: 1 | Views: 0
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