ECTOPIC PREGNANCY

• Pregnancy that occur in extrauterine area with implantation usually occurring in ampulla of the fallopian tubes/outer third portion.
• Manifestations include unilateral, cramping pain and tenderness before rupture; nausea and vomiting occasional before rupture and frequent after; mass in adnexia or culde sac; slight dark red vaginal bleeding; leukocytosis, low hemoglobin and hematocrit, elevated ESR.
• Diagnosis made by laparoscopy and ultrasound.
• May result to maternal and fetal death and infertility.
• Provide preventive measures for shock and administer antibiotics and Rhogam as needed.