Tubal pregnancy; Cervical pregnancy; Abdominal pregnancy
If the area of the abnormal pregnancy ruptures and bleeds, symptoms may get worse. They may include:
Internal bleeding due to a rupture may lead to low blood pressure and fainting in around 1 out of 10 women.
The health care provider will do a pelvic exam, which may show tenderness in the pelvic area.
Tests that may be done include:
A rise in quantitative HCG levels may help tell a normal (intrauterine) pregnancy from an ectopic pregnancy. Women with high levels should have a vaginal ultrasound to identify a normal pregnancy.
Other tests may be used to confirm the diagnosis, such as:
Houry DE, Salhi BA. Acute complications of pregnancy. In: Marx JA, ed. Rosen's Emergency Medicine: Concepts and Clinical Practice. 7th ed. Philadelphia, Pa: Mosby Elsevier;2009:chap 176.
Lobo RA. Ectopic pregnancy: Etiology, pathology, diagnosis, management, fertility prognosis. In: Katz VL, Lentz GM, Lobo RA, Gershenson DM, eds. Comprehensive Gynecology. 5th ed. Philadelphia, Pa: Mosby Elsevier;2007:chap 17.
Barnhart KT. Ectopic pregnancy. N Engl J Med. 2009;361:379-387.
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