Diagnosis and Management of Ectopic Pregnancy

A Comprehensive Review for the Osteopathic Physician

Abstract

Ectopic pregnancy (EP) is a serious obstetric complication that can be life-threatening. Age-adjusted incidence of ectopic pregnancy is roughly 15.8 pregnancies per 1000. Despite this seemingly low value, EP remains one of the largest contributors to maternal mortality in the first trimester. While some patients require urgent surgery, there is a role for medical and conservative management in patients who are hemodynamically stable. In cases where medical or conservative management is appropriate, family physicians can choose to manage this condition with collaboration from the patient’s obstetrician. Particularly for residents in the 50% of US counties with no obstetrician, it is imperative for family doctors to diagnose EP quickly and accurately