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Tubal Ectopic Pregnancy

Article Number: SIS156790AI220525
22nd May, 2025
Author(s):
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
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