An update and review of nontubal ectopic pregnancy management

Katherine Kostroun, Virginia Arlene Go, Randal D. Robinson

Research output: Contribution to journalReview articlepeer-review

1 Scopus citations

Abstract

Purpose of reviewNontubal ectopic pregnancies appear to be increasing in prevalence. Increasingly, minimally invasive methods for management are being utilized. A current literature review and recommendations for management of nontubal ectopic pregnancy is presented in this review.Recent findingsNontubal ectopic pregnancies are less common than tubal ectopic pregnancies but present a unique and significant threat to patient's health and are optimally managed by specialists familiar with the condition. Early diagnosis, prompt treatment and close follow-up to resolution are critical. Recent publications focus on fertility-sparing and conservative management through the use of medications both systemic and local; as well as minimally invasive surgical techniques. The Society of Maternal Fetal Medicine recommends against expectant management of cesarean scar pregnancies; however, optimal treatment is unknown and this holds true for management of other nontubal ectopic pregnancies.SummaryMinimally invasive and fertility sparing management should be the mainstay in treatment of stable patients with nontubal ectopic pregnancy.

Original languageEnglish (US)
Pages (from-to)279-287
Number of pages9
JournalCurrent Opinion in Obstetrics and Gynecology
Volume35
Issue number4
DOIs
StatePublished - Aug 1 2023

Keywords

  • cervical ectopic
  • cesarean scar ectopic
  • fertility-sparing management
  • interstitial ectopic
  • nontubal ectopic pregnancy

ASJC Scopus subject areas

  • Obstetrics and Gynecology

Fingerprint

Dive into the research topics of 'An update and review of nontubal ectopic pregnancy management'. Together they form a unique fingerprint.

Cite this