It is a pregnancy that implanted outside the uterus. Ectopic pregnancy usually happen in the fallopian tube and rarely in cervix or abdominal cavity. An ectopic pregnancy can’t survive, and the growing tissue may destroy various maternal structures and also cause internal hemorrhage.
Scientific Update (October 2026)
This chapter was first published in 2018 as part of the Prenatal Care Book, and has been reviewed and updated according to the latest guidelines. Key updates:
- An IUD lowers the overall risk of pregnancy, but if pregnancy does occur with an IUD in place, it is more likely to be ectopic.
- Methotrexate injection is suitable when the woman is stable and the hCG level is usually below 1500 IU/L; with laparoscopic surgery, future fertility is similar whether the tube is removed or opened.
References: NICE ectopic pregnancy and miscarriage (NG126), RCOG Green-top Guidelines.
International Guidelines
In line with global standards, Dr. Sabry follows the latest recommendations from the American Society for Reproductive Medicine (ASRM), European Society of Human Reproduction and Embryology (ESHRE), and Royal College of Obstetricians and Gynaecologists (RCOG). Thus, patients receive care that is safe, ethical, and evidence-based.
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