Since an ectopic pregnancy can present a life threatening condition, the following information is reviewed with patients suspected of having an ectopic pregnancy:

Ectopic precautions

Ectopic pregnancy was discussed with the patient. We discussed that fertilization occurs in the fallopian tube and that is why an ectopic pregnancy is so dangerous ( i.e- risk of tubal rupture with internal hemorrhage). We briefly noted that ectopic pregnancies may occur anywhere OUTSIDE the uterus, but most commonly in the fallopian tube. She understands that abdominal/pelvic pain, vaginal bleeding, dizzy spells and/or fainting could be signs of an ectopic pregnancy. We specifically discussed that an ectopic pregnancy can be a life threatening event and that she will need to call 911 and go to the emergency room immediately, if any of the above signs or symptoms occur. We discussed the need to draw serial blood samples to evaluate the growth of the pregnancy. We discussed the need for sequential sonograms. She understands that she will need a Rhogam injection if she has Rh Negative blood. She understands that she will need weekly office visits until we can verify fetal cardiac activity in utero.