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Diagnosis and management of Ectopic pregnancy
An ectopic pregnancy occurs when a fertilised ovum implants outside the normal uterine cavity. It is a common cause of morbidity and occasionally of mortality in women of reproductive age. The aetiology of ectopic pregnancy remains uncertain although a number of risk factors have been identified. Its diagnosis can be difficult. In current practice, in developed countries, diagnosis relies on a combination of ultrasound scanning and serial serum beta-human chorionic gonadotrophin (β-hCG) measurements.5 Ectopic pregnancy is one of the few medical conditions that can be managed expectantly, medically or surgically. In the developed world, between 1% and 2% of all reported pregnancies are ectopic pregnancies (comparable to the incidence of spontaneous twin pregnancy).7 The incidence is thought to be higher in developing countries, but specific numbers are unknown. Although the incidence in the developed world has remained relatively static in recent years, between 1972 and 1992 there was an estimated six-fold rise in the incidence of ectopic pregnancy. This increase was attributed to three factors: an increase in risk factors such as pelvic inflammatory disease and smoking in women of reproductive age, the increased use of assisted reproductive technology (ART) and increased awareness of the condition, facilitated by the development of specialized early pregnancy units (EPUs).
About the Speaker

Dr. Yamini Dhar
Specialist in Obstetrics & Gynaecology, AlZahra Hospitals, UAE
She is committed to continued learning and professional development in all areas, and recognises the role this plays in further enhancement of skills. She has special interests in areas of Maternal & Fetal Medicine, Obstetric Ultrasound Reproductive Health, Colposcopy and Treatment of Cervical Neoplasia. She has teaching experience in practical and theoretical training of RMOs in CTG and surgeries. Additionally she also presented poster - Pilot Study on Colposcopy in Annual Conference, Sheffield UK
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