Jan M. Kriebs, CNM, MSN, FACNM, is Assistant Professor in the Department of Obstetrics, Gynecology and Reproductive Sciences and Director of the Midwifery Practice at the University of Maryland.
Article first published online: 31 DEC 2010
2006 American College of Nurse Midwives
Journal of Midwifery & Womens Health
Volume 51, Issue 6, pages 431–439, November-December 2006
How to Cite
Kriebs, J. M. and Fahey, J. O. (2006), Ectopic Pregnancy. Journal of Midwifery & Womens Health, 51: 431–439. doi: 10.1016/j.jmwh.2006.07.008
- Issue published online: 31 DEC 2010
- Article first published online: 31 DEC 2010
- ectopic pregnancy;
- pregnancy diagnosis;
- first trimester bleeding;
- pregnancy tests;
- spontaneous abortion;
- pregnancy complications
The incidence of ectopic pregnancy in the United States has been reported to be as high as 20 per 1000 pregnancies, a more than 4-fold increase over the last 20 years. Clinical presentation can range from subtle, nonspecific abdominal complaints to acute onset pain or hemorrhagic bleeding. This article reviews the associated risk factors, pathophysiology, diagnosis, and management of ectopic pregnancy. Clinicians must maintain a high index of suspicion whenever women who might be pregnant have abdominal complaints.