As invited Speaker I send my Abstract Non-tubal ectopic pregnancies

Abstract

Nontubal ectopic pregnancies comprise pregnancies implanted at sites other than the fallopian tube. These ectopic pregnancies may implant in the cervix, caesarean section scar, cornua of the uterus, ovary, or abdominal cavity. Nontubal ectopic pregnancies were considered rare occurrences in the past, but they are becoming more common in recent years. The chief reasons for the rising incidence of these ectopic pregnancies worldwide include increase in pregnancies with assisted reproductive technologies and increase in caesarean section rates. The diagnosis of nontubal ectopic pregnancy is difficult and requires high suspicion and ultrasound expertise. Advances in ultrasound technology and the availability of quantitative beta-hCG have made diagnosis of such pregnancies possible at early gestation. In nontubal ectopic pregnancies, early diagnosis is of utmost importance, because conservative treatment is highly successful and morbidity is minimal in early ectopic pregnancy. The delay in diagnosis is associated with a higher morbidity and requires additional procedures for management. In the past the traditional treatment of nontubal ectopic pregnancies has been hysterectomy or extensive cornual resection, which is associated with high morbidity and loss of reproductive function. Conservative management of nontubal ectopic pregnancies is possible now, although there is no universally accepted protocol to effectively treat these ectopic pregnancies. Nevertheless, conservative medical treatment and less-invasive interventions ultrasound-guided, should be the preferred treatment in these pregnancies. Modern conservative treatment of ectopic pregnancies has overall brought highly successful outcomes with minimal morbidity and preservation of reproductive function.