Advanced extra-uterine pregnancy: A review of the literature

S Ramphal; O P Khaliq; J Moodley

doi:10.7196/sajog.1641

Review article

Advanced extra-uterine pregnancy: A review of the literature

S Ramphal, O P Khaliq, J Moodley

Abstract

Advanced extra-uterine pregnancies, although uncommon, are associated with significant morbidity and mortality. Early diagnosis is essential. A high index of suspicion is necessary and ultrasound examination is probably the most suitable investigative tool to date. Conservative management with the aim of fetal viability in pregnancies >24 weeks’ gestation is an appropriate form of management and does not adversely affect maternal morbidity and mortality.

Authors' affiliations

S Ramphal, Department of Obstetrics and Gynaecology, School of Clinical Medicine, Nelson R Mandela School of Medicine, University of KwaZulu-Natal, Durban, South Africa

O P Khaliq, Department of Obstetrics and Gynaecology, School of Clinical Medicine, Nelson R Mandela School of Medicine, University of KwaZulu-Natal, Durban, South Africa

J Moodley, Department of Obstetrics and Gynaecology, School of Clinical Medicine, Nelson R Mandela School of Medicine, University of KwaZulu-Natal, Durban, South Africa