Heterotopic Pregnancy

Spontaneous heterotopic pregnancy is rare and is reported to occur in between 1:10 000 and 1:50 000 pregnancies (Figure 8.5).11 They are

Ectopic Pregnancy
Figure 8.5 Heterotopic pregnancy - spontaneous conception. (Reproduced with permission from Condous et al. Best Pract Res Clin Obstet Gynaecol, 2004; 18:37-57.)

often missed as once an intrauterine pregnancy has been visualized it is often assumed that an ectopic pregnancy cannot be present. However women who have undergone assisted reproductive techniques (ARTs) have an incidence of heterotopic pregnancy as high as 1%." Therefore, if an intrauterine sac is confirmed on TVS in these women, the adnexae must be carefully inspected to exclude tubal pathology. In women who have undergone ARTs, even with a confirmed intrauterine gestational sac, if they have ongoing abdominal pain with or without haemodynamic compromise, a hetero-topic pregnancy should always be considered. These pregnancies do represent a management problem. Conservative management is difficult as hCG levels cannot be interpreted in the presence of a viable intrauterine pregnancy and surgery is usually the treatment of choice.

Was this article helpful?

0 0
My First Baby

My First Baby

Are You Prepared For Your First Baby? Endlessly Searching For Advice and Tips On What To Expect? Then You've Landed At The Right Place With All The Answers! Are you expecting? Is the time getting closer to giving birth to your first baby? So many mothers to be are completely unprepared for motherhood and the arrival of a little one, but stress not, we have all the answers you need!

Get My Free Ebook

Post a comment