Page 84 - Critical Maternity & Newborn Health Nursing

(II) Non- Surgical Treatment:

(1) Methotrexate:

It is a folic acid antagonist. can be given if:

• Ectopic pregnancy is unruptured,

• HCG level is less than 15.000-20.000 mIU/ml and

• Patient desires future pregnancy.

(2) Ru-486: It is antiprogesterone was tried but of no promising results.

(3) Prostaglandin F2a: It is injected locally under laparoscopic control

(4) Expectant treatment: Tubal pregnancy may resolve spontaneously

without medical or surgical intervention. This is a very risky decision as

70% of patients may go up to death.

Nursing Management for Management of Ectopic

Pregnancy

1. Ensure that appropriate physical needs are addressed and monitor for
complications. Assess vital signs, bleeding, and pain.

2. Provide client and family teaching to relieve anxiety.

 Explain the condition and expected outcome.

 Maternal prognosis is good with early diagnosis and prompt
treatment, such as laparotomy, to ligate bleeding vessels and repair or

remove the damaged fallopian tube.

 Pharmacologic agents, such as methotrexate followed by
leucovorin,

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