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The Tubal ectopic pregnancy can be managed depending on the clinical varieties, on the basis of that the management is explained here. 1. Acute (Ruptured)- Resuscitation with laparotomy to be done, and salpingectomy of the damaged tube is the only treatment. 2. Chronic - Laparotomy with salpingectomy 3. Unruptured - It depends on the clinical condition of the woman. A. Expectant management - When beta hCG is less than 1000 IU/L with a continuous declining level of beta hCG. Gestational sac size is less than 3 c.m. So only close monitoring of beta hCG is to be done until remain undetectable in serum. B. Medical Management - Methotrexate (Chemotherapeutic drug) Can be administered systemically or directly. I/M 50mg/m2 on day 1 Then check the level of beta hCG, from day 4 to day 7, if the level declines more than equal to 15% then check the level of beta hCG, weekly until undetectable in serum. If the level is less than15% then repeat the same dose of MTX and monitor in the same manner as done previously. -If still fails stop the medical management and prefer surgical management only. C. Surgical Management - Either enter through laparotomy / Laparoscopy Either by Salpingostomy / Salpingectomy depends on certain criteria. ____________________________________________________________ 00:00 Introduction of Ectopic Pregnancy 00:59 Management in Acute variety of Tubal ectopic pregnancy 03:38 Management in Chronic variety of Tubal ectopic pregnancy 05:43 Expectant Management of Unruptured Tubal ectopic pregnancy 08:08 Medical Management of Unruptured Tubal ectopic pregnancy 17:22 Surgical Management of Unruptured Tubal ectopic pregnancy ___________________________________________ Click here for the videos of - Ectopic Pregnancy part 1(Sites of implantation) - • Ectopic Pregnancy | Sites of Implantations... Ectopic Pregnancy part 2 (Signs & Symptoms) - • Ectopic Pregnancy signs and symptoms | Dia... ****** For more Lectures, please visit ******* Mobile App: https://play.google.com/store/apps/de... YouTube Channel - / nursinglecture Official Website - http://nursinglecture.com/ Facebook - / nursinglecture _____________________________________________________________ #Management_of_Ectopic_Preganancy #Ruptured_Tubal_Pregnancy #Unruptured_Tubal_Pregnancy #Management_of_Ectopic_Pregnancy_Nursing_Lecture #Ectopic_Pregnancy_in_English_Nursing_Lecture #Laparotomy #Laparoscopy #Salpingectomy #Salpingostomy #Nursing_Lecture #Nursing_Lecture_in_English #ectopic_pregnancy_management_ppt #ectopic_pregnancy #ectopic_pregnancy_symptoms #ectopic_pregnancy_meaning #ectopic #tubal_pregnancy #ectopic_meaning #ectopic_pregnancy_is #ectopic_pregnancy_causes #ectopic_pregnancy_treatment #ectopic_pregnancy_symptoms_start #cornual_uterus #ruptured_ectopic_pregnancy #ectopic_pregnancy_slideshare #ectopic_pregnancy_meaning_in_english #signs_of_ectopic_pregnancy #fallopian_tube_pregnancy #ectopic_pregnancy_ultrasound #ectopic_pregnancy_definition #types_of_ectopic_pregnancy #ectopic_pregnancy_are_referred_to_as #heterotopic_pregnancy #ectopic_pregnancy_hcg_levels