title: [Update on Current Care Guidelines: Ectopic pregnancy].
abstract: Ectopic pregnancy should be suspected it a woman of fertile age has lower abdominal pain and irregular vaginal bleeding. Symptoms range from almost none to shock. The diagnosis is based on a quantitative serum pregnancy test (hCG) and transvaginal ultrasound. An acute situation requires emergency surgery, whereas patients with mild symptoms should be treated policlinically by follow-up or a single intramuscular dose (1 mg/kg) of methotrexate. No folic acid supplementation is needed. In later pregnancies their location should be verified by transvaginal ultrasound done by the seventh gestational week at the latest.
authors.forename: Juha
authors.initials: J
authors.lastname: Mäkinen
authors.forename: Mira
authors.initials: M
authors.lastname: Töyli
authors.forename: Marko
authors.initials: M
authors.lastname: Niemimaa
authors.forename: Pekka
authors.initials: P
authors.lastname: Kulju
authors.forename: Tarja
authors.initials: T
authors.lastname: Sokka
authors.forename: Piia
authors.initials: P
authors.lastname: Vuorela
mesh_terms: D000020:Abortifacient Agents, Nonsteroidal / Q000008:administration & dosage*; D000208:Acute Disease; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008727:Methotrexate / Q000008:administration & dosage*; D011247:Pregnancy; D011271:Pregnancy, Ectopic / Q000000981:diagnostic imaging* / Q000188:drug therapy*; D012307:Risk Factors; D014463:Ultrasonography
chemical_list: D000020:Abortifacient Agents, Nonsteroidal; D008727:Methotrexate