Strategies to improve the early detection and management of ectopic pregnancies in primary care


  • Shada Murshed Alharbi Aziziyah Primary Healthcare Center, Ministry of Health, Jeddah, Saudi Arabia
  • Orjuwan Abdulbari Mazi Al Nahdah Primary Healthcare Center, King Fahad General Hospital, Jeddah, Saudi Arabia
  • Marah Rashed Aljassar Farwaniya Hospital, Kuwait City,
  • Danah Jazaa Al-Omani College of Medicine, Arabian Gulf University, Manama, Bahrain
  • Lama Yousef Alharbi Department of Obstetrics and Gynecology, King Saud Medical City, Riyadh, Saudi
  • Yasmen Tawfeeq Rasheed College of Medicine, Batterjee Medical College, Jeddah, Saudi Arabia
  • Mona Abdulrahman Alhagbani Department of Obstetrics and Gynecology, King Saud Medical City, Riyadh, Saudi Arabia
  • Maram Mohammed Alyami King Abdulaziz Airport Health Monitoring: Surveillance Center, King Abdulaziz International Airport, Jeddah, Saudi Arabia
  • Rana Hassan Gadeer King Abdulaziz Airport Health Monitoring: Surveillance Center, King Abdulaziz International Airport, Jeddah, Saudi Arabia
  • Yasmeen Zaki Alsenan Obstetrics and Gynecology Department, Maternity and Children Hospital, Dammam, Saudi Arabia
  • Nuha Eltigani Ibrahim Department of Family Medicine, King Fahad Armed Forces Hospital, Jeddah, Saudi Arabia



Ectopic, Pregnancy, Primary care, Diagnosis


Even in the advanced era of today, maternal morbidity and mortality are quite high; however, most pregnancy-related complications can be successfully prevented by early diagnosis and timely management. The primary care setting is of utmost importance in this regard, as it is the first line of contact between patients and physicians, and regular antenatal care services are provided by most of primary care settings. Ectopic pregnancy is one of the most prevalent pregnancy disorders and is further associated with high-risk complications and mortality. The clinical manifestations may mimic non-ectopic pregnancy conditions, making it difficult to develop diagnostic standards. However, ultrasonography and human chorionic gonadotropin (β-hCG) levels can ensure early diagnosis. Conservative treatment is pursued since surgical management is linked to multiple significant side effects. In most situations, pharmacotherapy using methotrexate in a single- or multi-dose regimen is the preferred course of treatment. Performing ultrasonography as soon as a pregnancy is confirmed to determine the location of the pregnancy, monitoring β-hCG levels, and ensuring prompt referral in the event of a possible ectopic pregnancy that cannot be treated conservatively are all important ways that primary care settings can play a significant role in early diagnosis and prompt management. Additionally, obstetric ultrasonography training for family physicians can help in the early detection of ectopic pregnancy, which can lead to favourable results. The purpose of this research is to review the available information about strategies to improve the diagnosis and management of ectopic pregnancy in primary care.



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How to Cite

Alharbi, S. M., Mazi, O. A., Aljassar, M. R., Al-Omani, D. J., Alharbi, L. Y., Rasheed, Y. T., Alhagbani, M. A., Alyami, M. M., Gadeer, R. H., Alsenan, Y. Z., & Ibrahim, N. E. (2023). Strategies to improve the early detection and management of ectopic pregnancies in primary care. International Journal Of Community Medicine And Public Health, 10(7), 2599–2603.



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