Update information

Update information

April 2019: We have reviewed the evidence and made new recommendations on the diagnosis of tubal ectopic pregnancy using ultrasound and expectant management of ectopic pregnancy. These recommendations are marked [2019].

We have also made some changes without an evidence review:

  • Recommendation 1.1.2 has had an additional link added to related NICE guidance on antenatal and postnatal health.

  • Recommendation 1.1.3 has been updated to bring the wording on obtaining consent in line with other NICE guidance.

  • Recommendation 1.3.10 has been updated with extra information covering a wider range of factors so that potential ectopic pregnancies are not missed.

  • The headings of section 1.4 and 1.6 have been updated to clarify it only relates to tubal ectopic pregnancy.

  • Recommendation 1.4.16 has been updated to reflect the possibility of a pregnancy of unknown location, and a cross-reference to advice on pregnancy of unknown location added.

  • Recommendation 1.4.22 has been updated to reflect current ultrasound practice.

  • Recommendation 1.6.1 has been updated to include advice on miscarriage in the ectopic pregnancy section.

  • Recommendation 1.4.31 has been updated to make it clear the decrease in serum hCG level is less than 50%.

  • Recommendation 1.6.7 has been changed to reflect current practice and prescribing guidance on methotrexate.

These recommendations are marked [2012, amended 2019].

Recommendations marked [2012] last had an evidence review in 2012. In some cases minor changes have been made to the wording to bring the language and style up to date, without changing the meaning.

ISBN: 978-1-4731-3380-8

  • National Institute for Health and Care Excellence (NICE)