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What you should know about heterotopic pregnancy
OBG Management, 10/09/09
Avery DM et al. – Ectopic pregnancy and extrauterine gestation are life–threatening emergencies that require timely diagnosis and treatment. The traditional treatment for ectopic pregnancy is laparotomy or laparoscopy with removal of the ectopic pregnancy, followed by dilation and curettage (D&C). The curettage removes the decidual cast and clots and is intended to prevent postoperative bleeding. However, curettage could destroy any intrauterine pregnancy that is not yet diagnosed. Therefore, D&C should be withheld until the uterus is confirmed to be empty.
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