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Rev Med Inst Mex Seguro Soc. 2016 Nov-Dec;54(6):787-792.

[Effectiveness of a Rapid Response Team (RRT) in a case of ruptured ectopic pregnancy].

[Article in Spanish; Abstract available in Spanish from the publisher]

Author information

1
Hospital General Regional 1 "Vicente Guerrero", Instituto Mexicano del Seguro Social, Acapulco, Guerrero, México. guillermina.juanico@imss.gob.mx.

Abstract

in English, Spanish

BACKGROUND:

An ectopic pregnancy happens when a fertilized egg attaches somewhere outside the endometrial surface. This sort of pregnancy has an estimated incidence of 1.6 to 2 each 100 births. The main objective was to expose the effective answer of a Rapid Response Team in a case of ruptured cervical ectopic pregnancy. We also describe a clinical case of this sort of pregnancy.

CLINICAL CASE:

37-year-old female with a two-month history of amenorrhea. The patient entered the Labor & Delivery department with hypovolemic shock secondary to vaginal bleeding. The Código Mater (Mater Code) was activated and the Rapid Response Team arrived to the L&D department. This team performed pelvic examination and detected tissue in cervix with mild bleeding. The pelvic ultrasound displayed the presence of gas and the endometrium status was normal (no gestational sac was detected). The immunologic test for pregnancy was positive. It was diagnosed cervical ectopic pregnancy and hypovolemic shock.

CONCLUSION:

Providing timely access to care with standardized criteria by interdisciplinary teams in all the cases of obstetric emergency avoids maternal deaths related to obstetric hemorrhage.

KEYWORDS:

Ectopic pregnancy ; Hemorrhagic shock

PMID:
27819791
[Indexed for MEDLINE]

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