Society guideline links: Ectopic pregnancy

Introduction — 

This topic includes links to society and government-sponsored guidelines from selected countries and regions around the world. We will update these links periodically; newer versions of some guidelines may be available on each society's website. Some societies may require users to log in to access their guidelines.

The recommendations in the following guidelines may vary from those that appear in UpToDate topic reviews. Readers who are looking for UpToDate topic reviews should use the UpToDate search box to find the relevant content.

International

●World Health Organization (WHO): Managing complications in pregnancy and childbirth – A guide for midwives and doctors, 2nd edition (2017)

Canada

●Society of Obstetricians and Gynaecologists of Canada (SOGC): Clinical practice guideline for the management of pregnancy of unknown location and tubal and nontubal ectopic pregnancies (2021)

United States

●American College of Emergency Physician (ACEP): Policy statement on emergency physicians' role in the medication and procedural management of early pregnancy loss (2024)

●ACEP: Policy statement on ultrasound guidelines – Emergency, point-of-care, and clinical ultrasound guidelines in medicine (2001, revised 2023)

●American College of Radiology (ACR): ACR Appropriateness Criteria on acute pelvic pain in the reproductive age group (revised 2023)

●Society for Maternal-Fetal Medicine (SMFM): Consult series on cesarean scar ectopic pregnancy (2022)

●American Institute of Ultrasound in Medicine (AIUM): Practice parameter for the performance of a focused ultrasound examination in reproductive endocrinology and female infertility (2019)

●American College of Obstetricians and Gynecologists (ACOG): Practice bulletin on tubal ectopic pregnancy (2018)

●ACEP: Clinical policy – Critical issues in the initial evaluation and management of patients presenting to the emergency department in early pregnancy (2017)

●ACR: ACR Appropriateness Criteria on first trimester vaginal bleeding (revised 2017)

●ACOG: Practice bulletin on ultrasound in pregnancy (2016)

●Society of Radiologists in Ultrasound (SRU): Diagnostic criteria for nonviable pregnancy early in the first trimester (2013)

Europe

●European Society of Human Reproduction and Embryology (ESHRE): Recommendations for good practice on terminology for describing normally sited and ectopic pregnancies on ultrasound (2020)

United Kingdom

●National Institute for Health and Care Excellence (NICE): Guideline on ectopic pregnancy and miscarriage – Diagnosis and initial management (2019, updated 2023)

●Royal College of Obstetricians and Gynaecologists (RCOG): Green-top guideline on diagnosis and management of ectopic pregnancy (2016)

●NICE: Quality standard on ectopic pregnancy and miscarriage (2014)

Australia–New Zealand

●Queensland Health: Maternity and neonatal clinical guideline on early pregnancy loss (2022, amended 2024)

●Department for Health and Wellbeing, Government of South Australia (SA Health): South Australian perinatal practice guideline on bleeding in early pregnancy – Ectopic pregnancy, miscarriage, and PUL (2019, revised 2023)

Japan

●[In Japanese] Japan Society of Obstetrics and Gynecology (JSOG) and Japan Association of Obstetricians and Gynecologists (JAOG): Obstetrics and gynecology clinical practice guidelines – Obstetrics edition (2023)

●[In Japanese] Japanese Society of Interventional Radiology (JSIR): Guidelines for interventional radiologists for obstetric critical hemorrhage (2017, updated 2018)

●[In English] JSIR: Procedural guidelines on interventional radiology for critical hemorrhage in obstetrics (2015)