Abstract

Aims/Objectives

The aim of this audit was to review all cases of tubal ectopic pregnancy diagnosed and managed in CUMH in 2025 against national standards from the National Clinical Practice Guideline on the Diagnosis and Management of Ectopic Pregnancy 2024 (National Women and Infants Health Programme and Institute of Obstetricians & Gynaecologists 2024).

Methods

Retrospective audit of all women diagnosed with ectopic pregnancy in CUMH in 2025. Eligible cases were identified from the local early pregnancy ectopic database. Electronic health care records of eligible cases were reviewed and anonymised clinical data transcribed to an excel datasheet. Descriptive statistics were utilised to evaluate current practice in CUMH against national standards. Approval for this project was granted by the CUMH RAAC Committee (Ref: 202625).

Results

There were 5955 early pregnancy departmental ultrasounds performed in CUMH in 2025 and 81 cases of tubal ectopic pregnancy diagnosed and managed in CUMH in 2025. In 39.2% emergency contact information and written information was documented as provided at time of diagnosis. Primary management was surgical (62.9%), medical (18.5%) or conservative (18.5%). There were no cases of incorrect diagnosis of intrauterine pregnancy or miscarriage. Diagnosis of ectopic pregnancy was captured on the electronic health care record in 23%. A ruptured ectopic pregnancy occurred in 16.1% undergoing investigation/treatment and surgical management was ultimately required in 80.2% of cases. 

Discussion

This is the first audit of tubal ectopic pregnancy in CUMH against published national standards. It has identified key areas for improvement and provided information for local education. A benchmark has also been established for future annual audits.