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Warning-sign checks

Tubal pregnancy: when to get help

Go through these in order and stop at the first one that applies. If you are reading this for someone else, answer for them.

  1. 1

    Is any of this happening now?

    Call 911

    Seek emergency medical help now if you may be pregnant and have:

    • Sudden or severe abdominal or pelvic pain
    • Fainting, collapse, marked weakness, or severe dizziness
    • Shoulder-tip pain together with abdominal pain or bleeding
    • Heavy bleeding or signs of shock, such as pale, cold, clammy skin

    These symptoms can indicate rupture and internal bleeding.

    Do not drive yourself if you feel faint or severely unwell.

    During treatment or monitoring, follow the emergency instructions provided by your care team.

    Other emergency signs, for anyone
    • Someone who is struggling to breathe, gasping, choking, or cannot get words out
    • Someone who has chest pain, tightness or pressure lasting more than a few minutes
    • Someone who has sudden weakness or drooping on one side of the face or body, slurred speech, or sudden confusion
    • Someone who is unconscious, or cannot be woken
    • Someone who is bleeding heavily and it will not stop with firm pressure
    • Someone who has had a seizure that will not stop, or does not wake up afterwards
    • Someone who has lips or skin that look pale, blue, grey or blotchy
    • Someone who you believe has taken an overdose or swallowed something poisonous
  2. 2

    Is any of this happening?

    Be seen today

    Get urgent same-day medical advice if you have a positive pregnancy test with one-sided pelvic pain, unusual vaginal bleeding, or worsening pain.

    This is especially important after a previous ectopic pregnancy, fertility treatment, or tubal surgery.

    Seek urgent assessment for worsening pain, dizziness, fainting, heavy bleeding, or new shoulder-tip pain, even if your hCG level was previously falling.

  3. 3

    Does any of this apply?

    Book an appointment

    Routine follow-up is appropriate for scheduled hCG tests, ultrasound appointments, wound checks, contraception, future pregnancy planning, and emotional support.

    Contact your care team if symptoms are not improving as expected or you are unable to attend planned monitoring.

Every sign above is quoted from the sofidex article on Tubal pregnancy. If you are not sure, err upward — it is always reasonable to be checked.