1) Previous pelvic inflammatory disease, 2) previous tubal surgery, 3) current use of an intrauterine device , and 4) previous ectopic gestation .
Evaluation:
Any pregnancy in which the embryo implant outside the uterine cavity is defined as an ectopic pregnancy (EP) . Hemorrhagic shock secondary to EP accounts for 6 – 7 % of all maternal death.
Lesser Risk: Previous pelvic or abdominal surgery , Cigarette smoking, Vaginal douching and Age of 1st intercourse <18 years.
Greater Risk: Previous genital infections (eg PID), Infertility (In vitro fertilization) and Multiple sexual partners.
Greatest Risk : Previous ectopic pregnancy, Previous tubal surgery or sterilization , Diethylstibestrol exposure in utero, Documented tubel pathology, Use of intrauterine contraceptive device.