Start

UPT positive and: 1. Pregnancy of uncertain gestation or 2. Risk factors such as previous ectopic or pelvic inflammatory disease

* Perform TAS/TVS

* Pregnancy of unknown location (early IUP/ectopic)

End

* Suspect ectopic pregnancy, possibly ruptured

Perform vaginal examination

Likely ectopic pregnancy

Assess suitability for medical or surgical management of ectopic pregnancy after discussion with specialist

Yes

No

Yes

No

Yes

No

Yes

No

Yes

No